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This research project related facial – affective behaviour in traumatized patients to dissociation including amnestic tendencies and derealisation. Facial affective behaviour of acute adult-onset traumatized patients versus childhood-onset traumatized patients was analyzed with the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. The facial affective behaviour of the patient’s first and last EMDR sessions was compared. Childhood- onset and acute adult-onset traumatized patients showed the same amount of overall facial activity. Childhood-onset traumatized patients showed higher values of derealisation (FDS). The reduction remains constant over time. Also childhood-onset traumatized patients developed more psychic complaints and greater derealisation. Using the same corpus of data it was investigated whether the facial affective behaviour of patients with posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD) could be used to discriminate the two groups. Patients were assigned to clusters which were then compared for emotional numbing and dominant affects. In Cluster 1 the negative affects anger, contempt and disgust were dominant to the exclusion of other primary affects. Chief affects expressed in cluster 2 were disgust, social smiling and contempt. Clusters 3 displayed the full range of primary affects, with grief the most frequent. BPD as additional diagnosis was significantly more frequent in clusters 1 and 2 than in cluster 3. The finding that PTSD patients in Clusters 1 and 2 display a significantly more frequent co-morbidity with BPD than those in Clusters 3 is discussed against the background of the range of facial - expressive affects.
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