Single Paper or Case Study

Systematic Discrepancies in Self-report and Clinical Assessment of borderline-dissociation Spectrum: Possible Role of Amnesias and Perceptual Alterations

Sunday, March 25
2:10 PM - 2:30 PM
Location: Logan

Steinberg Dissociation Questionnaires, Childhood Trauma Questionnaire, self-report SCID-BPD were administered to 1301 college students. 80 participants with borderline personality disorder (BPD) according to clinician-administered SCID-BPD and 111 non-BPD controls were evaluated using SCID-D. Participants with both dissociative disorder (DD) and BPD (n = 78) had highest scores in all self-report and clinical dissociation measures. Number of BPD criteria was associated with severity of childhood trauma and dissociation. In variance analysis, both disorders had significant effects on all SCID-D (except depersonalization) and self-report (except amnesia) assessment scores. Unlike DD, BPD was associated with self-reported amnesia. Unlike BPD, DD was related to clinician-assessed depersonalization and identity alteration. In self-report, both disorders were associated with cognitive-emotional self-detachment but only BPD with detachment from reality. Although the latter was correlated with total childhood trauma, clinician-assessed derealization was not. Self-reported identity alteration was correlated with all childhood trauma types, however, in clinical assessment, it was correlated with childhood sexual abuse only. There was significant interaction between two disorders for SCID-D total and identity confusion, and self-reported cognitive-emotional self-detachment and detachment from reality but not for any amnesia score. Possible mediators of discrepancies (e.g. amnesia to symptoms and/or childhood trauma or perceptual alterations) are discussed.


Learning Objectives:

Vedat Sar

Professor of Psychiatry
Koc University School of Medicine

Vedat Sar, M.D. is Professor of Psychiatry in Koç University School of Medicine, Istanbul, Turkey. His main research interests are in epidemiology, clinical exploration and psychotherapy of lifelong psychiatric consequences of childhood traumas, complex PTSD, and dissociative disorders. Due to his extensive studies on this area, Prof. Sar received David Caul Memorial, Morton Prince Scientific Achievement, Cornelia Wilbur, Pierre Janet Writing, and Lifetime Achievement Awards of ISSTD. He sits in the editorial boards of the European Journal of Psychotraumatology and the Journal of Trauma and Dissociation. Vedat Sar is President to the European Society for Traumatic Stress Studies (2013-2015) and former President of the International Society for the Study of Trauma and Dissociation (2008-2009).


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Isil Necef

Clinical Psychologist
Istanbul, Not Applicable

I earned my Master of Science degree in Clinical Psychology at California State University, Fullerton in 2014. My Master’s thesis was on International students' homesickness and depression associations with mood regulation expectancies, acculturation and attachment. As part of my clinical psychology fieldwork requirement, I conducted individual, family and group psychotherapies with children and adolescents at Western Youth Services in Southern California. After earning my Master of Science degree in Clinical Psychology, I taught Elementary Statistics courses as a part-time lecturer at California State University, Fullerton. In 2015, I worked with traumatized clients diagnosed with substance and alcohol dependence in both individual and group psychotherapy settings at Solid Landings Behavioral Health. In the meantime, I worked at Diamond Family Counseling, where I practiced Emotionally Focused Couples Therapy with couples. My psychotherapy trainings include Eye Movement Desensitization and Reprocessing EMDR I – II (Gerald Puk, Ph.D.), Parent-Child Interaction Therapy PCIT (Carrie Axline-White, Ph.D.), Emotionally Focused Couples Therapy, EFT Externship (Sue Johnson, Ph.D.), Compassion Focused Therapy (Paul Gilbert, Ph.D.), Erickson Hypnotherapy Masterclass & Intensives (Jeffrey Zeig, Ph.D.).I have been working as a psychotherapist at Koç University Hospital in Turkey since 2016, where I had the chance to meet Professor Sar and I am willing to do research on the etiology of trauma and dissociation and also hopefully on psychotherapy outcomes.


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Systematic Discrepancies in Self-report and Clinical Assessment of borderline-dissociation Spectrum: Possible Role of Amnesias and Perceptual Alterations

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