Klinisch commentaar | “I Am Not I”: The Neuroscience of Dissociative Identity Disorder

Klinisch commentaar | “I Am Not I”: The Neuroscience of Dissociative Identity Disorder

Klinisch commentaar | Wetenschappelijk artikel in het Engels over DIS/ DID (dissociatieve identiteitsstoornis), uit 'Biological psychiatry', februari 2022, door Lauren A.M. Lebois, David A. Ross, and Milissa L. Kaufman

"(...) After more than a century, science is finally catching up with the experiences of front-line clinicians. Janet’s original formulation was prescient. DID is, in fact, a complex, biopsychosocial syndrome—an alternative neurodevelopmental pathway that can emerge with chronic childhood maltreatment (8). The core  clinical feature is a disruption to the sense of self and mind. Under ordinary circumstances, children gradually coalesce a cohesive sense of self; however, in the context of trauma, individuals with the capacity to dissociate (perhaps based on genetic factors) can be left with discrete self-states that patients describe as  feeling like they’re “not me” (8). These “not me” feelings are largely experienced internally and, contrary to media portrayal, often not observable externally. In addition, as Diana illustrated, individuals with DID experience both conventional PTSD symptoms and also amnesia, depersonalization, and derealization. This  qualitative description is now supported by the neuroimaging literature (6)."

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