The Disscociation Capsule

In my 30+ years of the practice of Neurology, I spent the last 20 as the medical director of a rehabilitation center, much of that directing a multidisciplinary chronic pain program. We routinely treated the most challenging patients, those whose physicians had basically given up their treatment in despair, and referred them to us. Our team included a full-time psychologist, and their intake data revealed a dramatic incidence of child abuse (~60%) and of Borderline Personality Disorder (~30%) in our pain clientele. Virtually all of them suffered from depression. Our frequent staff meetings often addressed how to avoid "splitting" of the staff by our borderline patients.