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Linda Marie Kai Nielsen1, Mette Pernille Mikkelsen2, Anne Virring Sørensen2

  • 1Sengeafsnit 4 for Unge, Gødstrup, Børne- og Ungdomspsykiatrisk Afdeling, Aarhus Universitetshospital Psykiatrien.

Ugeskrift for Laeger
|November 25, 2022
PubMed
Summary

This case report details a 16-year-old presenting with multiple personalities. Dissociative identity disorder (DID) was considered but rejected due to clinical presentation and scientific literature concerns.

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Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Dissociative identity disorder (DID) is a complex psychiatric diagnosis.
  • The validity and diagnostic criteria for DID are subjects of ongoing scientific debate.
  • DID is infrequently diagnosed in Danish clinical settings.

Observation:

  • A case report of a 16-year-old patient presenting with multiple distinct personality states.
  • The patient exhibited psychopathology that did not align with established criteria for DID.
  • Clinical assessment revealed uncertainty regarding the scientific literature supporting DID.

Findings:

  • The diagnosis of dissociative identity disorder (DID) was ultimately rejected for the patient.
  • The presenting psychopathology and lack of confidence in current literature were key factors in the diagnostic rejection.
  • The case highlights the challenges in diagnosing rare and debated conditions.

Implications:

  • This case underscores the complexities and controversies surrounding the diagnosis of dissociative identity disorder (DID).
  • It emphasizes the need for careful clinical evaluation when encountering presentations suggestive of DID.
  • Further research may be warranted to clarify diagnostic criteria and improve understanding of DID.

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