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Dissociation is the minds way of breaking the connections between
itself and the outside world. The person experiences an event or events which the mind is
unable to deal with. The person may seem to be somewhere else. The person may act in ways
that are so out of character that they seem to be another person. In the past this was
referred to as MPD or multiple personality disorder.
With the publication of the DSM-IV (Diagnostic & Statistical Manual of Mental Disorders - IV) in 1994, the American Psychiatric Association changed the entry for MPD to DID because of the increased understanding of the effects of trauma.
DID is a common reaction to severe emotional trauma. The trauma may be a single event; children may experience DID after a natural disaster such as a hurricane, or it may be trauma which takes place over an extended period of time. Sexual, emotional or physical abuse are examples of long term events that can cause DID.
Some of the symptoms listed above are explained in greater detail here-
Depression-
Depression when exhibited with other symptoms of DID may be classified
as severe or 'clinical depression'. This type of depression tends to interfere greatly
with a persons day to day life.
Compulsions
or rituals-
A person in a
dissociative state may have compulsions or ritual behaviors which help them deal with
stress. They may also when agitated, in a stressful situation or in a situation in which
they are exposed to a 'trigger'. It may involve behavior, speech or thought.
Amnesia, blackouts or time loss-
The person may not remember
events which occur while they are in a dissociative state.
Psychotic-like
symptoms-
The person may have hallucinations while in a dissociative state. An
hallucination is a sensory experience which is not real. It may be visual or
auditory but may also be an hallucination involving smell, taste or touch.