[Two types of depersonalization--reconsideration from a descriptive-phenomenological view point]. 2001

H Oae, and T Abiru, and Y Domon
Ogaki Municipal Hospital.

The term depersonalization has been vaguely used in clinical contexts and there is confusion over its nosological positioning. Although the syndrome has been assigned a niche of its own in the European psychiatric taxonomy, the American's Diagnostic and Statistical Manual of Mental Disorders (DSM-III, IV) labeled it under the term Dissociative Disorder. The latter, which does not agree with the classical theory of Janet, seems to have no basis on traditional psychopathology and is not derived from any dissociative theories. In this paper the descriptive characteristics of depersonalization are discussed with regard to the features of "observing self" and the relationship between experiences and selves, according to which the authors distinguish two types of depersonalization: an "excessive-self-reflecting type" and an "absorbed-in-experience type". Whereas the former coinsides with the typical depersonalization neurosis, in which excessive self-reflection plays an important role in reducing the sense of reality, in the latter over-absorption in some situations leads the patient to construct a wall to block out reality. We suggest that in making a distinction between these two types, the psychopathology of depersonalization will be better clarified.

UI MeSH Term Description Entries
D008297 Male Males
D011599 Psychopathology The study of significant causes and processes in the development of mental illness.
D003861 Depersonalization State in which an individual perceives or experiences a sensation of unreality concerning the self or the environment; it is seen in disorders such as schizophrenia, affection disorders, organic mental disorders, and personality disorders. (APA, Thesaurus of Psychological Index Terms, 8th ed.) Depersonalization Disorder,Derealization,Depersonalization Disorders,Depersonalizations,Derealizations,Disorder, Depersonalization,Disorders, Depersonalization
D004213 Dissociative Disorders Sudden temporary alterations in the normally integrative functions of consciousness. Dissociation,Fugue,Hysteria, Dissociative,Dissociative Reaction,Disorder, Dissociative,Disorders, Dissociative,Dissociative Disorder,Dissociative Hysteria,Dissociative Reactions,Hysterias, Dissociative,Reaction, Dissociative,Reactions, Dissociative
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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