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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]
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.
There are ranges of dissociation and its related symptoms. “Daydreaming can be a very light dissociative state,” says Dr. Clouden. “Your body is physically there, but your mind is off ...
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.
As patients with dissociative disorders likely experienced intense trauma in the past, concomitant dissociative disorders should be considered in patients diagnosed with a stress disorder (i.e. PTSD or acute stress disorder). [50] The diagnosis of depersonalization disorder can be made with the use of the following interviews and scales:
Other specified dissociative disorder (OSDD) has multiple types, which OSDD-1 falling on the spectrum of dissociative identity disorder; it is known as partial DID in the International Classification of Diseases (see below). The ICD-11 lists dissociative disorders as: [7] Dissociative neurological symptom disorder; Dissociative amnesia
Compartmentalization can be positive, negative, and integrated depending on the context and person. [9] Compartmentalization may lead to hidden vulnerabilities related to self-organization and self-esteem [10] in those who use it as a major defense mechanism. [11]
Emotional approach coping is a psychological construct that involves the use of emotional processing and emotional expression in response to a stressful situation. [1] [2] As opposed to emotional avoidance, in which emotions are experienced as a negative, undesired reaction to a stressful situation, emotional approach coping involves the conscious use of emotional expression and processing to ...