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Depersonalization disorder and self-injurious behavior

D Simeon1, D J Stein, E Hollander

  • 1Department of Psychiatry, Mount Sinai School of Medicine, New York, N.Y. 10029, USA.

The Journal of Clinical Psychiatry
|January 1, 1995
PubMed
Summary
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Depersonalization disorder involves feeling detached from oneself. Research suggests potential links between depersonalization, self-injurious behaviors, and the obsessive-compulsive spectrum, though more study is needed.

Area of Science:

  • Psychiatry
  • Neuroscience

Background:

  • Depersonalization is a dissociative symptom characterized by a sense of unreality or detachment from oneself.
  • Depersonalization disorder is diagnosed when these episodes are persistent, cause distress, or impair functioning.
  • Self-injurious behaviors involve intentional self-inflicted bodily harm without lethal intent.

Purpose of the Study:

  • To explore the phenomenology and biology of depersonalization and self-injurious behaviors.
  • To investigate the potential relationship between depersonalization disorder, self-injurious behaviors, and the obsessive-compulsive spectrum.

Main Methods:

  • Review of existing literature on depersonalization, self-injurious behaviors, and obsessive-compulsive disorder.
  • Phenomenological and biological analysis of impulsive and compulsive self-injurious behaviors.

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Main Results:

  • Depersonalization disorder shares phenomenological, comorbidity, neurochemical, and treatment response similarities with the obsessive-compulsive spectrum.
  • Tentative conclusions suggest a possible relationship, but depersonalization remains understudied.

Conclusions:

  • Depersonalization disorder may be linked to the obsessive-compulsive spectrum.
  • Further research is crucial to understand the complex relationship between depersonalization, self-harm, and obsessive-compulsive spectrum disorders.