The importance of ego-strengthening with dissociative disorder patients

1997 ◽  
Author(s):  
Maggie Phillips
Keyword(s):  
Dissociative Disorder

“Not with me you don't”: A story of narrative practice and dissociative disorder

1995 ◽  
Vol 17 (1) ◽  
pp. 143-157 ◽  
Author(s):  
J. Paul Gallant ◽  
Keith Brownlee ◽  
Rich Vodde
Keyword(s):  
Dissociative Disorder ◽  
Narrative Practice

Dissociative disorder – unraveling the mystery

2016 ◽  
Vol 33 (S1) ◽  
pp. S327-S327
Author(s):  
L. Sousa ◽  
A. Antunes ◽  
S. Oliveira
Keyword(s):  
Romantic Relationship ◽  
Clinical Information ◽  
Dissociative Disorders ◽  
Dissociative Disorder ◽  
Clinical Interviews ◽  
Medical Interventions ◽  
Brazilian Woman ◽  
History Of ◽  
Competing Interest ◽  
Car Accident

IntroductionDissociative disorders are among the most enigmatic and controversial psychiatric pathologies. In the last decades, great interest has emerged in understanding its pathophysiology, nonetheless, problems in recognition and management of these disorders are still challenging the psychiatric community.ObjectivesWe describe a paradigmatic case of a dissociative disorder illustrating the “choice” of dissociation as a strategy for coping with a traumatic reality.AimCall attention to problems that interfere with the recognition, diagnosis and management of dissociative disorders.MethodsBibliographic research was conducted through the PubMed in the Medline library and clinical information was obtained through medical records and clinical interviews with the patient.ResultsA 51-year-old Brazilian woman with no psychiatric history presented to the psychiatric outpatient care with apparent dissociative symptoms, these consisted of amnesia for episodes of agitation and aggressive behavior that occurred mainly at bed time. She had been previously on general practice and neurology consultations but none organic diagnose was made. Already in psychiatry, it was recognized that those symptoms developed together after a car accident and the beginning of a romantic relationship. It was also recognized that she has sexual dysfunction and a history of sexual abuse by a family member during her childhood, a known risk factor to dissociative disorders.ConclusionsSkepticism and lack of understanding might be the reason for late psychiatric referral after the realization of various expensive and time-consuming medical exams. Improving the recognition of dissociative disorders will conduce not only to better clinical outcomes but also improve cost effectivity of medical interventions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Classification of Dissociative States in DSM–III–R and ICD–10 (1989 Draft) a Study of Indian Out-patients

1991 ◽  
Vol 159 (3) ◽  
pp. 425-427 ◽  
Author(s):  
Partha Sarathi Das ◽  
Shekhar Saxena
Keyword(s):  
Dissociative Disorder ◽  
Not Otherwise Specified ◽  
Icd 10 ◽  
Dissociative States

When 42 cases of primary dissociative states from India were classified according to DSM–III–R and ICD–10 criteria, DSM–III–R was found to be unsatisfactory, with 40 (95.2%) cases receiving a diagnosis of dissociative disorder not otherwise specified. The majority fit well into simple dissociative and possession disorders. ICD–10 was found to be more satisfactory, with 36 (85.5%) patients fitting into specific subcategories, which, however, need to be defined and described more explicitly.

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