Comprehensive Psychiatry
Volume 41, Issue 1 , Pages 42-48, January 2000

Associations of self-reported past “psychotic” phenomena with features of personality disorders☆

  • Jonathan H. Dowson

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Jonathan H. Dowson, M.D., Ph.D., University of Cambridge Department of Psychiatry, Addenbrooke's Hospital, Cambridge CB2 2QQ UK.
    • Department of Psychiatry, University of Cambridge, Cambridge, UK
    • Kneesworth House Hospital, Royston, UK
    • ,
  • Pamela Sussams

      Affiliations

    • Department of Psychiatry, University of Cambridge, Cambridge, UK
    • Kneesworth House Hospital, Royston, UK
    • ,
  • Adrian T. Grounds

      Affiliations

    • Department of Psychiatry, University of Cambridge, Cambridge, UK
    • Kneesworth House Hospital, Royston, UK
    • ,
  • John Taylor

      Affiliations

    • Department of Psychiatry, University of Cambridge, Cambridge, UK
    • Kneesworth House Hospital, Royston, UK

Abstract 

Patients with borderline personality disorder (BPD) may presentwith “psychotic” phenomena, which can be defined as a range of specified “altered experiences of reality.” This study investigated the associations between self-reported past psychotic phenomena and features of DSM-III-R personality disorders (PDs) in 57 inpatients without a previous diagnosis of the main disorders that involve delusions and hallucinations. The present findings include associations between past psychotic phenomena and features of BPD, between repeated self-harm and a report that “thoughts seemed put into head,” and between psychotic phenomena and features of other PDs, particularly schizotypal PD. There was a high prevalence of BPD in the present sample. Dissociation, in the context of the features of BPD, may be a causal factor for the development of some of the psychotic phenomena presented by patients with PD.

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☆ Supported by a grant front the East Anglian Regional Health Authority.

PII: S0010-440X(00)90130-5

Comprehensive Psychiatry
Volume 41, Issue 1 , Pages 42-48, January 2000

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