DISSOCIATIVE DISORDERS IN DSM-5


Spiegel D., Loewenstein R. J., Lewis-Fernandez R., Sar V., Simeon D., Vermetten E., ...More

DEPRESSION AND ANXIETY, vol.28, no.9, pp.824-852, 2011 (SCI-Expanded, SSCI, Scopus)

  • Publication Type: Article / Article
  • Volume: 28 Issue: 9
  • Publication Date: 2011
  • Doi Number: 10.1002/da.20874
  • Journal Name: DEPRESSION AND ANXIETY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
  • Page Numbers: pp.824-852
  • Istanbul University Affiliated: No

Abstract

Background: We present recommendations for revision of the diagnostic criteria for the Dissociative Disorders (DDs) for DSM-5. The periodic revision of the DSM provides an opportunity to revisit the assumptions underlying specific diagnoses and the empirical support, or lack of it, for the defining diagnostic criteria. Methods: This paper reviews clinical, phenomenological, epidemiological, cultural, and neurobiological data related to the DDs in order to generate an up-to-date, evidence-based set of DD diagnoses and diagnostic criteria for DSM-5. First, we review the definitions of dissociation and the differences between the definitions of dissociation and conceptualization of DDs in the DSM-IV-TR and the ICD-10, respectively. Also, we review more general conceptual issues in defining dissociation and dissociative disorders. Based on this review, we propose a revised definition of dissociation for DSM-5 and discuss the implications of this definition for understanding dissociative symptoms and disorders. Results: We make the following recommendations for DSM-5: