García-Valdecasas Campos J, Herreros Rodríguez O, Vispe Astola A, Gracia Marco R
Hospital Universitario de Canarias, Tenerife, Canary Islands.
Actas Esp Psiquiatr. 2004 Mar-Apr;32(2):123-6.
Based on the description of a clinical case treated by the authors, and diagnosed of dissociative disorder, a review of the diagnosis of dissociative disorder and its polemics is carried out. The authors discuss concepts such as dissociation and hysteria, their historic evolution and their relationships. Some modern cognitive theories on dissociative disorders and their relationship or opposition to psychodynamic theories are presented. The differences between dissociation and repression with these two different approaches are also mentioned. The authors conclude that at the present time important questions must be solved in the area of dissociative disorders in order to progress in the psychiatric knowledge of dissociative processes.
基于作者所治疗的一例被诊断为分离性障碍的临床病例描述,对分离性障碍的诊断及其争议点进行了综述。作者讨论了诸如分离和癔症等概念、它们的历史演变及其关系。介绍了一些关于分离性障碍的现代认知理论以及它们与精神动力学理论的关系或对立之处。还提到了这两种不同方法下分离与压抑的区别。作者得出结论,目前在分离性障碍领域必须解决重要问题,以便在分离过程的精神病学知识方面取得进展。