Is schizophrenia a dissociative disorder?

Moskowitz, Andrew; Read, John; Rudegeair, Thomas

doi:10.1037/e609072012-057

Cited by 2 publications

(3 citation statements)

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“…It is defined as a disruption in the usually integrated mental functions, and the subjective experience of dissociation contains phenomena such as general memory problems, depersonalization, derealization, auditory hallucinations, and intrusive thoughts, feelings, and impulses (Dell, 2009), of which several resemble psychotic symptomatology. Dissociation is well described in relation to trauma, and the hallucinations, depersonalization, and other psychotic symptoms identified in individuals diagnosed with psychosis are also proposed to be of a dissociative nature rooted in experience of trauma earlier in life (Moskowitz, Read, Farelly, Rudegeair, & Williams, 2009). This idea is supported by consistent findings of dissociative symptoms in psychosis.…”

Section: Stress Reactivity and Dissociation As Disease Mechanisms In ...mentioning

confidence: 99%

Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach.

Harder

Folke

2012

Journal of Psychotherapy Integration

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Although the role of cognitive processes in psychosis has long been appreciated, the impact of affect regulation and attachment on development and intervention in psychosis has only recently been more broadly acknowledged. This article explores the role of affect regulation in an intersubjective field from a developmental perspective. Attachment and intersubjective models for regulation of affect and social interactive attention based on empirical infant research are applied to the field of psychosis, and the impact of impaired affect regulation on metacognitive functioning is explored. In an effort to synthesize these elements, an integrative psychotherapy framework is offered, integrating attachment and intersubjective thinking into a contemporary supportive psychodynamic approach to psychosis. A case is provided for illustration.

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Section: Stress Reactivity and Dissociation As Disease Mechanisms In ...mentioning

confidence: 99%

Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach.

Harder

Folke

2012

Journal of Psychotherapy Integration

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“…There has been an increasing interest in the presence of dissociative experiences in psychotic disorders, in part due to common aetiological factors of trauma and anxiety, and the potential for dissociation to play a mediating role in psychosis [12–14]. Dissociation has long been considered a psychological defence mechanism to protect the individual against intolerable events such as trauma (see [14]).…”

Section: Introductionmentioning

confidence: 99%

“…Considering the commonalities in maintenance processes of dissociation and psychosis, it is understandable that dissociation is also common in psychosis, and indeed, some authors have speculated that some psychotic symptoms, in particular auditory hallucinations, may actually be better understood as dissociative in nature [12, 14]. …”

Section: Introductionmentioning

confidence: 99%

A brief CBT intervention for depersonalisation/derealisation in psychosis: study protocol for a feasibility randomised controlled trial

Farrelly

Peters

Azis

et al. 2016

Pilot Feasibility Stud

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BackgroundDepersonalisation is the experience of being detached or disconnected from one’s experience. Studies suggest that clinically significant levels of depersonalisation are common in individuals who have psychotic symptoms and are associated with increased impairment. However, to date, there have been no studies that have investigated an intervention designed to target clinically significant depersonalisation in such patient groups. This study aims to determine the feasibility and acceptability of a brief intervention targeting clinically significant depersonalisation in those who also have current psychotic symptoms.Methods/designThe feasibility of delivering six sessions of cognitive behavioural therapy for depersonalisation in psychosis patients will be evaluated using a single-blinded randomised controlled trial with a treatment as usual control condition. Participants will be assessed at baseline and then randomised to either the treatment or control arm. Participants randomised to the treatment arm will be offered six sessions of individual cognitive behavioural therapy delivered over a maximum of 10 weeks. Therapy will focus on an individualised shared formulation of depersonalisation experiences and behavioural, cognitive, emotional regulation and thinking process strategies to decrease distress associated with depersonalisation. Participants will be assessed again at a 10-week (post-randomisation) follow-up assessment. The primary outcomes of interest will be those assessing the feasibility and acceptability of the intervention including rates of referral, eligibility and acceptance to participate; attendance at therapy sessions and completion of homework tasks; satisfaction with the intervention; maintenance of blinding; and therapist competence. Secondary outcomes will be data on clinical outcome measures of depersonalisation and positive symptoms of psychosis, anxiety, depression and post-traumatic stress.DiscussionThis study will determine the feasibility of delivering six sessions of cognitive behavioural therapy for individuals with current psychotic symptoms who also experience clinically significant levels of depersonalisation. The results will provide information to inform a larger randomised trial to assess intervention efficacy.Trial registrationClinicalTrials.gov NCT02427542

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Is schizophrenia a dissociative disorder?

Cited by 2 publications

References 0 publications

Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach.

Affect regulation and metacognition in psychotherapy of psychosis: An integrative approach.

A brief CBT intervention for depersonalisation/derealisation in psychosis: study protocol for a feasibility randomised controlled trial

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