Causes of Trauma and Dissociative Disorders Most mental health professionals believe that the underlying cause of dissociative disorders is chronic trauma in childhood. Examples of trauma included repeated physical or sexual abuse, emotional abuse or neglect.
Any kind of trauma can cause dissociation. This could be assault, abuse (physical, emotional, or sexual), natural disasters, military combat, war, kidnapping, invasive medical procedures, neglect, or any other stressful experience.
Dissociation can occur in response to traumatic events, and/or in response to prolonged exposure to trauma (for example, trauma that occurs in the context of people's relationships). Dissociation can affect memory, sense of identity, the way the world is perceived and the connection to the physical body 3.
Clinical presentations of dissociation may include a wide variety of symptoms, including experiences of depersonalization, derealisation, emotional numbing, flashbacks of traumatic events, absorption, amnesia, voice hearing, interruptions in awareness, and identity alteration.
Symptoms of a dissociative disorder
feeling disconnected from yourself and the world around you. forgetting about certain time periods, events and personal information. feeling uncertain about who you are. having multiple distinct identities.
If you dissociate, you may feel disconnected from yourself and the world around you. For example, you may feel detached from your body or feel as though the world around you is unreal. Remember, everyone's experience of dissociation is different.
Dissociation-a common feature of posttraumatic stress disorder (PTSD)-involves disruptions in the usually integrated functions of consciousness, memory, identity, and perception of the self and the environment.
Some patients with posttraumatic stress disorder (PTSD) experience significant dissociative symptoms. This is often the case with patients who have experienced chronic traumatization including sexual, physical, and psychological abuse as well as severe neglect during childhood.
Dissociation, but without the degree of impact of dissociative disorders, is common with PTSD. In dissociation with PTSD, the symptoms of PTSD can intensify dissociation, but it is often short-lived.
You could feel as though you're observing yourself from the outside in — or what some describe as an “out-of-body experience.” Your thoughts and perceptions might be foggy, and you could be confused by what's going on around you. In some cases, dissociation can be marked by an altering of your: personality. identity.
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.
Dissociative disorders usually develop as a way to cope with trauma. The disorders most often form in children subjected to long-term physical, sexual or emotional abuse or, less often, a home environment that's frightening or highly unpredictable.
Dissociation Symptoms
Memory loss surrounding specific events, interactions, or experiences. A sense of detachment from your emotions (aka emotional numbness) and identity. Feeling as if the world is unreal; out-of-body experiences. Mental health problems such as depression, anxiety, and thoughts of suicide.
Intrusive memories
Recurrent, unwanted distressing memories of the traumatic event. Reliving the traumatic event as if it were happening again (flashbacks) Upsetting dreams or nightmares about the traumatic event. Severe emotional distress or physical reactions to something that reminds you of the traumatic event.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
Trina was demonstrating a “dissociative shutdown,” a symptom often found in children faced with a repeated, frightening event, such as being raped by a caregiver, for which there's no escape. Over time, this response may generalize to associated thoughts or emotions that can trigger the reaction.
That's what PTSD (post-traumatic stress disorder) is—our body's overreaction to a small response, and either stuck in fight and flight or shut down. People who experience trauma and the shutdown response usually feel shame around their inability to act, when their body did not move.
Definition and Explanation of Dissociation
When we look at what they all have in common, we can say that dissociation is a form of the fight, flight, or freeze response. Dissociation can happen when we experience a threatening situation which we cannot escape from, and also cannot resolve or change.
Dissociation commonly goes along with traumatic events and PTSD. Dissociation as avoidance coping usually happens because of a traumatic event. Being powerless to do anything to change or stop a traumatic event may lead people to disconnect from the situation to cope with feelings of helplessness, fear or pain.
Mentally, persons affected by grief may experience: Confusion (memory, concentration, judgment and comprehension difficulties) Intrusion (unwanted thoughts, arousal, nightmares) Dissociation (intense feelings of detachment, unreality and denial)
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
The difference from active avoidance (on purpose avoiding thinking about or doing something) is that dissociation tends to happen without planning or even awareness. Many times, people who are dissociating are not even aware that it is happening, other people notice it.