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Counseling Psychology and Psychotherapy

Publisher: Moscow State University of Psychology and Education

ISSN (printed version): 2075-3470

ISSN (online): 2311-9446

DOI: https://doi.org/10.17759/cpp

License: CC BY-NC 4.0

Started in 1992

Published quarterly

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Open Access Journal

 

Dissociation, Trauma and Self-Harm 648

Polskaya N.A.
Doctor of Psychology, Professor, Chair of Clinical Psychology and Psychotherapy, Moscow State University of Psychology & Education, Moscow, Russia
ORCID: https://orcid.org/0000-0002-7305-5577
e-mail: polskayana@yandex.ru

Melnikova M.A.
Student, Masterprogramm “Councelling psychology”, Faculty of Councelling and Clinical Psychology, Moscow State university of psychology and education (MSUPE), Moscow, Russia
e-mail: melnikova-ma@mail.ru

Abstract
The presented analytical preview considers the main approaches to the relationship between dissociation, trauma and self-harm. This relationship is functionally complex and depends on many variables. In regards to trauma dissociation and self-harm are (1) defense mechanisms, activating to traumatic cues; (2) destructive pathological self-regulatory modes. Meantime functional links between dissociation and self-harm reveal two tendencies: anti-dissociation (regaining control) and dissociation-inducing (rejecting one’s feelings). Dissociation is widely considered a mediator between trauma and self-harm. At the same time psychological mechanisms, such as emotion regulation and body rejection, exert significant influence on pathological post-traumatic development. We discuss the psychopathological aspects of the links between trauma, dissociation and self-harm in borderline personality and eating disorders. We also take note of the gender- and age-related peculiarities of these issues.

Keywords: dissociation, trauma, self-harm, borderline personality disorder, eating disorders, emotion dysregulation, body rejection

Column: Special Topic: Personality Pathology: Destructive and Self-Destructive Behavior

DOI: https://doi.org/10.17759/cpp.2020280103

For Reference

Funding

This paper was prepared with the financial support of the Russian Foundation for Basic Research (RFBR), project № 19-113-50577.

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