Dissociative Disorders In DSM-5
Spiegel, David ; Loewenstein, Richard J. ; Lewis-Fernandez, Roberto ; Sar, Vedat ; Simeon, Daphne ; Vermetten, Eric ; Cardeña, Etzel LU
and Dell, Paul F.
(2011)
In Depression and Anxiety
28(9).
p.824-852
- 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... (More)
- 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 28:824-852, 2011. (C) 2011 Wiley-Liss, Inc. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2179501
- author
- Spiegel, David
; Loewenstein, Richard J.
; Lewis-Fernandez, Roberto
; Sar, Vedat
; Simeon, Daphne
; Vermetten, Eric
; Cardeña, Etzel
LU
and Dell, Paul F.
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- hypnosis, breast cancer, sleep, stress
- in
- Depression and Anxiety
- volume
- 28
- issue
- 9
- pages
- 824 - 852
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- wos:000295105100008
- scopus:80052738231
- pmid:21910187
- ISSN
- 1091-4269
- DOI
- 10.1002/da.20874
- language
- English
- LU publication?
- yes
- id
- bc191473-ce86-4c12-99a0-a368d4ac47a9 (old id 2179501)
- date added to LUP
- 2016-04-01 10:18:19
- date last changed
- 2022-04-27 20:39:15
@article{bc191473-ce86-4c12-99a0-a368d4ac47a9,
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 28:824-852, 2011. (C) 2011 Wiley-Liss, Inc.}},
author = {{Spiegel, David and Loewenstein, Richard J. and Lewis-Fernandez, Roberto and Sar, Vedat and Simeon, Daphne and Vermetten, Eric and Cardeña, Etzel and Dell, Paul F.}},
issn = {{1091-4269}},
keywords = {{hypnosis; breast cancer; sleep; stress}},
language = {{eng}},
number = {{9}},
pages = {{824--852}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Depression and Anxiety}},
title = {{Dissociative Disorders In DSM-5}},
url = {{http://dx.doi.org/10.1002/da.20874}},
doi = {{10.1002/da.20874}},
volume = {{28}},
year = {{2011}},
}