Dissociative and conversion disorders: Defining boundaries

Current Opinion in Psychiatry

Volumn 19, Issue 1, 2006, Pages 61-66

  Isaac, Mohan ^a   Chand, Prabhat K ^b  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b NATIONAL INSTITUTE OF MENTAL HEALTH AND NEUROSCIENCES   (India)

Author keywords

Conversion; Dissociation; Dissociative

Indexed keywords

CONVERSION DISORDER; CULTURAL ANTHROPOLOGY; DISSOCIATIVE DISORDER; EPIDEMIOLOGICAL DATA; HUMAN; NEUROBIOLOGY; NEUROIMAGING; NEUROPATHOLOGY; PERSONALITY DISORDER; PHENOMENOLOGY; PSYCHOTHERAPY; PSYCHOTRAUMA; REVIEW; SEXUAL ABUSE; COMPARATIVE STUDY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; POSTTRAUMATIC STRESS DISORDER; PREVALENCE; PSYCHOLOGICAL ASPECT; SOMATOFORM DISORDER;

CONVERSION DISORDER; CULTURE; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISSOCIATIVE DISORDERS; HUMANS; PREVALENCE; SOMATOFORM DISORDERS; STRESS DISORDERS, POST-TRAUMATIC;

EID: 33646855077     PISSN: 09517367     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.yco.0000194811.83720.69     Document Type: Review

References (38)

1. Merskey H. Conversion and dissociation. In: New Oxford textbook of psychiatry. Gelder MG, Lopez-Ibor JJ, Andreasen N, editors. New York: Oxford University Press; 2000. pp. 1088-1098.
2. Van der Hart O, Nijenhuis E, Steele K, Brown D. Trauma-related dissociation: conceptual clarity lost and found. Aust N Z J Psychiatry 2004; 38:906-914. The authors critically examine the association of trauma and dissociation. This article also discusses the conceptual confusion in this area.
3. Van der Hart O, Dorahy MJ. Dissociation: history of a concept. In: Dissociation and the dissociative disorders: DSM V and beyond. Dell PF, O'Neil J, editors. Chicago: International Society for the Study of Dissociation; 2005 (in press).
4. Şar V, Akyüz G, Kundakçi T, et al. Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder. Am J Psychiatry 2004; 161:2271-2276.
5. Maaranen P, Tanskanen A, Haatainen K, et al. Somatoform dissociation and adverse childhood experiences in the general population. J Nerv Ment Dis 2004; 192:337-342.
6. Stone J, Sharpe M, Binzer M. Motor conversion symptoms and pseudoseizures: a comparison of clinical characteristics. Psychosomatics 2004; 45:492-499.
7. Spinhoven P, Roelofs K, Moene F, et al. Trauma and dissociation in conversion disorder and chronic pelvic pain. Int J Psychiatry Med 2004; 34:305-318.
8. Putnam FW. Dissociation in children and adolescents: a developmental perspective. New York: Guilford; 1997.
9. George C, Solomon J. Representational models of relationships: links between caregiving and attachment. Infant Mental Health J 1996; 17:198-216.
10. Kozlowska K. Healing the disembodied mind: contemporary models of conversion disorder. Harv Rev Psychiatry 2005; 13:1-13. This paper raises the issue of body-mind-environment relationships in understanding conversion disorders, and it tries to integrate the 'discrete behavioural state model' with current neurobiological findings.
11. Jureidini J. Does dissociation offer a useful explanation for psychopathology? Psychopathology 2004; 37:259-265. This paper critically examines publications on dissociation from 1999-2002. The author reports that current knowledge does not support 'dissociation' as a discrete brain state.
12. Ross CA, Ellason JW. Discriminating among diagnostic categories using the dissociative disorders interview schedule. Psychol Rep 2005; 96:445-453. The findings of this paper suggests that DID is a discrete category or taxon.
13. Damasio AR. Looking for Spinoza: joy, sorrow and the feeling brain. New York: Harcourt Brass, 2003.
14. Broome MR. A neuroscience of hysteria? Curr Opin Psychiatry 2004; 17:465-469. This paper updates functional neuroimaging in motor conversion disorders. Imaging findings suggest that volition may or may not be impaired.
15. Krem MM. Motor conversion disorders reviewed from a neuropsychiatric perspective. J Clin Pschiatry 2004; 65:783-790. The author discusses the advancement in neuropsychiatry research in conversion disorders. Epidemiology, pathophysiology, clinical picture and treatment issues are also discussed.
16. Tiihonen J, Kuikka J, Viinamaki H, et al. Altered cerebral blood flow during hysterical parasthesia. Biol Psychiatry 1995; 37:134-137.
17. Marshall JC, Halligan PW, Fink GR, et al. The functional anatomy of hysterical paralysis. Cognition 1997; 64:B1-B8.
18. Winterer G, Adams CM, Jones DW, Knutson B. Volition to action: an event-related fMRI study. Neuroimage 2002; 17:851-858.
19. Vuilleumier P, Chicherio C, Assal F, et al. Functional neuroanatomical correlates of hysterical sensorimotor loss. Brain 2001; 124:1077-1090.
20. Mailis-Gagnon A, Giannoylis I, Downar J, et al. Altered central somatosensory processing in chronic pain patients with 'hysterical' anesthesia. Neurology 2003; 60:1501-1507.
21. Halligan PW, Athwal BS, Oakley DA, Frackowiak RS. Imaging hypnotic paralysis: implications for conversion hysteria. Lancet 2000; 355:986-987.
22. Ward NS, Oakley DA, Frackowiack RSJ, Halligan PW. Differential brain activations during intentionally simulated and subjectively experienced paralysis. Cogn Neuropsychiatry 2003; 8:295-312.
23. Black DN, Seritan AL, Taber KH, Hurley RA. Conversion hysteria: lessons from functional imaging. J Neuropsychiatry Clin Neurosci 2004; 16:245-251. This paper describes neuropsychological and imaging findings along with their implications. The anterior cingulate has been proposed as a mediator between intended action and outcome.
24. Brown RJ, Schrag A, Trimble MR. Dissociation, childhood interpersonal trauma, and family functioning in patients with somatization disorder. Am J Psychiatry 2005; 162:899-905.
25. Simeon D, Greenberg J, Nelson D, et al. Dissociation and posttraumatic stress 1 year after the World Trade Center disaster: follow-up of a longitudinal survey. J Clin Psychiatry 2005; 66:231-237. The authors suggest an association between dissociation and PTSD following the World Trade Center disaster.
26. Punamaki RL, Komproe IH, Qouta S, et al. The role of peritraumatic dissociation and gender in the association between trauma and mental health in a Palestinian community sample. Am J Psychiatry 2005; 162:545-551.
27. Svedin CG, Nilsson D, Lindell C. Traumatic experiences and dissociative symptoms among Swedish adolescents. A pilot study using Dis-Q-Sweden. Nord J Psychiatry 2004; 58:349-355.
28. Sayar K, Kose S, Grabe HJ, Topbas M. Alexithymia and dissociative tendencies in an adolescent sample from Eastern Turkey. Psychiatry Clin Neurosci 2005; 59:127-134. This paper reports associations between alexithymia, anxiety and history of physical abuse as predictors of dissociative tendencies.
29. Maaranen P, Tanskanen A, Honkalampi K, et al. Factors associated with pathological dissociation in the general population. Aust N Z J Psychiatry 2005; 39:387-394. This study shows the prevalence of pathological dissociation in the general population and its relationship with other psychiatric variables. The likelihood of pathological dissociation is nearly ninefold higher among depressive individuals.
30. Fink P, Hansen MS, Oxhoj ML. The prevalence of somatoform disorders among internal medical inpatients. J Psychosom Res 2004; 56:413-418.
31. Lipsanen T, Korkeila J, Peltola P, et al. Dissociative disorders among psychiatric patients: comparison with a non clinical sample. Eur Psychiatry 2004; 19:53-55. This paper estimates the rate of dissociative disorder among psychiatric patients in a hospital.
32. Middleton W. Dissociative disorders: a personal 'work in progress'. Australas Psychiatry 2004; 12:245-252.
33. Holmes EA, Brown RJ, Mansell W, et al. Are there two qualitatively distinct forms of dissociation? A review and some clinical implications. Clin Psychol Rev 2005; 25:1-23. The authors propose that dissociative disorders can be qualitatively grouped into two different phenomena, namely detachment and compartmentalization, and suggest that using this group can help future research and clinical practice.
34. Piper A, Merskey H. The persistence of folly: a critical examination of dissociative identity disorder. Part I. The excesses of an improbable concept. Can J Psychiatry 2004; 49:592-600.
35. Alexander PJ, Joseph S, Das A. Limited utility of ICD-10 and DSM-IV classification of dissociative and conversion disorders in India. Acta Psychiatr Scand 1997; 95:177-182.
36. Van Duijl M, Cardena E, De Jong JTVM. The validity of DSM IV dissociative disorders categories in South-West Uganda. Transcult Psychiatry 2005; 42:219-241. The authors carried out a qualitative study to understand DSM-IV dissociative disorders in Uganda. The paper highlights the difficulty in application of current nomenclature across various cultures.
37. Gelinas DJ. Integrating EMDR into phase-oriented treatment for trauma. J Trauma Dissoc 2003; 4:91-135.
38. Middleton W. Owning the past, claiming the present: perspectives on the treatment of dissociative patients. Australas Psychiatry 2005; 13:40-49. The author, who runs a trauma and dissociation unit, presents the context and process of treatment of dissociative disorders. He proposes different approaches to management focusing on maintenance of 'self-hood'.