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      Dissociative Phenomenology and General Health in Normal Population

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          Abstract

          Background: Dissociative symptoms are most commonly found in females and adolescents, and when dis-cussing their background, they can be from lower socio-economic backgrounds and rural areas. They are al-ways preceded by psychosocial stressors. Dissociative disorders previously known as “hysteria” have been described since antiquity and Hippocrates even hypothesised “wandering uterus” to be the cause for dissocia-tion in females. With the advances in science, there has been shift from these religious and spiritual concepts to a scientific basis for dissociation.

          Aim: To assess the dissociative phenomenology in normal population and to assess the subjective health in normal population.

          Methods: A group of 100 (50 females & 50 males) were selected from the community using a snowball sam-pling technique.

          Tools: Socio-demographic data sheet, General Health Questionnaire-12 and Dissociative Experience Scale-II were used.

          Results: The study found that females differ from males in the reporting of subjective health rating (X2=5.76, p=0.01) and similar results shown in terms of dissociative phenomenology (X2=67.76, p=0.001).

          Discussion: It has been found that only 4% from the female group and 2% from the male group rated their health under the “normal” category. 52% of females and 64% of males were categorised under “mild ill health” and 24% to 26% were in “moderate ill health”, whereas 20% of female participants and 8% of male participants rated their health as “severely ill”. In another domain of the study, dissociative phenomenology, 32% of female participants reported severe dissociative symptoms and 38% of male participants also showed similar results.

          Conclusion: Dissociative disorder significantly affects the population but it is hard to diagnose due to factors such as; cultural factors, socio-economic factors etc. The study shows clearly that dissociative symptoms are found in the general population also.

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          Most cited references18

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          Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences.

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            Dissociation in Psychiatric Disorders: A Meta-Analysis of Studies Using the Dissociative Experiences Scale.

            Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta-analysis offers a systematic and evidence-based study of the prevalence and distribution of dissociation, as assessed by the Dissociative Experiences Scale, within different categories of mental disorders, and it updates an earlier meta-analysis.
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              Cognitive processes in dissociation: an analysis of core theoretical assumptions.

              Dissociation is typically defined as the lack of normal integration of thoughts, feelings, and experiences into consciousness and memory. The present article critically evaluates the research literature on cognitive processes in dissociation. The authors' review indicates that dissociation is characterized by subtle deficits in neuropsychological performance (e.g., heightened distractibility). Some of the cognitive phenomena (e.g., weakened cognitive inhibition) associated with dissociation appear to be dependent on the emotional or attentional context. Contrary to a widespread assumption in the clinical literature, dissociation does not appear to be related to avoidant information processing. Rather, it is associated with an enhanced propensity toward pseudo-memories, possibly mediated by heightened levels of interrogative suggestibility, fantasy proneness, and cognitive failures. Evidence for a link between dissociation and either memory fragmentation or early trauma based on objective measures is conspicuously lacking. The authors identify a variety of methodological issues and discrepancies that make it difficult to articulate a comprehensive framework for cognitive mechanisms in dissociation. The authors conclude with a discussion of research domains (e.g., sleep-related experiences, drug-related dissociation) that promise to advance our understanding of cognition and dissociation.
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                Author and article information

                Journal
                10.26407
                Journal for ReAttach Therapy and Developmental Diversities
                JRTDD
                ReAttach Therapy International Foundation
                2589-7799
                03 July 2020
                05 July 2020
                : 3
                : 1
                Affiliations
                [1 ]Department of Psychology, Mahrishi Dayanand University, Rohtak, Haryana, India
                [2 ]Consultant Psychiatric Social Work, Pt. B.D.S., PGIMS, Rohtak, India
                Author notes
                Correspondence: Sushma Rathee ( sushmaratheecp@ 123456gmail.com )
                Article
                10.26407/2020jrtdd.1.32
                ee4e413b-e2af-4e6e-8fa5-0af60569e7ef
                © Rathee, S., Kumar, P.

                This is an open access article published by ReAttach Therapy International Foundation and distributed under the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).

                Page count
                Pages: 8
                Categories
                Neuropsychological Research

                Pediatrics,Psychology,Special education,Health & Social care,Clinical Psychology & Psychiatry
                general health,disorder,healthy population,phenomenology,dissociation

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