Brown Richard J
Academic Division of Clinical Psychology, University of Manchester, Manchester Royal Infirmary, Manchester, UK.
J Trauma Dissociation. 2006;7(4):7-28. doi: 10.1300/J229v07n04_02.
The term "dissociation" has been used to describe a wide range of psychological and psychiatric phenomena. The popular conception of dissociation describes it as a unitary phenomenon, with only quantitative differences in severity between the various dissociative conditions. More recently, it has been argued that the available evidence is more consistent with a model that identifies at least two distinct categories of dissociative phenomena-"detachment" and "compartmentalization"- that have different definitions, mechanisms and treatment implications (Holmes, Brown, Mansell, Fearon, Hunter, Frasquilho & Oakley 2005). This paper presents evidence for this bipartite model of dissociation, followed by definitions and descriptions of detachment and compartmentalization. Possible psychological mechanisms underlying these phenomena are then discussed, with particular emphasis on the nature of compartmentalization in conversion disorder, hypnosis, dissociative amnesia and dissociative identity disorder.
“解离”一词已被用于描述广泛的心理和精神现象。关于解离的普遍概念将其描述为一种单一现象,不同解离状态之间仅在严重程度上存在量的差异。最近,有人认为现有证据更符合一种模型,该模型识别出至少两种不同类别的解离现象——“分离”和“区隔化”——它们具有不同的定义、机制和治疗意义(霍姆斯、布朗、曼塞尔、费伦、亨特、弗拉斯基洛和奥克利,2005年)。本文提供了支持这种解离二分模型的证据,随后对分离和区隔化进行了定义和描述。接着讨论了这些现象背后可能的心理机制,特别强调了转换障碍、催眠、解离性遗忘症和解离性身份障碍中区隔化的本质。