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[Prolonged grief disorder: a new diagnostic entity in DSM-5TR].
[Trauma, from Freud to Lacan: A theoretical reinterpretation from the "linguistic turn"].
[DEBATING PSYCHIATRY: A CRITICAL REVIEW OF SOME RECENT DISCUSSIONS].
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[Translating Hysteria: PTSD dissociative subtype].
1elyeyati@intramed.net.
The study examines depersonalization and derealization symptoms in posttraumatic stress disorder (PTSD). It explores the cross-cultural validity of diagnosing these dissociative symptoms globally.
Area of Science:
- Psychiatry
- Psychology
- Trauma Studies
Background:
- Depersonalization and derealization are recognized as symptoms of dissociative disorders since DSM-III and included as a subtype of PTSD in DSM-5.
- Chronic dissociative disorders are diagnosed differently across regions, with North America and Europe recognizing them, while Argentina utilizes the concept of hysteria.
- The historical and clinical features of dissociative disorders are closely linked to hysteria, which is classified under dissociative disorders in ICD-10.
Purpose of the Study:
- To investigate the cross-cultural validity of the dissociative subtype of PTSD.
- To explore the differing diagnostic approaches to chronic dissociative symptoms like depersonalization and derealization globally.
- To understand the influence of historical theories (Janet, Freud) on the conceptualization and treatment of dissociative disorders.
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Main Methods:
- Comparative analysis of diagnostic criteria and practices for dissociative disorders across different cultural contexts (North America, Canada, Europe, Argentina).
- Review of historical and theoretical frameworks (Janet, Freud) related to trauma, dissociation, and hysteria.
- Examination of the DSM-5 inclusion of a specific dissociative subtype for PTSD.
Main Results:
- The inclusion of a specific dissociative subtype in DSM-5 aims to standardize the diagnosis of depersonalization and derealization in PTSD.
- Cultural differences in diagnosing chronic dissociative disorders exist, with some regions favoring the term 'hysteria' over formal dissociative disorder diagnoses.
- Theoretical underpinnings from figures like Janet and Freud significantly influence the understanding and therapeutic approaches to dissociation.
Conclusions:
- The authors of the PTSD dissociative subtype are seeking to establish a globally applicable diagnostic construct.
- Understanding the cultural variations in diagnosing dissociative disorders is crucial for achieving cross-cultural validity.
- The historical connection between dissociation and hysteria continues to impact diagnostic practices in different parts of the world.