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Dream-reality confusion in borderline personality disorder: a theoretical analysis

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It is hypothesized that people with BPD are more likely to experience DRC compared to people in non-clinical population. Sleep disturbances: problems with sleep are found in 15— Cognitive disturbances: Many BPD patients experience various cognitive disturbances, including problems with reality testing Fiqueierdo, ; Mosquera et al. Thin boundaries: People with thin boundaries are more prone to DRC than people with thick boundaries, and people with BPD tend to have thin boundaries Hartmann, Introduction Dream-reality confusion DRC is a difficulty or inability to determine whether an event or experience occurred during the waking state or whether it was part of a dream. Although, only few studies on DRC in non-clinical populations have been conducted e. Research has found that there is a relationship between DRC and psychotic symptoms e. BPD is a pervasive pattern of instability of interpersonal relationships, self-image and affect, and marked impulsivity that begins by early adulthood and is present in a variety of contexts DSM-V; American Psychiatric Association,p. Moreover, persons with BPD often engage in self-destructive behaviors and are at significant risk of suicide.

How was your sleep, hon? They ask. Good — no, abysmal. Uh, it was fine.

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