Pain and self-injury in borderline patients: sensory decision theory, coping strategies, and locus of control

Fifteen women with borderline personality disorder who do not experience pain during self-injury were found to discriminate more poorly between imaginary painful and mildly painful situations, to reinterpret painful sensations (a pain-coping strategy related to dissociation), and to have higher scor...

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Bibliographic Details
Published in:Psychiatry research 1996-06, Vol.63 (1), p.57-65
Main Authors: Russ, Mark J., Clark, W.Crawford, Cross, Lisa W., Kemperman, Ingrid, Kakuma, Tatsuyuki, Harrison, Katherine
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adolescent
Adult
Adult and adolescent clinical studies
Analgesia
Arousal
Biological and medical sciences
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - psychology
Decision Theory
Dissociation
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Female
Humans
Hypesthesia - diagnosis
Hypesthesia - psychology
Imagination
Internal-External Control
Medical sciences
Middle Aged
Pain - psychology
Pain Measurement
Pain Threshold
Personality disorder
Personality disorders
Personality Inventory
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self-Injurious Behavior - psychology
Self-mutilation
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Summary:Fifteen women with borderline personality disorder who do not experience pain during self-injury were found to discriminate more poorly between imaginary painful and mildly painful situations, to reinterpret painful sensations (a pain-coping strategy related to dissociation), and to have higher scores on the Dissociative Experiences Scale than 24 similar female patients who experience pain during self-injury and 22 age-matched normal women. ‘Analgesia’ during self-injury in borderline patients may be related to a cognitive impairment in the ability to distinguish between painful and mildly painful situations, as well as to dissociative mechanisms.
ISSN:0165-1781
1872-7123
DOI:10.1016/0165-1781(96)02808-9