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DES is intended to be a screening test, since only 17% of patients with scores over 30 will be diagnosed with having dissociative identity disorder. [2] Patients with lower scores above normal may have other post-traumatic conditions. The DES-II contains the same questions but with a different response scale. [3]
The Multiscale Dissociation Inventory (MDI) is a comprehensive, self-administered, multiscale instrument developed by Paul F. Dell. [1] It is designed to assess the domain of dissociative phenomena. [2] The MDI measures 14 major facets of pathological dissociation and uses 23 scales to diagnose dissociative disorders. [1] [3]
The International Statistical Classification of Diseases and Related Health Problems (ICD-10) refers to the diagnosis as "Other dissociative and conversion disorders". [2] Under the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) , it was known as " Dissociative disorder not otherwise specified " ( DDNOS ).
There are ranges of dissociation and its related symptoms. “Daydreaming can be a very light dissociative state,” says Dr. Clouden. “Your body is physically there, but your mind is off ...
Idealization by Edvard Munch (1903), who is presumed to have had borderline personality disorder [6] [7]: Specialty: Psychiatry, clinical psychology: Symptoms: Unstable relationships, distorted sense of self, and intense emotions; impulsivity; recurrent suicidal and self-harming behavior; fear of abandonment; chronic feelings of emptiness; inappropriate anger; dissociation [8] [9]
Dissociation is commonly displayed on a continuum. [18] In mild cases, dissociation can be regarded as a coping mechanism or defense mechanism in seeking to master, minimize or tolerate stress – including boredom or conflict. [19] [20] [21] At the non-pathological end of the continuum, dissociation describes common events such as daydreaming.
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Derealization is a subjective experience pertaining to a person's perception of the outside world, while depersonalization is a related symptom characterized by dissociation towards one's own body and mental processes. The two are commonly experienced in conjunction with one another, but are also known to occur independently.