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The Multiscale Dissociation Inventory (MDI) is a comprehensive, self-administered, multiscale instrument developed by Paul F. Dell. [1] It is designed to assess the domain of dissociative phenomena. [2] The MDI measures 14 major facets of pathological dissociation and uses 23 scales to diagnose dissociative disorders. [1] [3]
Dissociation is commonly displayed on a continuum. [18] In mild cases, dissociation can be regarded as a coping mechanism or defense mechanism in seeking to master, minimize or tolerate stress – including boredom or conflict. [19] [20] [21] At the non-pathological end of the continuum, dissociation describes common events such as daydreaming.
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology. This list is by no means exhaustive or complete. This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
The Dissociative Experiences Scale (DES) is a simple, quick, self-administered questionnaire that has been widely used to measure dissociative symptoms. [52] It has been used in hundreds of dissociative studies, and can detect depersonalization and derealization experiences. [53]
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The dissociative disorders listed in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) are as follows: [2] Dissociative identity disorder (DID, formerly multiple personality disorder): the alternation of two or more distinct personality states with impaired recall among ...
It contains twenty-eight questions and returns an overall score as well as four sub-scale results. [1] DES is intended to be a screening test, since only 17% of patients with scores over 30 will be diagnosed with having dissociative identity disorder. [2] Patients with lower scores above normal may have other post-traumatic conditions.
These factors interact to create a threshold for the development of mental disorders. The types of coping and defense mechanisms used can either contribute to vulnerability or act as protective factors. [37] Coping and defence mechanisms work in tandem to balance out feelings of anxiety or guilt, categorizing them both as a "mechanisms of ...