Dissociation : Vol. 9, No. 4, p. 244-252 : Dissociative identity disorder presenting as hysterical psychosis

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Date

1996-12

Authors

Tutkun, Hamdi
Yargic, L. Ilhan
Sar, Vedat

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Publisher

Ridgeview Institute and the International Society for the Study of Dissociation

Abstract

Dissociative identity disorder (DID), formerly known as multiple personality disorder (MPD), usually presents with associated symptoms rather than with the main features of the disorder. It is necessary for the clinician to keep it in mind as a diagnostic probability and to know its various presentations and associated symptoms in order to recognize it. We observed during long-term evaluation of four cases of hysterical psychosis (HP), that they had DID with long-term histories of dissociative symptoms. Patients applying for care who manifest a single dissociative symptom, a dissociative disorder, a severe acute dissociative syndrome with regressive features, or a dramatic and therapy-resistant conversion symptom should be evaluated for other dissociative symptoms and especially for their chronicity. In our experience, one presenting form of dissociative identity disorder is a hysterical psychosis, a type of crisis situation in the context of the longitudinal course of the dissociative identity disorder.

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p. 244-252

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