The utility of dimensional and categorical approaches to understanding dissociation in the eating disorders

Waller, Glenn; Ohanian, Vartouhi; Meyer, Caroline; Everill, Joanne; Rouse, Helen

doi:10.1348/014466501163878

Cited by 33 publications

(33 citation statements)

References 14 publications

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“…Finally, elevated fantasy-prone and dissociative psychopathology and greater exposure to stressful life events among the HDHS participants supports the hypothesis that this subtype displays greater psychopathology (Lynn et al, 1999). However, insofar as the reliability and validity of the DES-T is inconsistent (Cardeña, 2008;Merritt & You, 2008;Waller, Ohanian, Meyer, Everill, & Rouse, 2001;Watson, 2003), this finding should be interpreted with caution.…”

Section: Discussionsupporting

confidence: 60%

Dissociative tendencies and individual differences in high hypnotic suggestibility

Terhune

Cardeña

Lindgren

2011

Cognitive Neuropsychiatry

105

108

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Introduction: Inconsistencies in the relationship between dissociation and hypnosis may result from heterogeneity among highly suggestible individuals, in particular the existence of distinct highly suggestible subtypes that are of relevance to models of psychopathology and the consequences of trauma. This study contrasted highly suggestible subtypes high or low in dissociation on measures of hypnotic responding, cognitive functioning, and psychopathology. Methods: Twenty-one low suggestible (LS), 19 low dissociative highly suggestible (LDHS), and 11 high dissociative highly suggestible (HDHS) participants were administered hypnotic suggestibility scales and completed measures of free recall, working memory capacity, imagery, fantasy-proneness, psychopathology, and exposure to stressful life events. Results: HDHS participants were more responsive to positive and negative hallucination suggestions and experienced greater involuntariness during hypnotic responding. They also exhibited impaired working memory capacity, elevated pathological fantasy and dissociative symptomatology, and a greater incidence of exposure to stressful life events. In contrast, LDHS participants displayed superior object visual imagery. Conclusions: These results provide further evidence for two highly suggestible subtypes: a dissociative subtype characterized by deficits in executive functioning and a predisposition to psychopathology and a subtype that exhibits superior imagery and no observable deficits in functioning.

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Section: Discussionsupporting

confidence: 60%

Dissociative tendencies and individual differences in high hypnotic suggestibility

Terhune

Cardeña

Lindgren

2011

Cognitive Neuropsychiatry

105

108

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“…In a large sample of high-school students, dissociation associated with suicide attempts and selfmutilation [27]. In a small sample of women with eating disorders, alcohol abuse was clearly linked to DES-taxon scores [8]. It is important to note that we have now also found the relationship to be significant in the general population.…”

Section: Discussionmentioning

confidence: 58%

Factors Associated with Pathological Dissociation in the General Population

Maaranen

Tanskanen

Honkalampi

et al. 2005

Aust N Z J Psychiatry

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“…A taxometric analysis of the DES (Waller et al 1996) indicated that approximately 3.3% of the general population report frequent and profound experiences of amnesia and/or depersonalization and belong to a pathological dissociative taxon, as measured by the DES-T (Waller & Ross, 1997). While several studies have concurred that the dissociative taxon membership appears to capture more extreme forms of dissociative experiences (Waelde et al, 2005; Waller et al, 2001; Waller & Ross. 1997), some researchers have questioned the clinical utility of the taxon in identifying Dissociative Disorders.…”

mentioning

confidence: 99%

Quality of Early Care and Childhood Trauma

Dutra

Bureau

Holmes

et al. 2009

Journal of Nervous &Amp; Mental Disease

199

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Kihlstrom (2005) has recently called attention to the need for prospective longitudinal studies of dissociation. The present study assesses quality of early care and childhood trauma as predictors of dissociation in a sample of fifty-six low income young adults followed from infancy to age 19. Dissociation was assessed with the Dissociative Experiences Scale; quality of early care was assessed by observer ratings of mother-infant interaction at home and in the lab; and childhood trauma was indexed by state-documented maltreatment, self-report, and interviewer ratings of participants’ narratives. Regression analysis indicated that dissociation in young adulthood was significantly predicted by observed lack of parental responsiveness in infancy, while childhood verbal abuse was the only type of trauma that added to the prediction of dissociation. Implications are discussed in the context of previous prospective work also pointing to the important contribution of parental emotional unresponsiveness in the development of dissociation.

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The utility of dimensional and categorical approaches to understanding dissociation in the eating disorders

Cited by 33 publications

References 14 publications

Dissociative tendencies and individual differences in high hypnotic suggestibility

Dissociative tendencies and individual differences in high hypnotic suggestibility

Factors Associated with Pathological Dissociation in the General Population

Quality of Early Care and Childhood Trauma

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