· For , see dissociation (neuropsicología). Dissociation is a partial or complete disruption of the normal integration of a person’s conscious or psychological functioning. Dissociation can be a response to trauma or drugs and perhaps allows the mind to distance itself from experiences that are too much for the psyche to process at that time. Dissociative disruptions can affect any aspect of a person’s functioning. Although some dissociative disruptions involve amnesia, the vast majority of dissociative events do not. Since dissociations are normally unanticipated, they are typically experienced as startling, autonomous intrusions into the person's usual ways of responding or functioning. Due to their unexpected and largely inexplicable nature, they tend to be quite unsettling. Different dissociative disorders have different relationships to stress and trauma. Dissociative amnesia and fugue states are often triggered by life stresses that fall far short of trauma. Depersonalization disorder is sometimes triggered by trauma, but may be preceded only by stress, psychoactive substances, or no identifiable stress at all. Contenido 1 Historia 2 Measures of dissociation 3 Diagnosis of dissociative disorder 4 Relation to trauma and abuse 5 Psychoactive substances 6 Ver también 7 Referencias 8 Bibliografía 9 Textos clave 9.1 Libros 9.2 Papeles 10 Material adicional 10.1 Libros 10.2 Papeles 11 External links History The French philosopher and psychiatrist Pierre Janet (1859–1947) is considered to be the author of the concept of dissociation. Contrary to most current conceptions of dissociation, Janet did not believe that dissociation was a psychological defense. Psychological defense mechanisms belong to Freud's theory of psychoanalysis, not to Janetian psychology. Janet claimed that dissociation occurred only in persons who had a constitutional weakness of mental functioning that led to hysteria when they were stressed. Although it is true that many of Janet's case histories described traumatic experiences, he never considered dissociation to be a defense against those experiences. Quite the opposite. Janet insisted that dissociation was a mental or cognitive deficit. Respectivamente, he considered trauma to be one of many stressors that could worsen the already-impaired "eficiencia mental" of a hysteric, thereby generating a cascade of hysterical (in today's language, "dissociative") symptoms. Despite this, clinicians have routinely preferred Freud's motivational explanation of dissociation as a defense against pain or displeasure to Janet's explanation that dissociation is due to constitutionally-impaired mental efficiency. Clinicians' preference for the Freudian explanation is directly reflected in today's most popular understanding of dissociation; a saber, that dissociation is a defense against trauma. Although there was great interest in dissociation during the last two decades of the nineteenth century (especially in France and England), this interest rapidly waned with the coming of the new century (Ellenberger, 1970). Even Janet largely turned his attention to other matters. Por otro lado, there was a sharp peak in interest in dissociation in America from 1890 Para 1910, especially in Boston as reflected in the work of William James, Boris Sidis, Morton Prince, and William McDougall. No obstante, even in America, interest in dissociation rapidly succumbed to the surging academic interest in psychoanalysis and behaviorism. For most of the twentieth century, there was little interest in dissociation. Discussion of dissociation only resumed when Ernest Hilgard (1977) published his neodissociation theory in the 1970s and when several authors wrote about multiple personality in the 1980s. Carl Jung described pathological manifestations of dissociation as special or extreme cases of the normal operation of the psyche. This structural dissociation, opposing tension, and hierarchy of basic attitudes and functions in normal individual consciousness is the basis of Jung's Psychological Types. He theorized that dissociation is a natural necessity for consciousness to operate in one faculty unhampered by the demands of its opposite. Attention to dissociation as a clinical feature has been growing in recent years as knowledge of post-traumatic stress disorder increased, due to interest in dissociative identity disorder and the multiple personality controversy, and as neuroimaging research and population studies show its relevance. Measures of dissociation There are multiple tests developed to estimate a persons level of dissociation in relation to various disorders of modern psychology. Diagnosis of dissociative disorder Main article: dissociative disorder The DSM-IV considers symptoms such as depersonalization, derealization and psychogenic amnesia to be core features of dissociative disorders. Sin embargo, in the normal population dissociative experiences that are not clinically significant are highly prevalent, con 60% Para 65% of the respondents indicating that they have had some dissociative experiences. The SCID-D is a structured interview used to assess and diagnose dissociation. Relation to trauma and abuse Dissociation has been described as one of a constellation of symptoms experienced by some victims of multiple forms of childhood trauma, including physical, psicológico, and sexual abuse. This is supported by studies which suggest that dissociation is correlated with a history of trauma. Dissociation appears to have a high specificity and a low sensitivity to having a self-reported history of trauma, which means that dissociation is much more common among those who are traumatized, yet at the same time there are many persons who have suffered from trauma but who do not show dissociative symptoms. Adult dissociation when comorbid with a history of child abuse and otherwise interpersonal violence-related posttraumatic stress disorder (PTSD) has been shown to contribute to disturbances in parenting behavior, such as exposure of young children to violent media. Such behavior may contribute to cycles of familial violence and trauma. Symptoms of dissociation resulting from trauma may include depersonalization, psychological numbing, disengagement, or amnesia regarding the events of the abuse. It has been hypothesized that dissociation may provide a temporarily effective defense mechanism in cases of severe trauma; sin embargo, in the long term, dissociation is associated with decreased psychological functioning and adjustment. Other symptoms sometimes found along with dissociation in victims of traumatic abuse (often referred to as "sequelae to abuse") include anxiety, PTSD, low self-esteem, somatization, depresión, chronic pain, interpersonal dysfunction, Abuso, self-mutilation and suicidal ideation or actions. These symptoms may lead the victim to erroneously present the symptoms as the source of the problem. Abuso infantil, especially chronic abuse starting at early ages, has been related to high levels of dissociative symptoms in a clinical sample, including amnesia for abuse memories. A non-clinical sample of adult women linked increased levels of dissociation to sexual abuse by a significantly older person prior to age 15, and dissociation has also been correlated with a history of childhood physical as well as sexual abuse. When sexual abuse is examined, the levels of dissociation were found to increase along with the severity of the abuse. The level of dissociation has been found to be related to abuse. Psychoactive substances Main article: Dissociative drug Psychoactive drugs can often induce a state of temporary dissociation. Substances with dissociative properties include ketamine, nitrous oxide, alcohol, LSD, tiletamine, marijuana, dextromethorphan, 2C-E, PCP, salvia, muscimol, atropine, and ibogaine. Dissociative Experience Scale (DES)  See also Altered state of consciousness Amnesia Consciousness disturbances Consciousness states Depersonalization Dissociative amnesia Dissociative disorders Dissociative Identity Disorder (DID) Emotional detachment Fugue Latah Recovered memory therapy References ↑ Dell, P. F., & O'Neil, J. Un. (2009). Preface. En p. F. Dell & J. Un. O'Neil (Eds.), Dissociation and the dissociative disorders: DSM-V and beyond (páginas. xix-xxi). Nueva York: Routledge. ↑ Haines, Staci. Healing Sex : A Mind-Body Approach to Healing Sexual Trauma. Ed. Felice Newman. Nueva York: Cleis P, 2007 ↑ Dell PF (Marzo 2006). A new model of dissociative identity disorder. Psychiatr. clin. am del norte. 29 (1): 1–26, vii. ↑ Butler LD, Duran RE, Jasiukaitis P, Koopman C, Spiegel D (Julio 1996). Hypnotizability and traumatic experience: a diathesis-stress model of dissociative symptomatology. Am J Psiquiatría 153 (7 Suppl): 42–63. ↑ Gleaves DH, May MC, Cardeña E (Junio 2001). An examination of the diagnostic validity of dissociative identity disorder. Clin Psicología Rev 21 (4): 577–608. ↑ Dell PF (2006). The multidimensional inventory of dissociation (MID): A comprehensive measure of pathological dissociation. J Trauma Dissociation 7 (2): 77–106. ↑ Van IJzendoorn MH, Schuengel C (1996). The measurement of dissociation in normal and clinical populations: meta-analytic validation of the dissociative experiences scale (DES). Revisión de Psicología Clínica 16 (5): 365–382. ↑ Asociación Americana de Psiquiatría (2000). Diagnostic and Statistical Manual of Mental Disorders DSM-IV TR (Revisión de texto), 943, Arlington, Virginia, ESTADOS UNIDOS: American Psychiatric Publishing, Inc.. ↑ Coons PM (Junio 1999). Psychogenic or dissociative fugue: a clinical investigation of five cases. Psychol Rep 84 (3 Pt 1): 881–6. ↑ Kritchevsky M, Chang J, Squire LR (2004). Functional amnesia: clinical description and neuropsychological profile of 10 Casos. Learn. Mem. 11 (2): 213–26. ↑ Abugel J & Simeon D (2006). Feeling unreal: depersonalization disorder and the loss of the self, 17, Oxford [Oxfordshire]: Oxford University Press. ↑ Saltar hasta: 12.0 12.1 Ellenberger (1970). The discovery of the unconscious: the history and evolution of dynamic psychiatry, Nueva York: BasicBooks. ↑ Janet, P (1889/2005). L'automatisme psychologique: essai de psychologie expérimentale sur les formes inférieures de l’activité humaine [Psychological automatism: Experimental-psychological essay on the inferior forms of human activity], París: Félix Alcan. ↑ Janet, P (1893/1901/1977). The mental state of hystericals: A study of mental stigmata and mental accidents, Washington, DC: University Publications of America. ↑ Janet, P (1920/1929/1965). The major symptoms of hysteria, Nueva York: Hafner Publishing Company. ↑ McDougall, W (1926). Outline of abnormal psychology, Nueva York: Charles Scribner's Sons. ↑ Mitchell, TW (1921). The psychology of medicine, Londres: Methuen & Co. ↑ Mitchell, TW (1923/2007). Medical psychology and psychical research, Nueva York: E. P. Dutton and Company. ↑ Jung, C.G. (1991). Psychological types, Routledge London. ↑ Scaer, Robert C. (2001). The Body Bears the Burden: Trauma, Dissociation, and Disease, 97–126, Binghamton, NY: Haworth Medical Press. ↑ Dissociative Disorders ( Manual Diagnóstico y Estadístico de los Trastornos Mentales, Cuarta Edición ) ↑ Waller, N.G., Putnam, F.W.; Carlson, E.B. (1996). Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences. Psychological Methods 1 (3): 300–321. ↑ Saltar hasta: 23.0 23.1 23.2 Salter, Dr, Anna C.; Hilary Eldridge (1995). Transforming Trauma: A Guide to Understanding and Treating Adult Survivors, 220, Sage Publications Inc. ↑ Saltar hasta: 24.0 24.1 24.2 Myers, John E.B. (2002). The APSAC Handbook on Child Maltreatment, Second Edition, 63, Publicaciones sabias. ↑ van der Kolk BA, Pelcovitz D, Roth S, Mandel FS, McFarlane A, Herman JL (Julio 1996). Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma. Am J Psiquiatría 153 (7 Suppl): 83–93. ↑ Briere J (Febrero 2006). Dissociative symptoms and trauma exposure: especificidad, affect dysregulation, and posttraumatic stress. J. Nerv. Ment. Dis. 194 (2): 78–82. ↑ Schechter DS, Gross A, Willheim E, McCaw J, Turner JB, Myers MM, Zeanah CH, Gleason MM (2009). Is maternal PTSD associated with greater exposure of very young children to violent media? J Trauma Stress. 22(6), 658-62. ↑ John Briere, Department of Psychiatry, USC School of Medicine (1992). Methodological Issues in the Study of Sexual Abuse Effects. Journal of Consulting and Clinical Psychology 60. No. 2: 196–203. ↑ Merckelbach H, Muris P (Marzo 2001). The causal link between self-reported trauma and dissociation: a critical review. Behav Res Ther 39 (3): 245–54. ↑ Chu, J, Frey L, Ganzel B, Matthews J (Mayo 1999). Memories of childhood abuse: dissociation, amnesia, and corroboration. Revista americana de psiquiatría 156 (5): 749–55. ↑ Briere J, Runtz M (1988). Symptomatology associated with childhood sexual victimization in a nonclinical adult sample. Child Abuse Negl 12 (1): 51–9. ↑ Briere J, Runtz M (1990). Augmenting Hopkins SCL scales to measure dissociative symptoms: data from two nonclinical samples. J Pers Assess 55 (1-2): 376–9. ↑ Saltar hasta: 33.0 33.1 Draijer, N, Langeland W (Marzo 1999). Childhood trauma and perceived parental dysfunction in the etiology of dissociative symptoms in psychiatric inpatients. Am J Psiquiatría 156 (3): 379–85. ↑ Giannini, AJ (1997). Drugs of Abuse, 2Nd, Los Angeles: Practice Management Information Corp. Bibliography Key texts Books Mollon, P. (1996). Multiple selves, multiple voices:Working with trauma, violation and dissociation. Chichester:Wiley Putman, F.W. (1997). Dissociation in children and adolescents. Nueva York:Guildford. Papers Additional material Books Papers External links International Society for the Study of Dissociation A society that advances the formal study of dissociation and dissociative disorders. Esta página utiliza contenido con licencia Creative Commons de Wikipedia (ver autores).
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