Forensic aspects of dissociative positive symptoms in trauma-related disorders and borderline personality disorder
Loading...
Date
2024-03-08
Authors
Tschöke, Stefan
Steinert, Tilman
Knoblauch, Hans
Journal Title
Journal ISSN
Volume Title
Publication Type
Wissenschaftlicher Artikel
Published in
International Journal of Law and Psychiatry, 2024
Abstract
A psychotically motivated act or an act committed under impaired insight and control of action in the midst of an acute psychosis is the standard for lack of criminal responsibility. There is now increasing evidence that positive symptoms, particularly in the form of hallucinations and delusions, in trauma-related disorders and borderline personality disorder (BPD) are comparable to positive symptoms in psychotic disorders, posing a challenge for differential diagnosis and forensic assessment of the relevance of positive symptoms to insight and self-control. Due to the indistinguishability of the phenomena, there is both a risk of misdiagnosis of a psychotic disorder and also trivialization with the use of pseudo-hallucinations or quasi-psychotic labels. Essential phenomenological differences that may be helpful in forensic assessments are the usually preserved reality testing in trauma-related disorders and BPD, as well as differences in psychopathological symptom constellations. Because of these differences relevant to forensic assessments, it seems useful to distinguish trauma-related disorders and BPD with positive symptoms from psychotic disorders.
Description
Faculties
Institutions
Zentrum für Psychiatrie Weissenau
UKU. Klinik für Psychiatrie und Psychotherapie I
Oberschwaben Klinik GmbH Ravensburg St. Elisabethen-Krankenhaus
UKU. Klinik für Psychiatrie und Psychotherapie I
Oberschwaben Klinik GmbH Ravensburg St. Elisabethen-Krankenhaus
Citation
DFG Project uulm
EU Project THU
Other projects THU
License
CC BY 4.0 International
Is version of
Has version
Supplement to
Supplemented by
Has erratum
Erratum to
Has Part
Part of
DOI external
DOI external
10.1016/j.ijlp.2024.101973
Institutions
Periodical
Degree Program
DFG Project THU
item.page.thu.projectEU
item.page.thu.projectOther
Series
Keywords
Borderline personality disorder, Trauma-related disorders, Positive symptoms, Dissociation, Forensic assessments