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複雜解離症:跨文化的創傷心理障礙

摘要


複雜解離症,即解離性身份障礙(dissociative identity disorder)和其他特定的解離症(other specified dissociative disorder)被普遍認為是跨越文化、與心理創傷相關的臨床診斷。本文概述創傷與解離領域之重要發現,為華人精神健康工作者和研究員提供一個全新回顧。在複雜解離症之診斷、盛行率、風險因素、評估工具、臨床表現和治療等方面,本文皆有所討論。筆者提醒,華人社會裡的解離症可能比想像中普遍,未來有必要進行更多研究,以探討解離症在不同華人社群裡之狀況。

參考文獻


Ross CA. The trauma model: A solution to the problem of comorbidity in psychiatry. Richardson, TX: Manitou Communications; 2007.
Ross CA. Dissociative Identity Disorder:Diagnosis, Clinical Features, and Treatment of Multiple Personality Disorder. New York: John Wiley & Sons;1997.
Bernstein E M,Putnam F W.Development, reliability, and validity of a dissociation scale. The Journal of nervousand mental disease1986;174:727-35.
International Society for the Study of Trauma and Dissociation. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision. Journal of Trauma & Dissociation 2011;12:115-87.
Xiao Z, Yan H, Wang Z, et al. Trauma and dissociation in China. American Journal of Psychiatry 2006;163:1388-91.

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