THE DISSOCIATIVE CONFABULATORY PROBLEM
DOI:
https://doi.org/10.29121/granthaalayah.v7.i8.2019.633Keywords:
Dissociative Identity Disorder, Psychotic Functioning, Paraphrenic Area, Abuse, Dissociation of Affective MemoriesAbstract [English]
Motivation/Background: The dissociative identity disorder implies as central defense the dissociation, that is being more recently studied. With the identification of the importance of this mechanism of functioning, the modern psychiatrists show the interest of this area, not only about the spectrum of the discharge, as was the case in Freud's time. Dissociative identity disorder involves a patient who can function in any registry, be it neurotic, psychotic or disharmonic.
Method: Study of specialized literature, psychodynamic and psychoanalytic psychiatric perspective, psychiatric evaluation, evaluation of intrapsychic dynamics, transfer and countertransference analysis, hypnosis option study.
Results: Psychically, patients function within a DID, with particularities such as the construction of illogisms, reversing the cause with the effect, sliding the speech towards the secondary meanings of the words, sliding easily from general to particular and from abstract to concrete. From the dissociative dimension we find the impersonal speech or the use of several pronouns with reference to the self and the denial of reality as a handy way to deal with the trauma, which we suppose from the register of abuse.
Conclusions: We find several personalities with symbolic meanings, with a deficit of mentalization, sometimes with an emphatic laugh and an attitude of superiority.
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References
Spiegel, D. (1984). Multiple personality as a post-traumatic stress disorder. Psychiatric Clinics of North America, 7(1), 101-110. DOI: https://doi.org/10.1016/S0193-953X(18)30783-4
McWilliams, N. (2014). Diagnosticul psihanalitic: structuri de personalitate revelate în procesul clinic. București: Fundația Generația.
Stăniloiu, A., Markowitsch, H. J. (2012). The Remains of the Day in Dissociative Amnesia. 101-129. 597-614. doi: 10.3390/brainsci2020101. DOI: https://doi.org/10.3390/brainsci2020101
Braun, G.B. (2018). Psychotherapy of the Survivor of Incest With a Dissociative Disorder Psychiatric Clinic of NorthAmerica Volume 12, Issue 2, June 1989, Pages 307-324 https://doi.org/10.1016/S0193-953X(18)30433-7 DOI: https://doi.org/10.1016/S0193-953X(18)30433-7
Trifu S., Trifu, A.C. Trifu A.I. (2017). Nevroglya and superior cognitive functions. Antidepressants and neuroplasticity. Journal of the neurological sciences. Volume:381 Supplement: S. Pages: 837-837. doi: https://doi.org/10.1016/j.jns.2017.08.2355 DOI: https://doi.org/10.1016/j.jns.2017.08.2355
Bliss, E.L., Jeppsen, E.A. (1985). Prevalence of multiple personality among inpatients and outpatients. American Journal of Psychiatry 142(2):250-1 · March 1985 DOI: 10.1176/ajp.142.2.250 DOI: https://doi.org/10.1176/ajp.142.2.250
Coryell, W. (1983). Multiple Personality and Primary Affective Disorder. Journal of Nervous & Mental Disease 171(6):388-90 · July 1983 DOI: 10.1097/00005053-198306000-00011 DOI: https://doi.org/10.1097/00005053-198306000-00011
Trifu S, Brăileanu D., Carp E.G., Chirilescu A., Mihai I (2015). Psychodynamic Particularities in Expressing Systematized Delirium in Paranoid Schizophrenia. Procedia - Social and Behavioral Sciences, Volume 203, 412-418, doi: https://doi.org/10.1016/j.sbspro.2015.08.315. DOI: https://doi.org/10.1016/j.sbspro.2015.08.315
Kluft, R.P. (Ed.) (1985). Childhood antecedents of multiple personality. Washington, DC: American Psychiatric Press.
Ludwig, A.M., Brandsma, J.M., Wilbur,C.B., Bendfeldt, F. (1972). The objective study of a multiple personality. Or, are four heads better than one? Archives of General Psychiatry 26(4):298-310 · May 1972 DOI: https://doi.org/10.1001/archpsyc.1972.01750220008002
McWilliams, N. (1994). Psychoanalytic diagnosis. The Guildford Press, New York,
Putnam, F.W., Guroff, J.J., Silberman, E.K., Barban, L. (1986). The clinical phenomenology of multiple personality disorder: Review of 100 recent cases. The Journal of Clinical Psychiatry 47(6):285-93 · July 1986
Brende, J.O., Rinsley, D.B. (1981). A Case of Multiple Personality with Psychological Automatisms. The Journal of the American Academy of Psychoanalysis 9(1):129-51 · February 1981 DOI: https://doi.org/10.1521/jaap.1.1981.9.1.129
Ross, C.A. (1997). Dissociative identity disorder: Diagnosis, clinical features, and treatment of multiple personality (2nd ed.). New York: John Wiley & Sons, Inc.
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