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KMID : 0438319940030010081
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Pusan Journal of Psychiatry
1994 Volume.3 No. 1 p.81 ~ p.88
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Diagnosis of Dissociative Identity Disorder
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Abstract
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Dissociative identity disorder, long considered a rarity, is being diagnosed, treated, and researched with increasing frequency. The psychopathology, and symptoms of dissociative disorders have not been well known or understood up until recent
past. The
essential featue of dissociative identity disorder is the existence of amnesia, together with the presence of alternating distinct identities. It can present by itself or can coexist with widely varying psychiatric disorders or conditions such as
major
depression, borderline personality disorder, somatization disorder, substance abuse, sexual dysfunction, eating disorder, and sleep disorder etc. The diagnosis is not easy to make because presenting symptoms of dissociative identity disorder seem
frequently to be those of depression, schizophrenia, rapid -cycling bipolar disordder, or borderline personality disorder I a time. Yet clinicians should always be on the alert for it, particularly among patients who have not responded as
exdpected
to
standard treatment sttrategies or who have repeatedly sought treatment and received a variety of diagnoses from many psychiatrists. The author reviewed recent concept of the dissociation briefly, indicated useful diagnostic techniques, considered
differential diagnoses, and discussed the reason why the dissociative disorders have been neglected among psychiatrists, hopefully to promote rediscovery of it.
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KEYWORD
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