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Culture Documents
DSM 5 :
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization
Disorder
Other Specified Dissociative Disorder
Unspecified Dissociative Disorder
DISSOCIATIVE AMNESIA
• Person is unable to recall
important personal
information, usually after some
stressful episode.
DISSOCIATIVE FUGUE
FUGUE – from the Latin word
“fuga” meaning “flight”. It
describes a psychiatric disorder
that involves memory loss and
travel.
• The memory loss is more
extensive than in the
dissociative amnesia.
• The person not only
becomes totally amnestic
but suddenly leaves home
and work and assumes a
new identity.
DEPERSONALIZATION DISORDER
• In which the person’s perception or
experience of the self is
disconcertingly and disrupted altered.
• Involves no disturbance of memory
• They have unusual sensory
experiences
• They may have the impression that
they are outside their bodies, viewing
themselves from a distance.
DISSOCIATIVE IDENTITY
DISORDER
• It requires that a person have at least two
separate ego states or alters- different
modes of being and feeling and acting
that exist independently of each other
and that come forth and are in control at
different times.
• Gaps in the memory are also common
and are produced because at least one
alter has no contact with the other.
• The existence of different alters must
also be chronic and severe (causing
considerable disruptions of one’s life);
it cannot be temporary changes
resulting from the ingestion of a drug
for example.
• Each alter may be quite complex,
having their own unique behavior
patterns, memories, and relationships.
• DID usually begins in childhood but it
is rarely diagnosed until adulthood.
DSM IV-TR CRITERIA FOR DID
• Presence of two or more
personalities or identities
• At least two of the alters
recurrently take control of
behavior
• Inability to recall important
personal information
DSM IV-TR
DISORDER DESCRIPTION
Dissociative Amnesia Memory loss following a
stressful experience
Dissociative Fugue Memory loss accompanied
by leaving home and
establishing a new identity
Depersonalization Disorder Experience of the self is
altered
Dissociative Identity At least two distinct ego
Disorder states—alters—that act
independently of each
other
DSM 5
Dissociative Identity Disorder
Dissociative Amnesia
Depersonalization/Derealization
Disorder
Other Specified Dissociative
Disorder
Unspecified Dissociative Disorder
Major Changes:
• Derealization is included in the name and symptom
structure of what previously was called
depersonalization disorder. The disorder is now
called depersonalization/derealization disorder.
• Dissociative fugue is now a specifier of dissociative
amnesia — rather than as a separate diagnosis.
• Diagnostic criteria for dissociative identity disorder
have been updated:
– Symptoms of disruption of identity may now be
reported, as well as observed
– Gaps in the recall of events may occur for
everyday events — not just traumatic events
– Experiences of pathological possession in some
cultures are included in the description of identity
disruption
DISSOCIATIVE IDENTITY DISORDER
Diagnostic Criteria:
*Coding note:
Without dissociative fugue – 300.12 (F44.0)
With dissociative fugue – 300.13 (f44.1)
Dissociative Amnesia is an inability to recall
important autobiographical information
that should be successfully stored in
memory and ordinarily remembered.