A case study illustrating the interplay between psychological and somatic dissociation

Alfonso Martínez-Taboas

Abstract


The concept of Dissociation was originally conceived as having a psychological and a somatic component. Nevertheless, recent versions of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) have isolated both elements. In the DSM the psychological manifestation of dissociation is diagnosed as a Dissociative Disorder and the somatic domain is diagnosed as a Somatoform Disorder. However, recent empirical and clinical evidence have been highlighting and corroborating a high degree of comorbidity between such disorders and a constant interplay between somatic and psychological dissociation. In the following case study, the clinical constellation of the patient nicely illustrates that her dissociative defenses began as a Conversion Disorder and how, after a mishandling of the case by a clinician, her dissociation symptoms were instantly transformed in a typical Dissociative Amnesia Disorder. Cases like this convincingly illustrate how the dissociative defenses not only subsume the mental but also extend to the bodily domain.


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DOI: http://dx.doi.org/10.30849/rip/ijp.v38i1.847

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