Martins Hugo André de Lima, Ribas Valdenilson Ribeiro, Dos Santos Ribas Ketlin Helenise, da Fonseca Lins Luciano, Mainieri Alessandra Ghinato
Unidade do Cérebro, Surubim, Brazil.
Instituto do Cérebro de Pernambuco, Jaboatão dos Guararapes, Brazil.
Front Psychiatry. 2022 Jul 18;13:662290. doi: 10.3389/fpsyt.2022.662290. eCollection 2022.
Dissociative identity disorder, formerly called multiple personality disorder, is a rupture of identity characterized by the presence of two or more distinct personality states, described in some cultures as an experience of possession.
The case of a 30-year-old woman with dissociative identity disorder and borderline personality disorder associated with a previous history of anomalous experience was reported.
A 30-year-old woman who fulfilled the DSM-5 criteria for dissociative identity disorder and borderline personality disorder reported the presence of unusual sensory experiences (clairvoyance, premonitory dreams, clairaudience) since she was 5 years old. The patient told that for 12 months she presented episodes in which a "second self" took charge of her actions: she would then speak with a male voice, become aggressive, and require several people to contain her desire for destruction. After 3 months of religious follow-up, and accepting her unusual experiences and trance possessions as normal and natural, she had significant improvement.
When approaching DID and BPD patients, it is necessary to observe the anomalous phenomena (in the light of) closer to their cultural and religious contexts, to promote better results in the treatment of their disorders, which has not been explored in the treatment guide.
分离性身份障碍，以前称为多重人格障碍，是一种身份的断裂，其特征是存在两种或更多不同的人格状态，在某些文化中被描述为一种附体体验。
报告一例30岁女性，患有分离性身份障碍和边缘型人格障碍，伴有既往异常经历史。
一名符合《精神疾病诊断与统计手册》第5版分离性身份障碍和边缘型人格障碍标准的30岁女性报告称，自5岁起就有异常的感官体验（千里眼、预兆性梦境、听力超常）。患者称，在12个月的时间里，她出现了一些发作，期间一个“第二自我”控制了她的行为：她会用男性声音说话，变得具有攻击性，需要几个人才能抑制她的破坏欲。经过3个月的宗教引导，并接受她的异常经历和恍惚附体现象是正常和自然的，她有了显著改善。
在治疗分离性身份障碍和边缘型人格障碍患者时，有必要更贴近其文化和宗教背景来观察异常现象，以便在治疗其疾病时取得更好的效果，这在治疗指南中尚未得到探讨。
