The authors report they have no financial relationships within the past 3 years to disclose.
Dissociative disorders in DSM-5†
Article first published online: 1 DEC 2011
© 2011 Wiley Periodicals, Inc.
Depression and Anxiety
Volume 28, Issue 12, pages E17–E45, December 2011
How to Cite
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., Cardeña, E. and Dell, P. F. (2011), Dissociative disorders in DSM-5. Depress. Anxiety, 28: E17–E45. doi: 10.1002/da.20923
- Issue published online: 30 NOV 2011
- Article first published online: 1 DEC 2011
- Manuscript Accepted: 24 JUN 2011
- Manuscript Revised: 23 JUN 2011
- Manuscript Received: 8 MAR 2010
Vol. 29, Issue 8, 747, Article first published online: 23 MAR 2012
- breast cancer;
Background: We present recommendations for revision of the diagnostic criteria for the Dissociative Disorders (DDs) for DSM-5. The periodic revision of the DSM provides an opportunity to revisit the assumptions underlying specific diagnoses and the empirical support, or lack of it, for the defining diagnostic criteria. Methods: This paper reviews clinical, phenomenological, epidemiological, cultural, and neurobiological data related to the DDs in order to generate an up-to-date, evidence-based set of DD diagnoses and diagnostic criteria for DSM-5. First, we review the definitions of dissociation and the differences between the definitions of dissociation and conceptualization of DDs in the DSM-IV-TR and the ICD-10, respectively. Also, we review more general conceptual issues in defining dissociation and dissociative disorders. Based on this review, we propose a revised definition of dissociation for DSM-5 and discuss the implications of this definition for understanding dissociative symptoms and disorders. Results: We make the following recommendations for DSM-5:
- 1.Depersonalization Disorder (DPD) should include derealization symptoms as well.
- 2.Dissociative Fugue should become a subtype of Dissociative Amnesia (DA).
- 3.The diagnostic criteria for DID should be changed to emphasize the disruptive nature of the dissociation and amnesia for everyday as well as traumatic events. The experience of possession should be included in the definition of identity disruption.
- 4.Dissociative Trance Disorder should be included in the Unspecified Dissociative Disorder (UDD) category.
Conclusions: There is a growing body of evidence linking the dissociative disorders to a trauma history, and to specific neural mechanisms. Depression and Anxiety 28:E17–E45, 2011. © 2011 Wiley Periodicals, Inc.