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Dissociation and Dissociative Disorders
What
is Dissociation?
Dissociation is a mental process that causes a
lack of connection in a person’s thoughts, memory and sense of
identity. Dissociation seems to fall on a continuum of severity. Mild
dissociation would be like daydreaming, getting “lost” in a book, or
when you are driving down a familiar stretch of road and realize that
you do not remember the last several miles. A severe and more chronic
form of dissociation is seen in the disorder Dissociative Identity
Disorder, once called Multiple Personality Disorder, and other
Dissociative Disorders.
How Common is Dissociation?
Transient and mild dissociative experiences are
common. Almost 1/3rd of people say they occasionally feel as though
they are watching themselves in a movie, and 4% say they feel that way
as much as 1/3rd of the time. The incidence of these experiences is
highest in youth and steadily declines after the age of 20.
7% of the population may have suffered from a
dissociative disorder at some time. But these disorders are difficult
to identify and may go undiagnosed for many years.
Other Forms of Dissociation
Other dissociative disorders include “psychogenic
amnesia” (the inability to recall personally significant memories),
“psychogenic fugue” (memory loss characteristic of amnesia, loss of
one’s identity, and fleeing from one’s home environment), and “multiple
personality” (the person has two or more distinct personalities that
alternate with one another. This is also known as “Dissociative
Identity Disorder” or “Multiple Personality Disorder”).
Treatment
When dissociative experiences are the central,
chronic, and overwhelming problem, treatment usually demands long-term
individual psychotherapy. People with these disorders often have good
reasons to mistrust authority as well as a lifelong habit of keeping
secrets from themselves and others. A working alliance must be
established with an often demoralized and suspicious person who
believes the world is unjust or that he/she is an evil person.
Other Resources
The International Society for the Study of Dissociation, 847-480-0899, www.issd.org
Sidran Institute, 410-825-8888 or 888-825-8249, www.sidran.org
For
more information or resources in North Carolina, visit www.mha-nc.org or contact our Information & Referral Line at 1-800-897-7494 or
email at
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.
For all other
states, contact Mental
Health America.
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