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CURRENT Diagnosis & Treatment: Psychiatry, 2e | Section II. Psychiatric Disorders in Adults > | Chapter 24. Dissociative Disorders Sections: Dissociative Disorders, Dissociative Amnesia & Dissociative Fugue, Dissociative Identity Disorder, Depersonalization Disorder, Dissociative Disorder Not Otherwise Specified, Pharmacotherapy in Dissociative Disorders, Dissociation Following Acute Trauma. Topics Discussed: dissociative disorders. Excerpt:"Types of dissociative disorders according to DSM-IV-TREpidemiologic data on dissociative disorders are patchy. Studies of combat soldiers have found a prevalence of dissociative amnesia of 58%. There are no reliable data on dissociative fugue. The prevalence of dissociative identity disorder is disputed but probably low. Case reports suggest a female-to-male ratio of at least 5:1. This ratio might be exaggerated, because males with dissociative disorder, who are likely to be episodically violent, are likely to be directed to the correctional system. Dissociative identity disorder is found in all ethnic groups, though mainly in whites, and in all socioeconomic groups. Depersonalization is a frequent concomitant of anxiety disorders, posttraumatic stress disorder, and severe depression. Up to one half of college students claim to have experienced depersonalization at some time in their lives. It has been reported that 80% of psychiatric inpatients suffer from depersonalization, but in only 12% is the symptom long lasting, and in no case is it the only symptom. The sex ratio is equal.Janet postulated that some people have a constitutional "psychological insufficiency" that renders them prone to dissociate in the face of frightening experiences...."
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