Allen J G, Coyne L, Console D A
Trauma Recovery Program and the Statistical Laboratory, The Menninger Clinic, Topeka, KS 66601-8029, USA.
Compr Psychiatry. 1997 Nov-Dec;38(6):327-34. doi: 10.1016/s0010-440x(97)90928-7.
Previous studies have addressed the prominence of psychotic symptoms in conjunction with multiple personality disorder (now dissociative identity disorder). The present study examines the relation between psychotic symptoms and a more pervasive form of dissociative disturbance, namely dissociative detachment. Two hundred sixty-six women in inpatient treatment for severe trauma-related disorders completed the Dissociative Experiences Scale (DES), and 102 of these patients also completed the Millon Clinical Multiaxial Inventory (MCMI-III). A factor analysis of the DES yielded two dimensions of dissociative detachment: detachment from one's own actions and detachment from the self and the environment. Each of these DES dimensions relates strongly to the thought disorder and schizotypal personality disorder scales of the MCMI-III. We propose that severe dissociative detachment, by virtue of loosening the moorings in inner and outer reality, is conducive to psychotic symptoms and personality decompensation.
以往的研究探讨了精神病性症状与多重人格障碍（现称分离性身份障碍）同时出现的情况。本研究考察了精神病性症状与一种更普遍的分离性障碍形式，即分离性超脱之间的关系。266名因严重创伤相关障碍而接受住院治疗的女性完成了分离体验量表（DES），其中102名患者还完成了米隆临床多轴问卷（MCMI-III）。对DES的因素分析得出了分离性超脱的两个维度：对自身行为的超脱以及对自我和环境的超脱。DES的每个维度都与MCMI-III的思维障碍和分裂型人格障碍量表密切相关。我们认为，严重的分离性超脱由于削弱了与内在和外在现实的联系，会导致精神病性症状和人格失代偿。
