References

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
   Google Scholar
• Bedi, R., Muller, R. T., & Classen, C. C. (2014). Cumulative risk for deliberate self-harm among treatment-seeking women with histories of childhood abuse. Psychological Trauma: Theory, Research, Practice, and Policy, 6(6), 600–12. doi:10.1037/a0033897
   Web of Science ®Google Scholar
• Boyd, J. E., O’Connor, C., Protopopescu, A., Jetly, R., Lanius, R. A., & McKinnon, M. C. (2020). The contributions of emotion regulation difficulties and dissociative symptoms to functional impairment among civilian inpatients with posttraumatic stress symptoms. Psychological Trauma: Theory, Research, Practice and Policy, 12(7), 739–749. doi:10.1037/tra0000576
   PubMed Web of Science ®Google Scholar
• Brand, B. L. (2001). Establishing safety with patients with dissociative identity disorder. Journal of Trauma and Dissociation, 2(4), 133–155. doi:10.1300/J229v02n04_07
   PubMedGoogle Scholar
• Brand, B. L., Classen, C., Lanius, R., Loewenstein, R., McNary, S., Pain, C., & Putnam, F. W. (2009). A naturalistic study of dissociative identity disorder and dissociative disorder not otherwise specified patients treated by community clinicians. Psychological Trauma: Theory, Research, Practice, and Policy, 1(2), 153–171. doi:10.1037/a0016210
   Web of Science ®Google Scholar
• Brand, B. L., Myrick, A. C., Loewenstein, R. J., Classen, C. C., Lanius, R., McNary, S. W., … Putnam, F. W. (2012). A survey of practices and recommended treatment interventions among expert therapists treating patients with dissociative identity disorder and dissociative disorder not otherwise specified. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 490–500. doi:10.1037/a0026487
   Web of Science ®Google Scholar
• Brand, B. L., Schielke, H. J., Putnam, K. T., Putnam, F. W., Loewenstein, R. J., Myrick, A., … Lanius, R. A. (2019). An online educational program for individuals with dissociative disorders and their clinicians: 1-year and 2-year follow-up. Journal of Traumatic Stress, 32, 156–166. doi:10.1002/jts.22370
   PubMed Web of Science ®Google Scholar
• Briere, J., Hodges, M., & Godbout, N. (2010). Traumatic stress, affect dysregulation, and dysfunctional avoidance: A structural equation model. Journal of Traumatic Stress, 23(6), 767–774. doi:10.1002/jts.20578
   PubMed Web of Science ®Google Scholar
• Brown, W. J., Hetzel-Riggin, M. D., Mitchell, M. A., & Bruce, S. E. (2018). Rumination mediates the relationship between negative affect and posttraumatic stress disorder symptoms in female interpersonal trauma survivors. Journal of Interpersonal Violence. doi:10.1177/0886260518818434
   Web of Science ®Google Scholar
• Bryan, C. J., Rudd, M. D., & Wertenberger, E. (2013). Reasons for suicide attempts in a clinical sample of active duty soldiers. Journal of Affective Disorders, 144(1–2), 148–152. doi:10.1016/j.jad.2012.06.030
   PubMed Web of Science ®Google Scholar
• Calati, R., Bensassi, I., & Courtet, P. (2017). The link between dissociation and both suicide attempts and non-suicidal self-injury: Meta-analyses. Psychiatry Research, 251, 103–114. doi:10.1016/j.psychres.2017.01.035
   PubMed Web of Science ®Google Scholar
• Carlson, E. B., & Putnam, F. W. (1993). An update on the Dissociative Experiences Scale. Dissociation, 6(1), 16–27.
   Google Scholar
• Chen, W. L., & Chun, C. C. (2019). Association between emotion dysregulation and distinct groups of non-suicidal self-injury in Taiwanese female adolescents. International Journal of Environmental Research and Public Health, 16(18), 3361. doi:10.3390/ijerph16183361
   Web of Science ®Google Scholar
• Chu, J. A. (2011). Rebuilding shattered lives: Treating complex PTSD and dissociative disorders. 2nd ed. John Wiley & Sons Inc. doi:10.1002/9781118093146
   Google Scholar
• Connors, R. (1996). Self-injury in trauma survivors: 1. Functions and meanings. American Journal of Orthopsychiatry, 66, 197–206. doi:10.1037/h0080171
   PubMed Web of Science ®Google Scholar
• Coons, P. M., & Milstein, V. (1990). Self-mutilation associated with dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 3(2), 81–87.
   Google Scholar
• DePrince, A. P., & Freyd, J. J. (1999). Dissociative tendencies, attention, and memory. Psychological Science, 10(5), 449. doi:10.1111/1467-9280.00185
   Web of Science ®Google Scholar
• Dorahy, M. J., Carrell, J. M., & Thompson, N. (2019). Assessing the validity of the quartile risk model of dissociation for predicting deliberate self-harm. Journal of Trauma & Dissociation, 20(5), 548–563. doi:10.1080/15299732.2019.1597812
   PubMed Web of Science ®Google Scholar
• Dyer, K. F., Dorahy, M. J., Shannon, M., & Corry, M. (2013). Trauma typology as a risk factor for aggression and self-harm in a complex PTSD population: The mediating role of alterations in self-perception. Journal of Trauma & Dissociation, 14, 56–68. doi:10.1080/15299732.2012.710184
   PubMed Web of Science ®Google Scholar
• Elwood, L. S., Hahn, K. S., Olatunji, B. O., & Williams, N. L. (2009). Cognitive vulnerabilities to the development of PTSD: A review of four vulnerabilities and the proposal of an integrative vulnerability model. Clinical Psychology Review, 29(1), 87–100. doi:10.1016/j.cpr.2008.10.002
   PubMed Web of Science ®Google Scholar
• Engelberg, J., & Brand, B. L. (2012). The effects of depression on self-harm and treatment outcome in patients with severe dissociative disorder. Psi Chi Journal of Psychological Research, 17(3), 115–124. doi:10.24839/2164-8204.JN17.3.115
   Google Scholar
• Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54. doi:10.1007/s10862-008-9102-4
   Web of Science ®Google Scholar
• Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299. doi:10.1037/1089-2680.2.3.271
   Google Scholar
• Hooley, J. M., & Franklin, J. C. (2018). Why do people hurt themselves? A new conceptual model of nonsuicidal self-injury. Clinical Psychological Science, 6(3), 428–451. doi:10.1177/2167702617745641
   Web of Science ®Google Scholar
• Ibraheim, M., Kalpakci, A., & Sharp, C. (2017). The specificity of emotion dysregulation in adolescents with borderline personality disorder: Comparison with psychiatric and healthy controls. Borderline Personality Disorder and Emotion Dysregulation, 4(1). doi:10.1186/s40479-017-0052-x
   PubMed Web of Science ®Google Scholar
• International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115–187. doi:10.1080/15299732.2011.537247
   PubMed Web of Science ®Google Scholar
• Kiekens, G., Hasking, P., Nock, M. K., Boyes, M., Kirtley, O., Bruffaerts, R., … Claes, L. (2020). Fluctuations in affective states and self-efficacy to resist non-suicidal self-injury as real-time predictors of non-suicidal self-injurious thoughts and behaviors. Frontiers in Psychiatry, 11, 214. doi:10.3389/fpsyt.2020.00214
   PubMed Web of Science ®Google Scholar
• Klonsky, E. D. (2007). The functions of deliberate self-injury: A review of the evidence. Clinical Psychology Review, 27(2), 226–239. doi:10.1016/j.cpr.2006.08.002
   PubMed Web of Science ®Google Scholar
• Klonsky, E. D., & Glenn, C. R. (2009). Assessing the functions of non-suicidal self-injury: Psychometric properties of the Inventory of Statements About Self-injury (ISAS). Journal of Psychopathology and Behavioral Assessment, 31(3), 215–219. doi:10.1007/s10862-008-9107-z
   PubMed Web of Science ®Google Scholar
• Klonsky, E. D., & Muehlenkamp, J. J. (2007). Self-injury: A research review for the practitioner. Journal of Clinical Psycholology, 63, 1045–1056. doi:10.1002/jclp.20412
   PubMed Web of Science ®Google Scholar
• Lee, E. E., Bangen, K. J., Avanzino, J. A., Hou, B., Ramsey, M., Eglit, G., … Jeste, D. V. (2020). Outcomes of randomized clinical trials of interventions to enhance social, emotional, and spiritual components of wisdom: A systematic review and meta-analysis. JAMA Psychiatry, 77(9), 925. doi:10.1001/jamapsychiatry.2020.0821
   PubMed Web of Science ®Google Scholar
• LoSavio, S. T., Dillon, K. H., & Resick, P. A. (2017). Cognitive factors in the development, maintenance, and treatment of post-traumatic stress disorder. Current Opinion in Psychology, 14, 18–22. doi:10.1016/j.copsyc.2016.09.006
   PubMed Web of Science ®Google Scholar
• McKinnon, M. C., Boyd, J. E., Frewen, P. A., Lanius, U. F., Jetly, R., Richardson, J. D., & Lanius, R. A. (2016). A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions. Neuropsychologia, 90, 210–234. doi:10.1016/j.neuropsychologia.2016.07.017
   PubMed Web of Science ®Google Scholar
• Michael, T., Halligan, S. L., Clark, D. M., & Ehlers, A. (2007). Rumination in posttraumatic stress disorder. Depression and Anxiety, 24(5), 307–317. doi:10.1002/da.20228
   PubMed Web of Science ®Google Scholar
• Najmi, S., Wegner, D. M., & Nock, M. K. (2007). Thought suppression and selfinjurious thoughts and behaviors. Behaviour Research and Therapy, 45(8), 1957–1965. doi:10.1016/j.brat.2006.09.014
   PubMed Web of Science ®Google Scholar
• Ozturk, E., & Sar, V. (2008). Somatization as a predictor of suicidal ideation in dissociative disorders. Psychiatry and Clinical Neuroscience, 62(2), 662–668. doi:10.1111/j.1440-1819.2008.01865.x
   Web of Science ®Google Scholar
• Pencea, I., Munoz, A. P., Maples-Keller, J. L., Fiorillo, D., Schultebraucks, K., Galatzer-Levy, I., … Powers, A. (2020). Emotion dysregulation is associated with increased prospective risk for chronic PTSD development. Journal of Psychiatric Research, 121, 222–228. doi:10.1016/j.jpsychires.2019.12.008
   PubMed Web of Science ®Google Scholar
• Powers, A., Cross, D., Fani, N., & Bradley, B. (2015). PTSD, emotion dysregulation, and dissociative symptoms in a highly traumatized sample. Journal of Psychiatric Research, 61, 174–179. doi:10.1016/j.jpsychires.2014.12.011
   PubMed Web of Science ®Google Scholar
• Putnam, F. W. (2016). The way we are: How states of mind influence our identities, personality, and potential for change. New York: International Psychoanalytic Books.
   Google Scholar
• Radomski, S. A., & Read, J. P. (2016). Mechanistic role of emotion regulation in the PTSD and alcohol association. Traumatology, 22(2), 113–121. doi:10.1037/trm0000068
   PubMedGoogle Scholar
• Ross, C. A., & Norton, R. (1989). Suicide and parasuicide in multiple personality disorder. Psychiatry, 52, 365–371. doi:10.1080/00332747.1989.11024458
   PubMed Web of Science ®Google Scholar
• Rossi, R., Longo, L., Fiore, D., Carcione, A., Niolu, C., Siracusano, A., & Lorenzo, G. D. (2019). Dissociation in stress-related disorders and self-harm: A review of the literature and a systematic review of mediation models. Journal of Psychopathology, 25, 162–171.
   Google Scholar
• Rufino, K. A., Ellis, T. E., Clapp, J., Pearte, C., & Fowler, J. C. (2017). Variations of emotion dysregulation in borderline personality disorder: A latent profile analysis approach with adult psychiatric inpatients. Borderline Personality Disorder and Emotion Dysregulation, 4(17). doi:10.1186/s40479-017-0068-2
   Web of Science ®Google Scholar
• Russell, G., Moss, D., & Miller, J. (2010). Appalling and appealing: A qualitative study of the character of men’s self-harm. Psychology and Psychotherapy, 83(Pt. 1), 91–109. doi:10.1348/147608309X466826
   PubMed Web of Science ®Google Scholar
• Salgó, E., Szeghalmi, L., Bajzát, B., Berán, E., & Unoka, Z. (2021). Emotion regulation, mindfulness, and self-compassion among patients with borderline personality disorder, compared to healthy control subjects. PLOS ONE, 16(3), e0248409. doi:10.1371/journal.pone.0248409
   Web of Science ®Google Scholar
• Şar, V. (2014). The many faces of dissociation: Opportunities for innovative research in psychiatry. Clinical Psychopharmacology and Neuroscience, 12(3), 171–179. doi:10.9758/cpn.2014.12.3.171
   PubMed Web of Science ®Google Scholar
• Saxe, G. N., Chawla, N., & Van der Kolk, B. (2002). Self-destructive behavior in patients with dissociative disorders. Suicide & Life-threatening Behavior, 32(3), 313–320. doi:10.1521/suli.32.3.313.22174
   PubMed Web of Science ®Google Scholar
• Schiavone, F. L., McKinnon, M. C., & Lanius, R. A. (2018). Psychotic-like symptoms and the temporal lobe in trauma-related disorders: Diagnosis, treatment, and assessment of potential malingering. Chronic Stress, 2, 247054701879704. doi:10.1177/2470547018797046
   Google Scholar
• Schielke, H. J., Brand, B. L., & Lanius, R. A. (in press). The finding solid ground program workbook: Overcoming obstacles in trauma recovery. Oxford: Oxford University Press.
   Google Scholar
• Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: A meta-analysis. Cognitive Behaviour Therapy, 44(2), 87–102. doi:10.1080/16506073.2014.980753
   PubMed Web of Science ®Google Scholar
• Steele, K., Boon, S., & van der Hart, O. (2017). Treating trauma-related dissociation: A practical, integrative approach. New York, NY: W W Norton & Co.
   Google Scholar
• Titelius, E. N., Cook, E., Spas, J., Orchowski, L., Frazier, E., Wolff, J. C., … Seymour, K. E. (2018). Emotion dysregulation mediates the relationship between child maltreatment and non-suicidal self-injury. Journal of Aggression, Maltreatment & Trauma, 27(3), 323–331. doi:10.1080/10926771.2017.1338814
   PubMed Web of Science ®Google Scholar
• van IJzendoorn, M. H., & Schuengel, C. (1996). The measurement of dissociation in normal and clinical populations: Meta‐analytic validation of the Dissociative Experiences Scale (DES). Clinical Psychology Review, 16, 365–382. doi:10.1016/0272-7358(96)00006-2
   Web of Science ®Google Scholar
• Webermann, A. R., Myrick, A. C., Taylor, C. L., Chasson, G. S., & Brand, B. L. (2016). Dissociative, depressive, and PTSD severity as correlates of non-suicidal self-injury and suicidality in dissociative disorder patients. Journal of Trauma and Dissociation, 17(1), 67–80. doi:10.1080/15299732.2015.1067941
   PubMed Web of Science ®Google Scholar
• Wolff, J., Thompson, E., Thomas, S., Nesi, J., Bettis, A., Ransford, B., … Liu, R. (2019). Emotion dysregulation and non-suicidal self-injury: A systematic review and meta-analysis. European Psychiatry, 59, 25–36. doi:10.1016/j.eurpsy.2019.03.004
   PubMed Web of Science ®Google Scholar
• Zittel Conklin, C., & Westen, D. (2005). Borderline personality disorder in clinical practice. The American Journal of Psychiatry, 162(5), 867–875. doi:10.1176/appi.ajp.162.5.867
   Web of Science ®Google Scholar