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“Dissociative symptoms—primarily depersonalization and derealization—are elements in other DSM-IV disorders, including schizophrenia and borderline personality disorder, and in the neurologic syndrome of temporal lobe epilepsy, also called complex partial seizures. In this latter disorder, there are often florid symptoms of depersonalization and realization, but most amnesia symptoms derive from difficulties with focused attention rather than forgetting previously learned information.”

AmnesiaSchizophreniaDissociativeBorderline Personality DisorderDissociative AmnesiaDissociative DisordersDepersonalizationDerealization
Book:Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders
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“The term dissociation is ordinarily used to describe the phenomenon of compartmentalization or fragmentation of mental contents. It does not ascribe any particular mechanism by which the dissociative process occurs. Does dissociation occur as a result of automatic, nonconscious processes, or are there other specific mechanisms by which it occurs? Especially in the context of describing amnesia, the term repression is widely used in connection with several different mechanisms. As it is commonly used, it often implies how individuals may block our memories of uncomfortable or conflictual experiences. If done consciously, the mechanism is more accurately called suppression, which results from actively trying not to think about negative experiences.”

PsychologyChild AbuseRapeRepressionDiagnosisDissociationChild Sexual AbuseAbuse SurvivorsPsychotherapySuppressionIncestDefinitionUnconscious MindTraumatizedFragmentationRepressed MemoriesDissociative AmnesiaDissociative DisordersChild Sexual Abuse SurvivorRecovered MemoriesChild Abuse DeniersTrauma MemoriesCompartmentalizationClergy AbuseRape SurvivorsDefence Mechanisms
Book:Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders
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“Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions. - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5”

TraumaSubtleTypicalSymptomsPtsdDissociative Identity DisorderDissociationHiddenDissociative DisordersMental DisordersAltersMental Disorder BiasAlternate IdentitiesNot Obvious
Author:James A. Chu
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“Extreme versions of DID occasionally develop in response to particularly horrific ongoing trauma (e.g., children exploited through involvement in years of forced prostitution), with so-called poly-frgamentation, encompassing dozens or even hundreds of personality states. In general, the complexity of dissociative symptoms appears to be consistent with the severity of early traumatiation. That is, less severe abuse will result in fewer dissociative symptoms, and more severe abuse will result in more complex dissociative disorders.”

Dissociative Identity DisorderDissociative DisorderDissociative DisordersPolyfragmentedDissociative SymptomsChild Sex RingChild ProstitutionChild Sexuall Abuse
Book:Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders
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“The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that “only 6% make their DID obvious on an ongoing basis” (p. 600). - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5”

CommonEducationBiasDissociative Identity DisorderHiddenRareDissociative DisordersMisdiagnosisMental DisordersMisconceptionsMental Health ProfessionalsCliniciansNot Obvious
Author:James A. Chu
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