DISSOCIATIVE
DISORDERS
-DR.

DEEPIKA SINGH
-JR1, DEPT OF PSYCHIATRY,
-GSMC & KEMH
Dissociation:


“Disruption in the integrated
functions of
consciousness
 memory
 identity
 perception of the environm...
HISTORY
EPIDEMIOLOGY:
Dissociative & conversion disorder
constitutes 7.3 to 13% of all
psychiatric cases.
Conversion > dissociatio...
CLASSIFICATION








DSM IV TR includes:
Dissociative amnesia
Dissociative fugue
Dissociative identity disorder
De...
ICD 10 Classification includes:

1. DISSOCIATIVE AMNESIA
2. DISSOCIATIVE FUGUE
3. DISSOCIATIVE STUPOR
4. DISSOCIATIVE TRAN...
Conversion disorder
In ICD 10 it is further classified as:
1) Dissociative motor disorder
2) Dissociative anesthesia &
sen...
sssssssssssssssssssssssssss
ssssssssssssssss
SSSS

DISSOCIATIVE DISORDER
Dissociative Amnesia DSM IV






1 or more episodes of inability to recall
important personal information (traumatic
o...
sssssssssssssssssss


Types of amnesia:
Localized amnesia
 Selective/ Systematized amnesia
 Generalized amnesia
 Continuous amnesia

Dissociative fugue


Amnesia plus flight




Latin fugere, “to flee”

Sudden, unexpected travel with
inability to recal...
Dissociative Fugue DSM IV







Sudden unexpected travel away
from home or ones customary place
of work, with inabili...
Dissociative identity disorder


DSM-IV-TR criteria
 Presence of two or more
personalities (alters)
 At least two of th...
END






Epidemiology
 No identified reports of DID or
dissociative amnesia before 1800
(Pope et al., 2006).
 Major incr...
Trance & possesion d/o
Dissociative stupor


It is characterised by
an absence or
marked dimunition of
voluntary movements
& speech in the
prese...
Depersonalization








A. Persistent or recurrent experiences of
feeling detached from & as if one is an
outside ob...
Dissociaive d/o nos




Dissociative symptoms are
predominant, but the clinical picture
does not meet full criteria for ...
Dissociative d/o nos





Mass hysteria
Combat hysteria
Dissociative trance d/o-in certain
cultures
References
References






1. CTP
2. SYNOPSIS OF
PSYCHIATRY
3. NEERAJ AHUJA PG
TEXTBOOK OF PSYCHIATRY
dissociative disorders basic headings
dissociative disorders basic headings
dissociative disorders basic headings
dissociative disorders basic headings
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dissociative disorders basic headings

  1. 1. DISSOCIATIVE DISORDERS -DR. DEEPIKA SINGH -JR1, DEPT OF PSYCHIATRY, -GSMC & KEMH
  2. 2. Dissociation:  “Disruption in the integrated functions of consciousness  memory  identity  perception of the environment” (DSM-IV) 
  3. 3. HISTORY
  4. 4. EPIDEMIOLOGY: Dissociative & conversion disorder constitutes 7.3 to 13% of all psychiatric cases. Conversion > dissociation Women > men
  5. 5. CLASSIFICATION       DSM IV TR includes: Dissociative amnesia Dissociative fugue Dissociative identity disorder Depersonalization disorder Dissociative disorder NOS
  6. 6. ICD 10 Classification includes: 1. DISSOCIATIVE AMNESIA 2. DISSOCIATIVE FUGUE 3. DISSOCIATIVE STUPOR 4. DISSOCIATIVE TRANCE & POSSESSION 5. DISSOCIATIVE D/Os OF MOVEMENT & SENSATION 6. OTHER DISSOCIATIVE D/Os
  7. 7. Conversion disorder In ICD 10 it is further classified as: 1) Dissociative motor disorder 2) Dissociative anesthesia & sensory loss 3) Dissociative convulsions
  8. 8. sssssssssssssssssssssssssss ssssssssssssssss
  9. 9. SSSS DISSOCIATIVE DISORDER
  10. 10. Dissociative Amnesia DSM IV    1 or more episodes of inability to recall important personal information (traumatic or stressful, that is too extensive to be explained by ordinary forgetfulness) Disturbance does not occur during any other dissociative d/o & not due to direct effects of a substance or GMC Symptoms cause clinically significant distress or impaired social or occupational ,etc functioning
  11. 11. sssssssssssssssssss
  12. 12.  Types of amnesia: Localized amnesia  Selective/ Systematized amnesia  Generalized amnesia  Continuous amnesia 
  13. 13. Dissociative fugue  Amnesia plus flight   Latin fugere, “to flee” Sudden, unexpected travel with inability to recall one’s past  Assume new identity  May involve new name, job, personality characteristics More often of brief duration  Remits spontaneously 
  14. 14. Dissociative Fugue DSM IV     Sudden unexpected travel away from home or ones customary place of work, with inability to recall one’s past. Confusion about personal identity or assumes new identity (partial or complete) Not due to another dd d/o or direct effects of substances or GMC Causes significant distress or impairment in imp areas of functioning
  15. 15. Dissociative identity disorder  DSM-IV-TR criteria  Presence of two or more personalities (alters)  At least two of the alters recurrently take control of behavior  Inability of at least one of the alters to recall important personal information
  16. 16. END
  17. 17.    Epidemiology  No identified reports of DID or dissociative amnesia before 1800 (Pope et al., 2006).  Major increases in rates since 1970s DSM-III (1980)  Diagnostic criteria more explicit Appearance of DID in popular culture  Sybil, 1973  Book and movie received much attention
  18. 18. Trance & possesion d/o
  19. 19. Dissociative stupor  It is characterised by an absence or marked dimunition of voluntary movements & speech in the presence of normal or relatively preserved conscious awareness.
  20. 20. Depersonalization     A. Persistent or recurrent experiences of feeling detached from & as if one is an outside observer of, one’s mental processes or body (e.g. like feeling like one is in a dream) B. During the episode, reality testing remains intact C. Causes significant distress or impairment in social, occupational functioning D. Not due to another mental d/o, ,dissociative d/o, substances or GMC (temp lobe epilepsy)
  21. 21. Dissociaive d/o nos   Dissociative symptoms are predominant, but the clinical picture does not meet full criteria for a dissociative d/o 1. Ganser’s syndrome; Prisoners with personality d/os giving approximate answers to questionseg. 2+2=5 or talking past the point usually with other symptoms like amnesia, perceptual disturbances .
  22. 22. Dissociative d/o nos    Mass hysteria Combat hysteria Dissociative trance d/o-in certain cultures
  23. 23. References
  24. 24. References    1. CTP 2. SYNOPSIS OF PSYCHIATRY 3. NEERAJ AHUJA PG TEXTBOOK OF PSYCHIATRY
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