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Dissociation and the Dissociative Disorders: DSM-V and Beyond

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Paul F. Dell

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“The DSM concept of pathological dissociation has evolved from the early inclusive concept of a dissociative reaction in DSM-I to five distinct dissociative disorders in DSM-IV: dissociative amnesia, dissociative fugue, depersonalization disorder, DDNOS, and MPD/DID [Dissociative Identity Disorder]. The first four disorders are rarely challenged, but the existence of MPD/DID has been more or less continually under attack for more than a century. I perceive many of these attacks as misdirected at a mass media stereotype that does not resemble the actual clinical condition.”

Mental IllnessDissociative Identity DisorderStereotypesMultiple Personality DisorderMental Health StigmaDissociative DisordersMpdDdnosDsmHysterical Dissociation
Book:Dissociation in Children and Adolescents: A Developmental Perspective
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“Comparing the hippocampal volume of mentally healthy subjects and patients with PTSD, DDNOS, and DID, thus patients with increasing levels of dissociation, an increasingly smaller volume is observed: PTSD (primary structural dissociation), approximately -10%; DDNOS (secondary structural dissociation), approximately -15%; and DID (tertiary structural dissociation), approximately -20%. These findings are characterized by a remarkable relationship: the more severe the structural dissociation of the personality, the smaller the hippocampal volume. Furthermore, Ehling et al. (2008) found high correlations between the volume of these brain structures and psychoform and somatoform symptoms, as well as with the severity of the reported potentially traumatizing events. Correlations between the volume of these brain structures and the degree of general psychopathology and fantasy-proneness were lower or statistically nonsignificant.”

BrainPtsdDissociative Identity DisorderDissociative DisorderDdnosOsdd
Author:Onno van der Hart
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“Many ancient peoples believed in a land of shade, where the dead dwell in a twilight underworld. In Hebrew, it is tsalmaveth, the death-shadow. In one of the more peculiar Biblical passages, King Saul, who is in desperate need of advice, orders the witch of Endor to summon the prophet Samuel from the shadows. Samuel appears, but he is vexed at being disturbed and angry at Saul's lack of faith. Things don't go at all well for the King, implying that summoning the dead is not the best way to reach a decision.”

Raising The Dead
Book:Castle Shade
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“We aren't responsible for the sins of our parents. And neither must we bear their pain. This doesn't mean turning our backs on our forebears. We can send our love back to them, across the centuries. But on their behalf and ours, we can follow the bittersweet tradition, and transform their troubles into something better.”

LoveForgivenessTransformationPersonal GrowthAncestryEmotional BoundariesGenerational HealingLegacy And Choice
Book:Bittersweet: How Sorrow and Longing Make Us Whole
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