Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review

Abstract Background Dissociation is a feature of Borderline Personality Disorder (BPD), but rarely a focus for research, particularly in the perinatal literature. BPD partly has its aetiology in childhood and is characterised by emotional changes and difficulty with self-coherence that impacts on th...

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Main Authors: David Rimmington, Rachel Roberts, Alyssa Sawyer, Anne Sved-Williams
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Borderline Personality Disorder and Emotion Dysregulation
Subjects:
Online Access:https://doi.org/10.1186/s40479-024-00250-7
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author David Rimmington
Rachel Roberts
Alyssa Sawyer
Anne Sved-Williams
author_facet David Rimmington
Rachel Roberts
Alyssa Sawyer
Anne Sved-Williams
author_sort David Rimmington
collection DOAJ
description Abstract Background Dissociation is a feature of Borderline Personality Disorder (BPD), but rarely a focus for research, particularly in the perinatal literature. BPD partly has its aetiology in childhood and is characterised by emotional changes and difficulty with self-coherence that impacts on the processes of caregiving. Methods A scoping review was conducted to synthesise current perspectives on the effect of dissociation in caregivers with BPD, particularly regarding the impact of caregiver dissociation on the interactional quality of relationship within parent–child dyads. Studies were included if they explicitly mentioned dissociation in the target population, or if dissociation was implied. A thematic analysis was conducted. Results 20 studies were included; 10 experimental or quasi-experimental; 2 presenting case material; and 8 non-systematic review articles. 4 studies used the Dissociative Experiences Scale (DES) to measure dissociation, while 2 studies included a ‘dissociative behaviour’ subscale as part of an observational measure. The remaining studies did not measure dissociation but referenced directly or indirectly a concept of dissociation. Conclusions Findings suggested there was some evidence that dissociation plays a unique role in BPD caregivers’ interactions with their offspring, however any findings should be interpreted with caution as the concept has been poorly operationalised and defined.
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spelling doaj.art-9acd6b0247aa425b9f62af96e6769ca62024-03-17T12:14:51ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732024-03-0111112410.1186/s40479-024-00250-7Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping reviewDavid Rimmington0Rachel Roberts1Alyssa Sawyer2Anne Sved-Williams3School of Psychology, The University of Adelaide, North TerraceSchool of Psychology, The University of Adelaide, North TerraceSchool of Psychology, The University of Adelaide, North TerraceSchool of Psychology, The University of Adelaide, North TerraceAbstract Background Dissociation is a feature of Borderline Personality Disorder (BPD), but rarely a focus for research, particularly in the perinatal literature. BPD partly has its aetiology in childhood and is characterised by emotional changes and difficulty with self-coherence that impacts on the processes of caregiving. Methods A scoping review was conducted to synthesise current perspectives on the effect of dissociation in caregivers with BPD, particularly regarding the impact of caregiver dissociation on the interactional quality of relationship within parent–child dyads. Studies were included if they explicitly mentioned dissociation in the target population, or if dissociation was implied. A thematic analysis was conducted. Results 20 studies were included; 10 experimental or quasi-experimental; 2 presenting case material; and 8 non-systematic review articles. 4 studies used the Dissociative Experiences Scale (DES) to measure dissociation, while 2 studies included a ‘dissociative behaviour’ subscale as part of an observational measure. The remaining studies did not measure dissociation but referenced directly or indirectly a concept of dissociation. Conclusions Findings suggested there was some evidence that dissociation plays a unique role in BPD caregivers’ interactions with their offspring, however any findings should be interpreted with caution as the concept has been poorly operationalised and defined.https://doi.org/10.1186/s40479-024-00250-7DissociationPerinatalMothersBorderlineAttachmentTrauma
spellingShingle David Rimmington
Rachel Roberts
Alyssa Sawyer
Anne Sved-Williams
Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
Borderline Personality Disorder and Emotion Dysregulation
Dissociation
Perinatal
Mothers
Borderline
Attachment
Trauma
title Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
title_full Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
title_fullStr Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
title_full_unstemmed Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
title_short Dissociation in mothers with borderline personality disorder: a possible mechanism for transmission of intergenerational trauma? A scoping review
title_sort dissociation in mothers with borderline personality disorder a possible mechanism for transmission of intergenerational trauma a scoping review
topic Dissociation
Perinatal
Mothers
Borderline
Attachment
Trauma
url https://doi.org/10.1186/s40479-024-00250-7
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AT alyssasawyer dissociationinmotherswithborderlinepersonalitydisorderapossiblemechanismfortransmissionofintergenerationaltraumaascopingreview
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