Bryant Richard A
School of Psychology, University of New South Wales, NSW 2052, Australia.
J Anxiety Disord. 2007;21(2):183-91. doi: 10.1016/j.janxdis.2006.09.012. Epub 2006 Nov 9.
Peritraumatic dissociation, and other dissociative reactions, refer to alterations in awareness in the context of a traumatic experience. This review provides an overview of the current conceptualization of dissociation, critiques methodological approaches to studying dissociation, and reviews the evidence for the purported relationship between dissociative reactions and posttraumatic stress disorder. The evidence challenges the notion that a linear relationship exists between dissociation and psychiatric morbidity. Future research should abandon the global construct of dissociation, and study the specific responses that involve altered awareness under experimental conditions.
创伤周围性分离及其他分离反应是指在创伤经历背景下的意识改变。本综述概述了当前对分离的概念化理解，批评了研究分离的方法学途径，并综述了有关分离反应与创伤后应激障碍之间所谓关系的证据。该证据对分离与精神疾病发病率之间存在线性关系这一观点提出了挑战。未来的研究应摒弃分离这一整体概念，转而研究在实验条件下涉及意识改变的具体反应。
