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A second area of discussion surrounds the question of whether there is a qualitative or quantitative difference between dissociation as a defense versus pathological dissociation. Experiences and symptoms of dissociation can range from the more mundane to those associated with post traumatic stress disorder (PTSD) or acute stress disorder (ASD ...
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.
Individuals with complex dissociative disorders, like dissociative identity disorder, experience significantly more first-rank symptoms than patients with schizophrenia [15] though patients with DID lack the negative symptoms of schizophrenia and normally do not mistake hallucinations for reality. [16]
Ability to distinguish between reality and dissociation during an episode (i.e. patient is aware of a perceptual disturbance) Symptoms are severe enough to interfere with social, occupational, or other areas of functioning; Symptoms are not due to a substance or medication; Symptoms are not due to another psychiatric disorder
The symptoms of dissociative intoxication are also considered to mirror the symptoms of schizophrenia, including negative symptoms. [99] NMDA receptor antagonism, in addition to producing symptoms reminiscent of psychosis, mimics the neurophysiological aspects, such as reduction in the amplitude of P50, P300, and MMN evoked potentials. [100]
Positive symptoms are those symptoms that are not normally experienced, but are present in people during a psychotic episode in schizophrenia, including delusions, hallucinations, and disorganized thoughts, speech and behavior or inappropriate affect, typically regarded as manifestations of psychosis. [36]
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