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Are there two qualitatively distinct forms of dissociation? A review and some clinical implications.

Holmes, EA; Brown, RJ; Mansell, W; Fearon, RP; Hunter, EC; Frasquilho, F; Oakley, DA; (2005) Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clin Psychol Rev , 25 (1) 1 - 23. 10.1016/j.cpr.2004.08.006.

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Abstract

This review aims to clarify the use of the term 'dissociation' in theory, research and clinical practice. Current psychiatric definitions of dissociation are contrasted with recent conceptualizations that have converged on a dichotomy between two qualitatively different phenomena: 'detachment' and 'compartmentalization'. We review some evidence for this distinction within the domains of phenomenology, factor analysis of self-report scales and experimental research. Available evidence supports the distinction but more controlled evaluations are needed. We conclude with recommendations for future research and clinical practice, proposing that using this dichotomy can lead to clearer case formulation and an improved choice of treatment strategy. Examples are provided within Depersonalization Disorder, Conversion Disorder and Posttraumatic Stress Disorder (PTSD).

Type:Article
Title:Are there two qualitatively distinct forms of dissociation? A review and some clinical implications.
Location:United States
DOI:10.1016/j.cpr.2004.08.006
Language:English
Keywords:Consciousness, Conversion Disorder, Depersonalization, Dissociative Disorders, Factor Analysis, Statistical, Fear, Humans, Internal-External Control, Repression, Psychology, Stress Disorders, Post-Traumatic
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Psychology and Language Sciences (Division of) > Institute of Cognitive Neuroscience
UCL > School of Life and Medical Sciences > Faculty of Life Sciences

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