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Dissociative Disorders

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Tasman’s Psychiatry

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Abstract

Dissociative disorders (DD) are characterized by involuntary disruption or discontinuity in the normal integration of one or more of the following: identity, sensations, perceptions, affects, thoughts, memories, and control over bodily movements. To meet diagnostic criteria, dissociative symptoms must be sufficiently severe to result in significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. More recently, there has been a rise in the number of reported cases of dissociation, which may be attributed to greater awareness of the diagnosis among mental health professionals. The most commonly diagnosed DD in Western countries is the Other Specified Dissociative Disorder category. While in developing countries, dissociative trance and “possession trance” syndromes make up the bulk of the cases of DD. One of the important developments in the modern understanding of DDs is the establishment of a clearer link between trauma and dissociation. New in the ICD-11, which is the addition of dissociative neurological symptom disorder (DNSD), formerly known as Conversion Disorder, is characterized by the presentation of motor, sensory, or cognitive symptoms that imply an involuntary discontinuity in the normal integration of motor, sensory, or cognitive functions and are not consistent with a recognized disease of the nervous system, other mental or behavioral disorder, or other medical conditions. This chapter discusses the diagnostic criteria and treatment of each diagnosis contained within this category.

This chapter is an update from the 4th edition.

Previous edition authors were José R. Maldonado and David Spiegel

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Authors and Affiliations

  1. Psychiatry and Behavioral Sciences, Division of Medical Psychiatry, Consultation-Liaison Psychiatry, Critical Care Psychiatry Service, Stanford University School of Medicine, Stanford, CA, USA

    José R. Maldonado

  2. Center on Stress and Health & Center for Integrative Medicine, Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA

    David Spiegel

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Editor information

Editors and Affiliations

  1. Department of Psychiatry, University of Louisville, Louisville, KY, USA

    Allan Tasman

  2. Department of Psychiatry, University of Michigan Rogel Cancer Cent, Ann Arbor, MI, USA

    Michelle B. Riba

  3. Mayo Clinic College of Medicine, Rochester, MN, USA

    Renato D. Alarcón

  4. Columbia University Medical Center, New York, USA

    César A. Alfonso

  5. Kyushu University, Fukuoka, Japan

    Shigenobu Kanba

  6. Department of Psychiatry, University of Nairobi, Nairobi, Kenya

    David M. Ndetei

  7. Malaysian Research Inst on Ageing, Universiti Putra Malaysia, Selangor, Malaysia

    Chee H. Ng

  8. Department of Psychiatry, University of Munich, München, Bayern, Germany

    Thomas G. Schulze

  9. Serbian Academy of Sciences and Arts, Belgrade, Serbia

    Dusica Lecic-Tosevski

Section Editor information

  1. Department of Psychiatry, University of Melbourne, Melbourne, Australia

    Chee H. Ng

  2. Department of Medical Sciences, Serbian Academy of Sciences and Arts, Belgrade, Serbia

    Dusica Lecic-Tosevski

  3. Department of Psychiatry, Columbia University Medical Center, New York, NY, USA

    César A. Alfonso

  4. Department of Psychiatry, Faculty of Medicine, National University of Malaysia, Cheras, Kuala Lumpur, Malaysia

    César A. Alfonso

  5. Department of Psychiatry, Universitas Indonesia, Jakarta, Indonesia

    César A. Alfonso

  6. Department of Psychiatry, Prince of Songkla University, Songhkla, Thailand

    César A. Alfonso

  7. Department of Neuroscience, University of Texas Rio Grande Valley School of Medicine, HARLINGEN, FL, USA

    Ihsan M. Salloum

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Maldonado, J.R., Spiegel, D. (2023). Dissociative Disorders. In: Tasman, A., et al. Tasman’s Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-42825-9_80-1

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  • DOI: https://doi.org/10.1007/978-3-030-42825-9_80-1

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  • Print ISBN: 978-3-030-42825-9

  • Online ISBN: 978-3-030-42825-9

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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