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.
However, some people report rather profound alienation from their bodies, a sense that they do not recognize themselves in the mirror, recognize their face, or simply feel not connected to their bodies in ways which are challenging to articulate (Frey, 2001; Guralnik, Schmeidler, & Simeon, 2000; Maldonado et al., 2002; Simeon et al., 2001; Spiegel & Cardea; Steinberg, 1995). Personality factors associated with dissociation: Temperament, defenses, and cognitive schemata. These references are available through most University libraries, or through local libraries with inter-library services.
The person may express confusion about their feelings and perceptions, or may have difficulty remembering what they have just said, even though they do not claim to be a different person or have a different name.
The patient may be able to confirm the experience of identity alteration, but often the part of the self that presents for therapy is not aware of the existence of dissociated self-states.
There are five main ways in which the dissociation of psychological processes changes the way a person experiences living: depersonalization, derealization, amnesia, identity confusion, and identity alteration. Not all persons with a dissociative disorder choose integration as an end point for their treatment.
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.
Go to Trauma FAQs Dissociation is a word that is used to describe the disconnection or lack of connection between things usually associated with each other. It is this sense of an alteration of identity that provided some of the impetus for a name change to Dissociative Identity Disorder, in the last Diagnostic and Statistical Manual of the American Psychiatric Association, DSM-IV-TRSome people are frightened of the word dissociative.
These are thoughts or emotions seemingly coming out of nowhere, or finding oneself carrying out an action as if it were controlled by a force other than oneself (Dell, 2001). Interviewers guide to the Structured Clinical Interview for DSM-IV Dissociative Disorders Revised (SCID-D-R) (2nd ed.). Steinberg, M., Cicchetti, D., Buchanan, J., Hall, P., & Rounsaville, B. Clinical assessment of dissociative symptoms and disorders: The Structured Interview for DSM-IV Dissociative Disorders (SCID-D). The bottom line is that people only enter treatment when their view is that it will be useful to them. About 10 percent of people with trauma histories have extensive memory loss for trauma that they later remember.
Research tends to show that dissociation stems from a combination of environmental and biological factors.
The likelihood that a tendency to dissociate is inherited genetically is estimated to be zero (Simeon et al., 2001).