Giese A A, Thomas M R, Dubovsky S L
University of Colorado Health Sciences Center, Denver, CO 80220, USA.
Psychiatry. 1997 Spring;60(1):60-6. doi: 10.1080/00332747.1997.11024787.
Dissociative symptoms have been the subject of psychiatric inquiry since the beginning of this century (Putnam 1992; Sanders 1986; van der Kolk and van der Hart 1989). Although recent investigations have focused on the four specific dissociative disorders (American Psychiatric Association 1994) and their relationship to early traumatic experiences (Chu and Dill 1990; Putnam 1985; Terr 1991), dissociative symptoms have been reported in virtually every major psychiatric disorder (Bremner et al. 1992; Goff et al. 1992; Steinberg 1992), and, in less severe forms, even in nonpatient populations (Briere 1988; Putnam 1992; Ross and Joshi 1992). These observations raise questions about the clinical significance of dissociative symptoms that occur when other mental disorders are also present (Coons 1984; Fahy 1988).
自本世纪初以来，分离症状一直是精神病学研究的主题（普特南，1992；桑德斯，1986；范德考克和范德哈特，1989）。尽管最近的研究集中在四种特定的分离性障碍（美国精神病学协会，1994）及其与早期创伤经历的关系（朱和迪尔，1990；普特南，1985；特尔，1991），但几乎在每一种主要的精神障碍中都报告有分离症状（布雷姆纳等人，1992；戈夫等人，1992；斯坦伯格，1992），而且，以不太严重的形式，甚至在非患者人群中也有（布里尔，1988；普特南，1992；罗斯和乔希，1992）。这些观察结果引发了关于在存在其他精神障碍时出现的分离症状的临床意义的问题（库恩斯，1984；法伊，1988）。
