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Chapter 15. Dissociative Disorders

José R. Maldonado, M.D., F.A.P.M., F.A.C.F.E.; David Spiegel, M.D.
DOI: 10.1176/appi.books.9781585623402.298080

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The dissociative disorders involve a disturbance in the integrated organization of identity, memory, perception, or consciousness. Events normally experienced on a smooth continuum are isolated from the other mental processes with which they would ordinarily be associated. This discontinuity results in a variety of dissociative disorders depending on the primary cognitive process affected. When memories are poorly integrated, the resulting disorder is dissociative amnesia. Fragmentation of identity results in dissociative fugue or dissociative identity disorder (DID; formerly multiple personality disorder). Disordered perception yields depersonalization disorder. Dissociation of aspects of consciousness produces acute stress disorder and various dissociative trance and possession states (Table 15–1).

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Sample questions:
1.
Repression, as a general model for keeping information out of conscious awareness, differs from dissociation in a number of important ways. Which of the following statements describes repression?
2.
Which of the following characteristics is indicative of dissociative amnesia?
3.
Which of the following features is descriptive of depersonalization disorder?
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