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Abstract

In current diagnostic nosology, the category of dissociative disorders includes a wide variety of syndromes whose common core is an alteration in consciousness affecting memory and identity (American Psychiatric Association [APA], 1987). In psychogenic amnesia, the patient suffers a loss of autobiographical memory for certain past experiences. In psychogenic fugue, the amnesia is much more extensive, covering the whole of the individual’s past life; it is coupled with a loss of personal identity and, often, physical movement to another location. In multiple personality, a single individual appears to manifest two or more distinct identities, with each personality alternating in control over conscious experience, thought, and action and separated by some degree of amnesia from the other(s). In depersonalization, the person believes that he or she has changed in some way or is somehow unreal, whereas in derealization the same beliefs are held about one’s surroundings. Finally, the dissociative category covers a number of miscellaneous disorders, including Ganser’s syndrome (Cocores, Santa, & Patel, 1984; Enoch, Trethowan, & Barker, 1967), pathological (though not nonpathological) trance states, and dissociative states occurring in association with brain-washing, thought reform, or cult indoctrination.

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Kihlstrom, J.F., Tataryn, D.J., Hoyt, I.P. (1993). Dissociative Disorders. In: Sutker, P.B., Adams, H.E. (eds) Comprehensive Handbook of Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3008-4_10

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