Transtorno Dissociativo de Identidade em um paciente com 12 personalidades: um relato de caso
DOI:
https://doi.org/10.34119/bjhrv7n2-397Keywords:
Transtorno Dissociativo, múltiplas personalidades, Transtorno Dissociativo de IdentidadeAbstract
O mecanismo traumático está relacionado concretamente com os transtornos dissociativos de um modo geral. Dentre esses, importância ímpar deve ser atribuída ao transtorno dissociativo de identidade, cujo trauma na infância é fortemente citado como fator causal associado. Apesar de possuir guidelines específicos para auxiliar na sua avaliação, investigação e tratamento, ainda é bastante subdiagnosticado, sendo muitas vezes tardiamente abordado por especialistas. Esse artigo descreve o caso de um paciente de 15 anos diagnosticado com esse transtorno e comenta sobre critérios diagnósticos, epidemiológicos e o manejo desse tipo de transtorno dissociativo.
References
AMERICAN PSYCHIATRIC ASSOCIATION et al. Diagnostic and statistical manual of mental disorders-DMS III. American Psychiatric Association, 1980.
AMERICAN PSYCHIATRIC ASSOCIATION, D. et al. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American psychiatric association, 2013.
ARAÚJO, Maria de Fátima. Estrategias de diagnostico y evalluacion psicologica. Psicologia: teoria e prática, v. 9, n. 2, p. 126-141, 2007.
BOON, Suzette; DRAIJER, Nel. Multiple personality disorder in the Netherlands: A study on reliability and validity of the diagnosis. Swets & Zeitlinger Publishers, 1993.
BOYSEN, Guy A.; VANBERGEN, Alexandra. A review of published research on adult dissociative identity disorder: 2000–2010. The Journal of nervous and mental disease, v. 201, n. 1, p. 5-11, 2013.
BRAND, Bethany L. et al. A longitudinal naturalistic study of patients with dissociative disorders treated by community clinicians. Psychological Trauma: Theory, Research, Practice, and Policy, v. 5, n. 4, p. 301, 2013.
BRAND, Bethany L. et al. Separating fact from fiction: An empirical examination of six myths about dissociative identity disorder. Harvard review of psychiatry, 2016.
CHALAVI, Sima et al. Abnormal hippocampal morphology in dissociative identity disorder and post‐traumatic stress disorder correlates with childhood trauma and dissociative symptoms. Human brain mapping, v. 36, n. 5, p. 1692-1704, 2015.
CHU, James A. Guidelines for Treating Dissociative Identity Disorder in Adults (2005)–International Society for Study of Dissociation. J Trauma Dissociation, v. 6, n. 4, p. 69-149, 2005.
COONS, Philip M. The dissociative disorders: Rarely considered and underdiagnosed. Psychiatric Clinics of North America, v. 21, n. 3, p. 637-648, 1998.
DORAHY, Martin J. et al. Dissociative identity disorder: An empirical overview. Australian & New Zealand Journal of Psychiatry, v. 48, n. 5, p. 402-417, 2014.
ESPIRITO SANTO, Helena; ABREU, José Luís Pio. Validação portuguesa da escala de experiências dissociativas (DES). Journal of trauma & dissociation , v. 10, n. 1, pág. 69-82, 2009.
FAHY, Thomas. Multiple personality disorder: where is the split?. Journal of the Royal Society of Medicine, v. 83, n. 9, p. 544-546, 1990.
FARIA, Marcello de A. O Teste de Pfister e o transtorno dissociativo de identidade. Avaliação psicológica, v. 7, n. 3, p. 359-370, 200trigg8.
FERDINAND, Robert F. et al. Assessment of the prevalence of psychiatric disorder in young adults. The British Journal of Psychiatry, v. 166, n. 4, p. 480-488, 1995.
FISZMAN, Adriana et al. The cross-cultural adaptation to Portuguese of the Dissociative Experiences Scale for screening and quantifying dissociative phenomena. Brazilian Journal of Psychiatry, v. 26, p. 164-173, 2004.
FOOTE, Brad; PARK, Jane. Dissociative identity disorder and schizophrenia: Differential diagnosis and theoretical issues. Current psychiatry reports, v. 10, n. 3, 2008.
INTERNATIONAL SOCIETY FOR THE STUDY OF TRAUMA AND DISSOCIATION. Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, v. 12, n. 2, p. 115-187, 2011.
JOHNSON, Jeffrey G. et al. Dissociative disorders among adults in the community, impaired functioning, and axis I and II comorbidity. Journal of psychiatric research, v. 40, n. 2, p. 131-140, 2006.
KOHLENBERG, Robert J. et al. The Self. Springer US, 1991.
LANGELAND, Willemien et al. The economic burden of dissociative disorders: A qualitative systematic review of empirical studies. Psychological Trauma: Theory, Research, Practice, and Policy, v. 12, n. 7, p. 730, 2020.
LEONARD, David; BRANN, Susan; TILLER, John. Dissociative disorders: Pathways to diagnosis, clinician attitudes and their impact. Australian & New Zealand Journal of Psychiatry, v. 39, n. 10, p. 940-946, 2005.
MIDDLETON, Warwick; BUTLER, Jeremy. Dissociative identity disorder: an Australian series. Australian and New Zealand Journal of Psychiatry, v. 32, n. 6, p. 794-804, 1998.
MIGUEL FILHO, Eurípedes Constantino et al. Clínica psiquiátrica: as grandes síndromes psiquiátricas. 2021.
MOHR, Wanda K. Learning from extremism in the history of mental health. Journal of psychosocial nursing and mental health services, v. 40, n. 5, p. 22-33, 2002.
PUTNAM, Frank W. et al. The clinical phenomenology of multiple personality disorder: review of 100 recent cases. The Journal of clinical psychiatry, 1986.
RODEWALD, Frauke et al. Axis-I comorbidity in female patients with dissociative identity disorder and dissociative identity disorder not otherwise specified. The Journal of nervous and mental disease, v. 199, n. 2, p. 122-131, 2011.
RUBIN, Eugene H.; ZORUMSKI, Charles F. Adult psychiatry. Blackwell Publishing, 2005.
SADOCK, Benjamin J.; SADOCK, Virginia A.; RUIZ, Pedro. Compêndio de Psiquiatria-: Ciência do Comportamento e Psiquiatria Clínica. Artmed Editora, 2016.
SAR, Vedat et al. Dissociative identity disorder among adolescents: prevalence in a university psychiatric outpatient unit. Journal of Trauma & Dissociation, v. 15, n. 4, p. 402-419, 2014.
ŞAR, Vedat; AKYÜZ, Gamze; DOĞAN, Orhan. Prevalence of dissociative disorders among women in the general population. Psychiatry Research, v. 149, n. 1-3, p. 169-176, 2007.
STERN, Theodore A. et al. Massachusetts general hospital comprehensive clinical psychiatry. Elsevier Health Sciences, 2008.
