Dissociative detachment relates to psychotic symptoms and personality decompensation

Allen, Jon G.; Coyne, Lolafaye; Console, David A

doi:10.1016/s0010-440x(97)90928-7

Cited by 110 publications

(93 citation statements)

References 24 publications

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“…A similar view was expressed by Allen, Coyne, and Console (1997) who speak about a process of inward flight by which a state of intense absorption-a variable strongly related to fantasy proneness (see, e.g., Merckelbach, Horselenberg, & Muris, 2001)-leads to a change in the sense of self (depersonalization) and reality (derealization), with the effect that these features render individuals vulnerable to psychotic experience (see also Allen & Coyne, 1995). Within the psychotic realm, delusions (Stages 4 and 5) are sometimes interpreted to consist of rational attempts to explain unusual perceptual events (Stage 4;Chapman, 1966;Maher, 1988;Maher & Ross, 1984;Roberts, 1992).…”

Section: Cause-effect Relationshipsmentioning

confidence: 72%

Pathways to schizophrenic psychosis: A LISREL-tested model of the unfolding of the schizophrenic prodrome

Kampen

2005

J. Clin. Psychol.

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In this article a literature-based model (the Schizotypic Syndrome Questionnaire [SSQ] model) is presented that gives a description of the temporal unfolding of the schizophrenic prodrome. As a guiding principle for the selection of the symptoms in the model, the hypothesis was held that the main prodromal features determine each other in terms of cause and effect. Furthermore, the developmental pathways between the symptoms were not allowed to be in conflict with the usual observation that negative symptoms precede psychotic-like ones nor--at least in broad outline--with J.P. Docherty, D.P. van Kammen, S.G. Siris, and S.R. Marder's (1978) description of the various onset stages in the development of a schizophrenic psychosis. For the definitive version of the SSQ model, 12 symptoms were selected (e.g., affective flattening, suspicion, and delusional thinking). After specifying the paths to be estimated, the model was examined in two randomly drawn samples from a total community-based sample of 771 normal subjects and in the total sample itself, in each case resulting in adequate fit values. Moreover, all postulated pathways were found to be significantly different from zero. The use of a normal sample was based on the continuum hypothesis. Given the present-day discussions concerning the tenability of the schizophrenia concept, the model's implications with respect to that issue are particularly emphasized. Furthermore, the concept of the schizophrenia prodrome itself is critically discussed.

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Section: Cause-effect Relationshipsmentioning

confidence: 72%

Pathways to schizophrenic psychosis: A LISREL-tested model of the unfolding of the schizophrenic prodrome

Kampen

2005

J. Clin. Psychol.

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“…sense of self, resulting from dissociative detachment, which may particularly augment psychological mechanisms involved in psychosis symptom formation. 45,46 However, there has been limited research into levels of dissociation in UHR samples, either associated with trauma or not. Related to this potential mechanism, others have suggested that sexual trauma may represent a more repeated or severe form of abuse and have reported an increased risk in those who experience more severe or intrusive forms of this abuse.…”

Section: Why Is Sexual Trauma Particularly Related To Transition To Pmentioning

confidence: 99%

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

Thompson

Nelson

Yuen

et al. 2013

Schizophrenia Bulletin

110

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Studies indicate a high prevalence of childhood trauma in patient cohorts with established psychotic disorder and in those at risk of developing psychosis. A causal link between childhood trauma and development of psychosis has been proposed. We aimed to examine the association between experience of childhood trauma and the development of a psychotic disorder in a large "Ultra High Risk" (UHR) for psychosis cohort. The data were collected as part of a longitudinal cohort study of all UHR patients recruited to research studies at the Personal Assessment and Clinical Evaluation clinic between 1993 and 2006. Baseline data were collected at recruitment to these studies. The participants completed a comprehensive followup assessment battery (mean time to follow-up 7.5 years, range 2.4-14.9 years), which included the Childhood Trauma Questionnaire (CTQ), a self-report questionnaire that assesses experience of childhood trauma. The outcome of interest was transition to a psychotic disorder during the follow-up period. Data were available on 233 individuals. Total CTQ trauma score was not associated with transition to psychosis. Of the individual trauma types, only sexual abuse was associated with transition to psychosis (P = .02). The association remained when adjusting for potential confounding factors. Those with high sexual abuse scores were estimated to have a transition risk 2-4 times that of those with low scores. The findings suggest that sexual trauma may be an important contributing factor in development of psychosis for some individuals.

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“…Previous research has suggested that the two types of dissociation are unlikely to be explained by the same theoretical accounts and may be cognitively distinct (Sierra and Berrios, 2000;Brown, 2004;Holmes et al, 2005). Studies investigating the links between psychosis-like experience and dissociation, however, have typically not differentiated compartmentalisation from detachment (Allen et al, 1997). In fact, only one study has looked at this directly by investigating possible links between subtypes of dissociation and schizophrenic symptoms.…”

Section: Introductionmentioning

confidence: 99%

The relationship between different types of dissociation and psychosis-like experiences in a non-clinical sample

Humpston

Walsh

Oakley

et al. 2016

Consciousness and Cognition

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This study investigates whether detachment-type dissociation, compartmentalisation-type dissociation or absorption was most strongly associated with psychosis-like experiences in the general population. Healthy participants (N=215) were tested with the Dissociative Experiences Scale (DES, for detachment-related dissociative experiences); the Harvard Group Scale of Hypnotic Susceptibility (HGSHS:A, for dissociative compartmentalisation);

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Dissociative detachment relates to psychotic symptoms and personality decompensation

Cited by 110 publications

References 24 publications

Pathways to schizophrenic psychosis: A LISREL-tested model of the unfolding of the schizophrenic prodrome

Pathways to schizophrenic psychosis: A LISREL-tested model of the unfolding of the schizophrenic prodrome

Sexual Trauma Increases the Risk of Developing Psychosis in an Ultra High-Risk “Prodromal” Population

The relationship between different types of dissociation and psychosis-like experiences in a non-clinical sample

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