Dissociative disorders

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Dissociative Disorders[1] are defined as conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. The hypothesis is that symptoms can result, to the extent of interfering with a person's general functioning, when one or more of these functions is disrupted.

The four dissociative disorders listed in the DSM IV TR are as follows:

  • Depersonalization disorder (DSM-IV Codes 300.6[2]) - periods of detachment from self or surrounding which may be experienced as "unreal" (lacking in control of or "outside of" self) while retaining awareness that this is only a feeling and not a reality.
  • Derealization disorder feeling as though one's environment is lacking in spontaneity, emotional colouring and depth.
  • Dissociative Amnesia (DSM-IV Codes 300.12[3]) - noticeable impairment of recall resulting from emotional trauma
  • Dissociative fugue (DSM-IV Codes 300.13[4]) - physical desertion of familiar surroundings and experience of impaired recall of the past. This may lead to confusion about actual identity and the assumption of a new identity.
  • Dissociative identity disorder (DSM-IV Codes 300.14[5]) - the alternation of two or more distinct personality states with impaired recall, among personality states, of important information.

In addition, there's the diagnosis of dissociative disorder not otherwise specified (DSM-IV Codes 300.15[6]) which can be used for forms of pathological dissociation not covered by any of the specified dissociative disorders.

In a 2007 study, only 28.7% of the dissociative participants had received psychiatric treatment previously[7].

See also

References

de:Dissoziation (Psychologie) fi:Dissosiaatiohäiriö sr:Дисоцијативни поремећај


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