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A dissociative disorder is suggested by the robust presence of any of the five features. One definition of mental health is: to be flexible and resilient in the face of lifes challenges while living in relation to others, in community, and with a full range of emotion. Characteristics ofpatients with multiple personality and dissociative disorders onpsychological testing. Depersonalization is the sense of being detached from, or not in ones body. If a person achieves that, without integration, perhaps that is good enough. Journal of Nervous and Mental Disease, 178, 448-454.

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For example, during a discussion about fear, a client may initially feel young, vulnerable, and frightened, followed by a sudden shift to feeling hostile and callous. For example, in the course of an initial discovery of the experience of identity alteration, a person might incorrectly believe they were five years old, in their childhood home and not the therapists office, and expecting a deceased person whom they fear to appear at any moment (e.g., Fine, 1999; Maldonado et al., 2002; Spiegel & Cardea, 1991; Steinberg, 1995). More frequently, subtler forms of identity alteration can be observed when a person uses different voice tones, range of language, or facial expressions. A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script driven imagery. Typically, a person feels taken over by an emotion that does not seem to makes sense at the time. Dissociation: Progress in the Dissociative Disorders, 61(1), 108-120. In general, there is no evidence that a person with a dissociative disorder is going to be any more violent or dangerous to others than any other person with any kind of mental illness. In any event, working with your current experiences, their meaning in your life, and functioning from day to day in relationships, and in your community, is a good place for a therapy to start.

Feeling suddenly, unbearably sad, without an apparent reason, and then having the sadness leave in much the same manner as it came, is an example. Each situation needs to be assessed on a case by case basis, thoughtfully. Where it goes from there can be based on a solid working alliance if these first issues are thoughtfully addressed.This is what is often referred to as an out-of-body experience. On the other hand, if lack of integration precludes real mental health, then more treatment may be useful. To help you in the task of gathering information, the following materials are recommended to you.



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