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7 - Dissociative Disorders

Published online by Cambridge University Press:  10 January 2025

By
Damla E. Aksen  and
Steven Jay Lynn
Edited by
Stephen Hupp  and
David F. Tolin
Stephen Hupp
Affiliation:
Southern Illinois University, Edwardsville
David F. Tolin
Affiliation:
Institute of Living
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Summary

Dissociative disorders encompass depersonalization, derealization, dissociative amnesia, dissociative identity disorder, and other diagnostic classifications. The treatment literature for dissociative disorders is limited. Some emerging and promising treatments include phase-oriented treatment, cognitive-behavioral therapy, dialectical behavior therapy, schema therapy, the Unified Protocol, and the Treatment of Patients with the Dissociative Disorders Network Program. A sidebar provides recommendations for future research; another sidebar discusses access to treatment.

Keywords

dissociative identity disorderdepersonalizationderealizationdissociative amnesiaphase-oriented treatmentcognitive-behavioral therapydialectical behavior therapyschema therapyunified protocolscience-based therapy
Type
Chapter
Information
Science-Based Therapy
Raising the Bar for Empirically Supported Treatments
 , pp. 105 - 121
Publisher: Cambridge University Press
Print publication year: 2025

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References

Useful Resources

Bridley, A., Daffin, L. W., & Washington State University. (2022). Fundamentals of psychological disorders (formerly abnormal psychology) 3rd edition (5-TR) (3rd ed.). Press Books.

Chien, W. T., & Fung, H. W. (2022). The challenges in diagnosis and treatment of dissociative disorders. Alpha Psychiatry, 23(2), 45–46. https://doi.org/10.5152/alphapsychiatry.2022.0001.

Diseth, T. H., & Christie, H. J. (2005). Trauma-related dissociative (conversion) disorders in children and adolescents – An overview of assessment tools and treatment principles. Nordic Journal of Psychiatry, 59(4), 278–292.

Kring, A. M., & Johnson, S. M. (2018). Abnormal psychology: The science and treatment of psychological disorders (14th ed.). John Wiley & Sons, Inc.

Maxwell, R., Merckelbach, H., Lilienfeld, S. O., & Lynn, S. J. (2018). The treatment of dissociation: An evaluation of effectiveness and potential mechanisms In David, D., Lynn, S. J., & Montgomery, G. H. (Eds.), Evidence-based psychotherapy: The state of the science and practice (pp. 329–361). Wiley Blackwell.

Mohajerin, , Lynn, S. J., Bakhtiyari, M., & Dolatshah, B. (2020). Evaluating the Unified Protocol in the treatment of dissociative identify disorder. Cognitive and Behavioral Practice, 27(3), 270–289.

Pieper, S., Out, D., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (2011). Behavioral and molecular genetics of dissociation: The role of the serotonin transporter gene promoter polymorphism (5-HTTLPR). Journal of Traumatic Stress, 24(4), 373–380.

Şar, V., Dorahy, M., & Krüger, C. (2017). Revisiting the etiological aspects of dissociative identity disorder: A biopsychosocial perspective. Psychology Research and Behavior Management, Volume 10(10), 137–146. https://doi.org/10.2147/prbm.s113743

Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. The Guilford Press.

References

Aksen, D. E., Polizzi, C., & Lynn, S. J. (2021). Correlates and mediators of dissociation: Towards a transtheoretical perspective. Imagination, Cognition and Personality, 40: 372–392. https://doi.org/10.1177/0276236620956284,CrossRefGoogle Scholar
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders: DSM-5-TR. Washington, DC: American Psychiatric Association.Google Scholar
Anglin, D. M., Polanco-Roman, L., & Lui, F. (2015). Ethnic variation in whether dissociation mediates the relation between traumatic life events and attenuated positive psychotic symptoms. Journal of Trauma & Dissociation, 16(1), 68–85.CrossRefGoogle ScholarPubMed
Arora, T., Alhelali, E., & Grey, I. (2020). Poor sleep efficiency and daytime napping are risk factors of depersonalization disorder in female university students. Neurobiology of Sleep and Circadian Rhythms 9:100059. https://doi.org/10.1016/j.nbscr.2020.100059.CrossRefGoogle ScholarPubMed
Bækkelund, H., Ulvenes, P., Boon-Langelaan, S., & Arnevik, E. A. (2022). Group treatment for complex dissociative disorders: a randomized clinical trial. BMC Psychiatry, 22(1), 338–338. https://doi.org/10.1186/s12888-022-03970-8.CrossRefGoogle ScholarPubMed
Belli, H. (2014). Dissociative symptoms and dissociative disorders comorbidity in obsessive compulsive disorder: Symptom screening, diagnostic tools and reflections on treatment. World Journal of Clinical Cases: WJCC, 2(8), 327–331.CrossRefGoogle ScholarPubMed
Brand, B. L., & Lanius, R. A. (2014). Chronic complex dissociative disorders and borderline personality disorder: disorders of emotion dysregulation? Borderline Personality Disorder and Emotion Dysregulation, 1(1), 1–12. https://doi.org/10.1186/2051-6673-1-13.CrossRefGoogle ScholarPubMed
Brand, B. L., Classen, C. C., McNary, S. W. & Zaveri, P. (2009). A review of dissociative disorders treatment studies. The Journal of Nervous and Mental Disease, 197 (9), 646–654. https://doi.org/10.1097/NMD.0b013e3181b3afaa.CrossRefGoogle ScholarPubMed
Brand, B. L., Loewenstein, R. J., & Spiegel, D. (2014). Dispelling myths about dissociative identity disorder treatment: An empirically based approach. Psychiatry, 77(2), 169-89. https://doi.org/10.1521/psyc.2014.77.2.169CrossRefGoogle ScholarPubMed
Brand, B. L., Myrick, A. C., Loewenstein, R. J., et al. (2012). A survey of practices and recommended treatment interventions among expert therapists treating patients with dissociative identity disorder and dissociative disorder not otherwise specified. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 490–500. https://doi.org/10.1037/a0026487.CrossRefGoogle Scholar
Brand, B. L., Sar, V., Stavropoulos, P., et al. (2016). Separating fact from fiction: An empirical examination of six myths about dissociative identity disorder. Harvard Review of Psychiatry, 24(4), 257–270. https://doi.org/10.1097/hrp.0000000000000100.CrossRefGoogle ScholarPubMed
Brand, B. L., Schielke, H. J., Putnam, K. T., et al. (2019). An online educational program for individuals with dissociative disorders and their clinicians: 1-year and 2-year follow-up. Journal of Traumatic Stress, 32(1), 156–166. https://doi.org/10.1002/jts.22370.CrossRefGoogle ScholarPubMed
Brand, B. L., Webermann, A. R., & Frankel, A. S. (2016). Assessment of complex dissociative disorder patients and simulated dissociation in forensic contexts. International Journal of Law and Psychiatry, 49, 197–204.CrossRefGoogle ScholarPubMed
Bridley, A., Daffin, L. W., & Washington State University. (2022). Fundamentals of psychological disorders (formerly abnormal psychology) 3rd edition (5-TR) (3rd ed.). Washington State University.Google Scholar
Chalavi, S., Vissia, E. M., Giesen, M. E., et al. (2015). Abnormal hippocampal morphology in dissociative identity disorder and post-traumatic stress disorder correlates with childhood trauma and dissociative symptoms. Human Brain Mapping, 36(5), 1692–1704. https://doi.org/10.1002/hbm.22730.CrossRefGoogle ScholarPubMed
Chien, W. T., & Fung, H. W. (2022). The challenges in diagnosis and treatment of dissociative disorders. Alpha Psychiatry, 23(2), 45–46. https://doi.org/10.5152/alphapsychiatry.2022.0001.CrossRefGoogle ScholarPubMed
Chiu, C.-D., Chang, J.-H., & Hui, C. M. (2017). Self-concept integration and differentiation in subclinical individuals with dissociation proneness. Self & Identity, 16: 664–683. https://doi.org/10.1080/15298868.2017.1296491.CrossRefGoogle Scholar
Courtois, C. (1999). Recollections of sexual abuse: Treatment principles and guidelines. W. W. Norton & Co.Google Scholar
Cronin, E., Brand, B. L., & Mattanah, J. F. (2014). The impact of the therapeutic alliance on treatment outcome in patients with dissociative disorders. European Journal of Psychotraumatology, 5. https://doi.org/10.3402/ejpt.v5.22676.CrossRefGoogle ScholarPubMed
Dalenberg, C. J., Brand, B. L., Gleaves, D. H., et al. (2012). Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychological Bulletin, 138(3), 550–588. https://doi.org/10.1037/a0027447.CrossRefGoogle ScholarPubMed
David, D., & Montgomery, G. H. (2011). The scientific status of psychotherapies: A new evaluative framework for evidence‐based psychosocial interventions. Clinical Psychology: Science and Practice, 18(2), 89–99.Google Scholar
Delmonte, Lucchetti, Moreira-Almeida, G., A., & Farias, M. (2016). Can the DSM-5 differentiate between nonpathological possession and dissociative identity disorder? A case study from an Afro-Brazilian religion. Journal of Trauma & Dissociation, 17(3), 322–337. https://doi.org/10.1080/15299732.2015.1103351.CrossRefGoogle ScholarPubMed
Diseth, T. H., & Christie, H. J. (2005). Trauma-related dissociative (conversion) disorders in children and adolescents–an overview of assessment tools and treatment principles. Nordic Journal of Psychiatry, 59(4), 278–292. https://doi.org/10.1080/08039480500213683.CrossRefGoogle ScholarPubMed
Dorahy, M. J., Brand, B. L., Şar, V., et al. (2014). Dissociative identity disorder: An empirical overview. Australian & New Zealand Journal of Psychiatry, 48(5), 402–417. https://doi.org/10.1177/0004867414527523.CrossRefGoogle ScholarPubMed
Ellickson-Larew, S., Stasik-O’Brien, S. M., Stanton, K., & Watson, D. (2020). Dissociation as a multidimensional transdiagnostic symptom. Psychology of Consciousness.: Theory., Research, and Practice, 7, 126–150. https://doi.org/10.1037/cns0000218.Google Scholar
Foote, B., & Van Orden, K. (2016). Adapting dialectical behavior therapy for the treatment of dissociative identity disorder. American Journal of Psychotherapy, 70(4), 343–364.CrossRefGoogle ScholarPubMed
Gentile, J. P., Dillon, K. S., & Gillig, P. M. (2013). Psychotherapy and pharmacotherapy for patients with dissociative identity disorder. Innovations in Clinical Neuroscience, 10(2), 22.Google ScholarPubMed
Ghosh, D., Mukhopadhyay, P., Chatterjee, I., & Roy, P. K. (2021). Arousability, personality, and decision-making ability in dissociative disorder. Indian Journal of Psychological Medicine. https://doi.org/10.1177/0253717620981555.CrossRefGoogle Scholar
Giesbrecht, T., Smeets, T., Leppink, J., Jelicic, M., & Merckelbach, H. (2013). Acute dissociation after 1 night of sleep loss. Psychology of Consciousness: Theory, Research, and Practice, 1(S), 150–159. https://doi.org/10.1037/2326-5523.1.S.150.Google Scholar
Gleaves, D. H. (1996). The sociocognitive model of dissociative identity disorder: A reexamination of the evidence. Psychological Bulletin, 120, 42–59 https://doi.org/10.1037/0033-2909.120.1.42.CrossRefGoogle ScholarPubMed
Goldstein, L. H., Robinson, E. J., Mellers, J. D. C., et al. (2020). Cognitive behavioural therapy for adults with dissociative seizures (CODES): A pragmatic, multicentre, randomised controlled trial. The Lancet Psychiatry, 7(6), 491–505. https://doi.org/10.1016/s2215-0366(20)30128-0.CrossRefGoogle ScholarPubMed
Hébert, Langevin, R., & Charest, F. (2020). Disorganized attachment and emotion dysregulation as mediators of the association between sexual abuse and dissociation in preschoolers. Journal of Affective Disorders, 267, 220–228. https://doi.org/10.1016/j.jad.2020.02.032.CrossRefGoogle ScholarPubMed
Hoeboer, C. M., De Kleine, R. A., Molendijk, M. L., et al. (2020). Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder: Meta-analysis. BJPsych Open, 6(3). https://doi.org/10.1192/bjo.2020.30.CrossRefGoogle ScholarPubMed
Hunter, E. C. M. (2013). Understanding and treating depersonalization disorder. In Kennedy, F., Kennerley, H., & Pearson, D. (Eds.), Cognitive behavioural approaches to the understanding and treatment of dissociation. Routledge.Google Scholar
Hunter, E. C. M., Baker, D., Phillips, M. L., Sierra, M., & David, A. S. (2005). Cognitive-behaviour therapy for depersonalization disorder: An open study. Behaviour Research and Therapy, 43, 1121–1130. https://doi.org/10.1016/j.brat.2004.08.003CrossRefGoogle ScholarPubMed
Hunter, E. C. M., Phillips, M. L., Chalder, T., Sierra, M., & David, A. S. (2003). Depersonalisation disorder: A cognitive-behavioural conceptualisation. Behaviour Research and Therapy, 41, 1451–1467. https://doi.org/10.1016/S0005-7967(03)00066-4.CrossRefGoogle ScholarPubMed
Huntjens, R. J. C., Rijkeboer, M. M., & Arntz, A. (2019). Schema therapy for Dissociative Identity Disorder (DID): Rationale and study protocol, European Journal of Psychotraumatology, 10(1), 1571377. https://doi.org/10.1080/20008198.2019.1571377.CrossRefGoogle ScholarPubMed
Jepsen, E. K., Langeland, W., Sexton, H., & Heir, T. (2014). Inpatient treatment for early sexually abused adults: A naturalistic 12-month follow-up study. Psychological Trauma: Theory, Research, Practice, and Policy, 6(2), 142. https://doi.org/10.1037/a0031646.CrossRefGoogle Scholar
Karadag, F., Şar, V., Tamar-Gurol, D., et al. (2005) Dissociative disorders among inpatients with drug or alcohol dependency. Journal of Clinical Psychiatry, 66, 1247–1253.CrossRefGoogle ScholarPubMed
Kikuchi, H., Fujii, T., Abe, N., et al. (2010). Memory repression: Brain mechanisms underlying dissociative amnesia. Journal of Cognitive Neuroscience, 22(3), 602–613. https://doi.org/10.1162/jocn.2009.21212.CrossRefGoogle ScholarPubMed
Kolla, N. J., Chiuccariello, L., Wilson, A. A., et al. (2016). Elevated monoamine oxidase: A distribution volume in borderline personality disorder is associated with severity across mood symptoms, suicidality, and cognition. Biological Psychiatry, 79(2), 117–126. https://doi.org/10.1016/j.biopsych.2014.11.024.CrossRefGoogle ScholarPubMed
Korzekwa, M. I. Dell, P. F., Links, P. S., Thabane, L., & Fougere, P. (2009). Dissociation in borderline personality disorder: A detailed look. Journal of Trauma & Dissociation, 10(3), 346–367. https://doi.org/10.1080/15299730902956838.CrossRefGoogle ScholarPubMed
Kring, A. M., & Johnson, S. L. (2018). Abnormal psychology: The science and treatment of psychological disorders. John Wiley & Sons.Google Scholar
Krüger, C. (2019). Culture, trauma, and dissociation: A broadening perspective for our field. Journal of Trauma & Dissociation, 21(1), 1–13. https://doi.org/10.1080/15299732.2020.1675134.CrossRefGoogle Scholar
Langeland, W., Jepsen, E. K., Brand, B. L., et al. (2020). The economic burden of dissociative disorders: A qualitative systematic review of empirical studies. Psychological Trauma: Theory, Research, Practice, and Policy, 12(7), 730. https://doi.org/10.1037/tra0000556.CrossRefGoogle ScholarPubMed
Leonard, D., Brann, S., & Tiller, J. (2005). Dissociative disorders: Pathways to diagnosis, clinician attitudes and their impact. Australian & New Zealand Journal of Psychiatry, 39(10), 940–946. https://doi.org/10.1080/j.1440-1614.2005.01700.x.CrossRefGoogle ScholarPubMed
Lilienfeld, S. O., & Lynn, S. J. (2003). Dissociative identity disorder: Multiple personalities, multiple controversies. In Lilienfeld, S. O., Lynn, S. J., & Lohr, J. M. (Eds.), Science and pseudoscience in clinical psychology (pp. 109–142). Guilford PressGoogle Scholar
Lilienfeld, S. O., Ritschel, L. A., Lynn, S. J., Cautin, R. L., & Latzman, R. D. (2014). Why ineffective therapies work: A taxonomy of causes of spurious therapeutic effectiveness. Perspectives on Psychological Science, 9, 355–387. https://doi.org/10.1177/1745691614535216.CrossRefGoogle Scholar
Lilienfeld, S. O., Lynn, S. J., Kirsch, I., et al. (1999). Dissociative identity disorder and the sociocognitive model: Recalling the lessons of the past. Psychological Bulletin, 125(5), 507–523.CrossRefGoogle ScholarPubMed
Lilienfeld, S. O., Ritschel, L. A., Lynn, S. J., Cautin, R. L., & Latzman, R. D. (2013). Why many clinical psychologists are resistant to evidence-based practice: Root causes and constructive remedies. Clinical Psychology Review, 33, 883–900. https://doi.org/10.1016/j.cpr.2012.09.008.CrossRefGoogle ScholarPubMed
Linehan, M. (2014). DBT skills training manual. Guilford Publications.Google Scholar
Luckenbaugh, D. A., Niciu, M. J., Ionesc, D. F., et al. (2014). Do the dissociative side effects of ketamine mediate its antidepressant effects. Journal of Affective Disorders 159: 56–61 https://doi.org/10.1016/j.jad.2014.02.017.CrossRefGoogle ScholarPubMed
Lynn, S. J., Kirsch, I., Terhune, D. B., & Green, J. P. (2020). Myths and misconceptions about hypnosis and suggestion: Separating fact and fiction. Applied Cognitive Psychology, 34(6), 1253–1264. https://doi.org/10.1002/acp.3730.CrossRefGoogle Scholar
Lynn, S. J., Lilienfeld, S. O., Merckelbach, H., et al. (2014). The trauma model of dissociation: Inconvenient truths and stubborn fictions: Comment on Dalenberg et al. (2012). Psychological Bulletin, 140, 896–910. https://doi.org/10.1037/a0035570.CrossRefGoogle Scholar
Lynn, S. J., Maxwell, R., Merckelbach, H., et al. (2019). Dissociation and its disorders: Competing models, future directions, and a way forward. Clinical Psychology Review, 73, 101755. https://doi.org/10.1016/j.cpr.2019.101755.CrossRefGoogle Scholar
Lynn, S. J., Polizzi, C., Merckelbach, H., et al. (2022). Dissociation and dissociative disorders reconsidered: Beyond sociocognitive and trauma models toward a transtheoretical framework. Annual Review of Clinical Psychology, 18. https://doi.org/10.1146/annurev-clinpsy-081219-102424.CrossRefGoogle Scholar
Lynn, S. J., Sleight, F., Polizzi, C., et al. (2023). Dissociation. In Hupp, S., & Santa Maria, C. (Eds.). Pseudoscience in psychotherapy: A skeptical field guide (pp. 94–110). Cambridge University Press.CrossRefGoogle Scholar
Macfie, J., Cicchetti, D., & Toth, S. L. (2001). The development of dissociation in maltreated preschool-aged children. Development and Psychopathology, 13(2), 233–254. https://doi.org/10.1017/S0954579401002036.CrossRefGoogle ScholarPubMed
Macfie, J., Cicchetti, D., & Toth, S. L. (2001). The development of dissociation in maltreated preschool-aged children. Development and Psychopathology, 13(2), 233–254. https://doi.org/10.1017/s0954579401002036.CrossRefGoogle ScholarPubMed
Martinez-Taboas, A., & Rodriguez-Cay, J. R. (1997). Case study of a Puerto Rican woman with dissociative identity disorder. Dissociation, 10, 141–147.Google Scholar
Maxwell, R., Merckelbach, H., Lilienfeld, S. O., & Lynn, S. J. (2018). The treatment of dissociation: An evaluation of effectiveness and potential mechanisms. Evidence‐Based Psychotherapy: The State of the Science and Practice, 329–361.CrossRefGoogle Scholar
Mohajerin, B., Lynn, S. J, Bakhtiyari, M., & Dolatshah, B. (2020). Evaluating the unified protocol in the treatment of dissociative identity disorder. Cognitive and Behavioral Practice, 27(3), 270–289. https://doi.org/10.1016/j.cbpra.2019.07.012.CrossRefGoogle Scholar
Myrick, A. C., Webermann, A. R., Langeland, W., Putnam, F. W., & Brand, B. L. (2017). Treatment of dissociative disorders and reported changes in inpatient and outpatient cost estimates. European Journal of Psychotraumatology, 8(1), 1375829. https://doi.org/10.1080/20008198.2017.1375829.CrossRefGoogle ScholarPubMed
Myrick, A. C., Webermann, A. R., Loewenstein, R. J., et al. (2017). Six-year follow-up of the treatment of patients with dissociative disorders study. European Journal of Psychotraumatology, 8(1), 1344080. https://doi.org/10.1080/20008198.2017.1344080.CrossRefGoogle ScholarPubMed
Myrick, A. C., Webermann, A. R., Loewenstein, R. J., et al. (2017). Six-year follow-up of the treatment of patients with dissociative disorders study. European Journal of Psychotraumatology, 8(1), 1344080.CrossRefGoogle ScholarPubMed
Nester, M. S. Brand, B. L., Schielke, H. J., & Kumar, S. (2022) An examination of the relations between emotion dysregulation, dissociation, and self-injury among dissociative disorder patients, European Journal of Psychotraumatology, 13(1). https://doi.org/10.1080/20008198.2022.2031592.CrossRefGoogle ScholarPubMed
Nester, M. S., Boi, C., Brand, B. L., & Schielke, H. J. (2022). The reasons dissociative disorder patients self-injure. European Journal of Psychotraumatology, 13(1), 2026738 https://doi.org/10.1080/20008198.2022.2026738.CrossRefGoogle ScholarPubMed
Nilsson, D., Green, S., Svedin, C. G., & Dahlström, Ö. (2019). Psychoform and somatoform dissociation among children and adolescents: An evaluation of a new short screening instrument for dissociation, DSQ-12. European Journal of Trauma & Dissociation = Revue Europâeenne Du Trauma et de La Dissociation, 3(4), 213–220. https://doi.org/10.1016/j.ejtd.2019.07.001.CrossRefGoogle Scholar
Norton, P. J., & Paulus, D. J. (2016). Toward a unified treatment for emotional disorders: Update on the science and practice. Behavior Therapy, 47(6), 854–868. https://doi.org/10.1016/j.beth.2015.07.002.CrossRefGoogle Scholar
Paris, J. (2012). The rise and fall of dissociative identity disorder. The Journal of Nervous and Mental Disease, 200(12), 1076–1079. https://10.1097/NMD.0b013e318275d285.CrossRefGoogle ScholarPubMed
Polizzi, C. P., Aksen, D. E., & Lynn, S. J. (2022). Quality of life, emotion regulation, and dissociation: Evaluating unique relations in an undergraduate sample and probable PTSD subsample. Psychological Trauma: Theory, Research, Practice, and Policy, 14(1), 107–15.CrossRefGoogle Scholar
Putnam, F. W. (1989). Diagnosis and treatment of multiple personality disorder. Guilford.Google Scholar
Reinders, A., Marquand, A., Schlumpf, Y., et al. (2019). Aiding the diagnosis of dissociative identity disorder: Pattern recognition study of brain biomarkers. British Journal of Psychiatry, 215(3), 536–544. https://doi.org/10.1192/bjp.2018.255.CrossRefGoogle ScholarPubMed
Ross, C. A. (2007) Borderline personality disorder and dissociation, Journal of Trauma & Dissociation, 8(1), 71–80. https://doi.org/10.1300/J229v08n01_05.CrossRefGoogle ScholarPubMed
Roydeva, M. I., & Reinders, A. A. T. (2021). Biomarkers of pathological dissociation: A systematic review. Neuroscience and Biobehavioral Reviews, 123, 120–202. https://doi.org/10.1016/j.neubiorev.2020.11.019.CrossRefGoogle ScholarPubMed
Sar, V., & Ross, C. (2006). Dissociative disorders as a confounding factor in psychiatric research. Psychiatric Clinics, 29(1), 129–144.Google ScholarPubMed
Şar, V., Akyuz, G., & Dogan, O. (2007) Prevalence of dissociative disorders among women in the general population. Psychiatry Research, 149, 169–176 https://doi.org/10.1016/j.psychres.2006.01.005.CrossRefGoogle ScholarPubMed
Sar, V., Dorahy, M., & Krüger, C. (2017). Revisiting the etiological aspects of dissociative identity disorder: A biopsychosocial perspective. Psychology Research and Behavior Management, 10(10), 137–146. https://doi.org/10.2147/prbm.s113743.CrossRefGoogle ScholarPubMed
Selvi, Y., Kiliç, S., Aydin, A., & Güzel Özdemir, P. (2015). The effects of sleep deprivation on dissociation and profiles of mood, and its association with biochemical changes. Noro psikiyatri arsivi, 52(1), 83–88. https://doi.org/10.5152/npa.2015.7116.CrossRefGoogle ScholarPubMed
Serrano-Sevillano, Á., González-Ordi, H., Corbí-Gran, B., & Vallejo-Pareja, M. Á. (2017). Psychological characteristics of dissociation in general population. Clínica y Salud 28(3): 101–106. https://doi.org/10.1016/j.clysa.2017.09.003.CrossRefGoogle Scholar
Sharma, T., Sinha, V. K., & Sayeed, N. (2016). Role of mindfulness in dissociative disorders among adolescents. Indian Journal of Psychiatry, 58(3), 326–328. https://doi.org/10.4103/0019-5545.192013.CrossRefGoogle ScholarPubMed
Sharma, T., Sinha, V. K., & Sayeed, N. (2016). Role of mindfulness in dissociative disorders among adolescents. Indian Journal of Psychiatry, 58(3), 326–328.CrossRefGoogle ScholarPubMed
Spanos, N. P. (1994). Multiple identity enactments and multiple personality disorder: a sociocognitive perspective. Psychological Bulletin, 116(1), 143–165.CrossRefGoogle ScholarPubMed
Spanos, N. P. (1996). Multiple identities & false memories: A sociocognitive perspective. American Psychological Association. https://doi.org/10.1037/10216-000.CrossRefGoogle Scholar
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., et al. (2011). Dissociative disorders in DSM-5. Depression and Anxiety, 28(9), 824–852. https://doi.org/10.1002/da.20874.CrossRefGoogle ScholarPubMed
Spitzer, C., Klauer, T., Grabe, H.-J., et al. (2003). Gender differences in dissociation. Psychopathology, 36(2), 65–70. https://doi.org/10.1159/000070360.CrossRefGoogle ScholarPubMed
Subramanyam, A. A., Somaiya, M., Shankar, S., et al. (2020). Psychological interventions for dissociative disorders. Indian Journal of Psychiatry, 62(Suppl 2), S280–S289. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_777_19.CrossRefGoogle ScholarPubMed
Sutar, R. & Sahu, S. (2019). Pharmacotherapy for dissociative disorders: A systematic review. Psychiatry Research, 281, 112529–112529. https://doi.org/10.1016/j.psychres.2019.112529.CrossRefGoogle ScholarPubMed
Tolin, D. F., McKay, D., Forman, E. M., Klonsky, E. D., & Thombs, B. D. (2015). Empirically supported treatment: Recommendations for a new model. Clinical Psychology: Science and Practice, 22(4), 317–338.Google Scholar
van der Kloet, D., Merckelbach, H., Giesbrecht, T., Lynn, S. J. (2012). Fragmented sleep, fragmented mind: The role of sleep in dissociative symptoms. Perspectives on Psychological Science, 7, 159–175. https://doi.org/10.1177/1745691612437597.CrossRefGoogle ScholarPubMed
van Heugten–van der Kloet, D., Giesbrecht, T., & Merckelbach, H. (2015). Sleep loss increases dissociation and affects memory for emotional stimuli. Journal of Behavior Therapy and Experimental Psychiatry, 47, 9–17. https://doi.org/10.1016/j.jbtep.2014.11.002.CrossRefGoogle ScholarPubMed
van Minnen, A., & Tibben, M. (2021). A brief cognitive-behavioural treatment approach for PTSD and Dissociative Identity Disorder, a case report. Journal of Behavior Therapy and Experimental Psychiatry, 72, 101655. https://doi.org/10.1016/j.jbtep.2021.101655.CrossRefGoogle ScholarPubMed
Vermetten, E., Schmahl, C., Lindner, S., Loewenstein, R. J., & Bremner, J. D. (2006). Hippocampal and amygdalar volumes in dissociative identity disorder. American Journal of Psychiatry, 163(4), 630–636. https://doi.org/10.1176/ajp.2006.163.4.630.CrossRefGoogle ScholarPubMed
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner’s guide. The Guilford Press.Google Scholar

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