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down her face. “I have no idea where I live or who I am! Will somebody
please help me?”
The crisis team helped her search her purse, but could find nothing
They called the local police to find out if there was a report of a missing
person. As it turned out, the little girl in the photograph was Norma’s
daughter. She had been hit by a car in a shopping centre parking lot.
Although badly injured with a broken leg, the child was resting
comfortably in a hospital paediatrics ward. Her mother, however,
had disappeared.
When Norma awoke, she was able to recall who she was and the
circumstances of the accident, but she remembered nothing of what
had happened since.
partial or complete loss of the normal integration between
memories of the past, awareness of identity and immediate
sensations, and control of bodily movements.
ability to exercise a conscious and selective control is impaired.
"psychogenic" in origin.
traumatic events, insoluble and intolerable problems, or disturbed
relationships.
onset and termination – sudden
Individuals show a striking denial of problems or difficulties.
Depersonalization/derealization disorder - not included.
General Criteria for diagnosis:
A. Clinical Features.
B. no evidence of a physical disorder
C. psychological causation - stressful events and problems
or disturbed relationships
Included depersonalization/derealization disorder
Diagnostic Criteria:
A. Disruption of identity - involves marked discontinuity in sense of self and
sense of agency, accompanied by related alterations.
B. Recurrent gaps in recall - inconsistent with ordinary forgetting.
substance intoxication.
893 patients had been diagnosed with dissociative disorder; 591 (66%) were
outpatients and 302 (34%) were inpatients.
Proportion: between 1.5 and 15.0 per 1,000 for outpatients and between 1.5 and 11.6
per 1,000 for inpatients.
Possession states were commonly seen in the Indian population.
Lifetime prevalence rates of approximately 10% in clinical psychiatric settings and in
the general population.
In the general population, the lifetime prevalence of dissociative amnesia was 7.0%
12-month prevalence was 1.8% for both genders—1.0% and 2.6% for men and
women, respectively
Developmental Perspective:
relationship