Premium
Dissociative disorders in DSM‐5
Author(s) -
Spiegel David,
Loewenstein Richard J.,
LewisFernández Roberto,
Sar Vedat,
Simeon Daphne,
Vermetten Eric,
Cardeña Etzel,
Dell Paul F.
Publication year - 2011
Publication title -
depression and anxiety
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 129
eISSN - 1520-6394
pISSN - 1091-4269
DOI - 10.1002/da.20874
Subject(s) - dissociative disorders , derealization , dissociative , depersonalization , dissociative identity disorder , psychology , conceptualization , dissociation (chemistry) , amnesia , clinical psychology , psychiatry , psychotherapist , emotional exhaustion , chemistry , burnout , artificial intelligence , computer science
Abstract Background: We present recommendations for revision of the diagnostic criteria for the Dissociative Disorders (DDs) for DSM‐5. The periodic revision of the DSM provides an opportunity to revisit the assumptions underlying specific diagnoses and the empirical support, or lack of it, for the defining diagnostic criteria. Methods: This paper reviews clinical, phenomenological, epidemiological, cultural, and neurobiological data related to the DDs in order to generate an up‐to‐date, evidence‐based set of DD diagnoses and diagnostic criteria for DSM‐5. First, we review the definitions of dissociation and the differences between the definitions of dissociation and conceptualization of DDs in the DSM‐IV‐TR and the ICD‐10, respectively. Also, we review more general conceptual issues in defining dissociation and dissociative disorders. Based on this review, we propose a revised definition of dissociation for DSM‐5 and discuss the implications of this definition for understanding dissociative symptoms and disorders. Results: We make the following recommendations for DSM‐5: 1. Depersonalization Disorder (DPD) should derealization symptoms as well. 2. Dissociative Fugue should become a subtype of Dissociative Amnesia (DA). 3. The diagnostic criteria for DID should be changed to emphasize the disruptive nature of the dissociation and amnesia for everyday as well as traumatic events. The experience of possession should be included in the definition of identity disruption. 4. Should Dissociative Trance Disorder should be included in the Unspecified Dissociative Disorder (UDD) category.Conclusions: There is a growing body of evidence linking the dissociative disorders to a trauma history, and to specific neural mechanisms. Depression and Anxiety, 2011. © 2011 Wiley‐Liss, Inc.