Dissociative identity disorder: a controversial diagnosis - PubMed

Dissociative identity disorder: a controversial diagnosis

Paulette Marie Gillig. Psychiatry (Edgmont). 2009 Mar.

Abstract

A brief description of the controversies surrounding the diagnosis of dissociative identity disorder is presented, followed by a discussion of the proposed similarities and differences between dissociative identity disorder and borderline personality disorder. The phenomenon of autohypnosis in the context of early childhood sexual trauma and disordered attachment is discussed, as is the meaning of alters or alternate personalities. The author describes recent neurosciences research that may relate the symptoms of dissociative identity disorder to demonstrable disordered attention and memory processes. A clinical description of a typical patient presentation is included, plus some recommendations for approaches to treatment.

Keywords: alters or alternates; attachment (disorganized or disoriented type); borderline personality disorder; childhood sexual trauma; dissociative identity disorder; multiple personality disorder.

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