Borderline personlighetsforstyrrelse: Tilknytningstraumer og dissosiative prosesser

Abstract

Trauma in the form of early abuse and neglect has been implicated in the aetiology of Borderline personality disorder (BPD). BPD shares important characteristics with the dissociative disorders, which has led to a conceptualization of BPD where dissociation plays a central role as a key pathogenic process (e.g. Bromberg, 1998; Ross, 1996). This article attempts to answer the question of whether BPD can be understood as a dissociative adaptation to attachment trauma. Drawing on an understanding of relational psychoanalysis, trauma literature and attachment theory, a relational self-state perspective on BPD is presented along with some implications for psychotherapy.