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Results for “Dissociative Disorders”

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At least 127 records · Page 7Linked to original sources
PubMed1994

[Psychiatric comorbidity in dissociative disorders in neurology].

We studied consecutively 50 neurologic inpatients of a university neurological department with dissociative (conversion) disorders with regard to their associated psychopathologic features as well as to their comorbidity. The study involved both self-measuring instruments and a standardized psychiatric interview. As a result patients with conversion disorders appeared as a psychopathologic highly disturbed group. We found that although the dissociative symptoms are phenomenological very predominant and were the reason for hospital admission in all cases, they must be interpreted as accompanying features in the context of complex psychiatric disorders. Diagnostic and therapeutic consequences are discussed with regard to the neurology.

Adolescent↗
PubMed1999

Attitudes toward DSM-IV dissociative disorders diagnoses among board-certified American psychiatrists.

OBJECTIVE: The authors assessed the opinions of American psychiatrists regarding the diagnostic status and scientific validity of the DSM-IV categories of dissociative amnesia and dissociative identity disorder. METHOD: A one-page questionnaire was mailed to a random national sample of 367 board-certified American psychiatrists. RESULTS: Three hundred one responses were received-a rate of 82%. Only about one-third of respondents replied that dissociative amnesia and dissociative identity disorder should be included without reservations in DSM-IV; a larger proportion replied that these categories should be included only as proposed diagnoses. Only about one-quarter of respondents felt that diagnoses of dissociative amnesia and dissociative identity disorder were supported by strong evidence of scientific validity. CONCLUSIONS: Among board-certified American psychiatrists, there currently appears to be little consensus regarding the diagnostic status or scientific validity of dissociative amnesia and dissociative identity disorder.

Amnesia↗
PubMed2000

Dissociative disorders in the Sultanate of Oman.

OBJECTIVE: To study the clinical manifestations and psychosocial aspects of dissociative (conversion) disorders (DD) in the Sultanate of Oman. METHOD: A retrospective analysis was made of data derived from case records of patients admitted as in-patients to the Sultan Qaboos University Hospital, Oman, over a period of 8 years. RESULTS: A higher prevalence of DD was noted in Oman compared to western countries. The female preponderance was less marked in Oman. The most common presentations were dissociative convulsions, dissociative motor and dissociative trance disorders. Interpersonal difficulties with family and academic problems were the important identified precipitants. CONCLUSION: The study highlights the characteristic clinical and psychosocial features of the dissociative phenomena in Oman.

Adult↗
PubMed1999

Attention deficit hyperactivity disorder: dissociation and adaptation (a theoretical presentation and case study).

Attention deficit hyperactivity disorder has become an increasingly common diagnosis among both schoolchildren and adults. Much of the literature on attention deficit hyperactivity disorder indicates that it is untreatable without the use of psychostimulant medication. With the goal of moving away from the incurable disease model of ADHD, this paper explores the possibility of adaptive aspects to ADHD, specifically regarding creativity. Using the new model allows the focus of therapy to shift to treatment of the whole person and the alleviation of problem behaviors. A case study is presented to illustrate this hypothesis in conjunction with the successful treatment of a case of ADHD in an adult using cognitive-behavioral therapy and clinical hypnosis.

Adaptation, Psychological↗
PubMed2000

[Posttraumatic stress disorder, dissociation and self-destructive behavior in borderline patients]

We studied traumatic childhood experiences, comorbid posttraumatic stress disorders (PTSD), dissociation and self-destructive behavior in 30 inpatients with a borderline personality disorder. A standardized interview for the assessment of PTSD, the Dissociative Experience Scale and the Symptom-checklist were administered. Results were compared to a control of inpatients with neurotic disorders matched for gender and age. Borderline patients showed significantly more childhood sexual and physical abuse as well as emotional neglect than the control patients. Of the borderline patients, 67% met criteria for PTSD and only 13% of the control group. Dissociative symptoms were significantly more frequent in borderline patients and predicted in combination with PTSD symptoms and self-destructive behavior. We discuss our findings with respect to their etiological and clinical significance and propose a model for self-destruction in borderline patients which focusses on dissociation and trauma.

Journal Article↗
PubMed2001

[Naltrexone in the treatment of dissociative disorders--reflections with regard to a comprehensive therapeutic concept of borderline disorders].

OBJECTIVE: Not until one year ago has it become more and more known in German speaking countries, that the treatment of borderline and posttraumatic disorders benefits from the use of opiate receptor antagonists. Prerequisite is, that psychotherapeutic approaches, pharmacotherapy and brain physiological research are integrated in an overall concept. METHODS: We report on the current standing of scientific research and moreover our own clinical experiences with opiate antagonists are explained. CONCLUSIONS: Our achieved knowledge permits our to present criteria how to combine these drugs and psychotherapy successfully.

Adult↗
PubMed1998

Folie à deux dissociative disorder in prepubertal children. Report of two cases with EEGs.

A case of folie à deux dissociative (dissociative hysteria) disorder in an 8 and 12 year-old sister and brother is presented. Illnesses of this type are very rare and there is little medical literature on this subject. Our patients, almost simultaneously, abruptly had complete loss of memory, disorientation, loss of awareness about who they were, and much anxiety, which lasted about 15 hours. Both patients were physically well and no abnormalities were found on physical examination, routines laboratory tests and EEG studies. Speculations about the emotional and interpersonal causes of this illness in these two patients are given.

Child↗
PubMed1999

Posttraumatic stress disorder, dissociative fugue and a locator beacon.

OBJECTIVE: The aim of this paper is to report an aspect of the management of a case of dissociative fugue. CLINICAL PICTURE: A Vietnam veteran was suffering post-traumatic stress disorder. TREATMENT: Treatment involved the provision of a locator beacon worn in a neck chain. OUTCOME: This treatment resulted in the curtailment of the dissociative fugue episodes. CONCLUSION: The locator device proved a useful component of a multimodal treatment regime.

Antipsychotic Agents↗