Thursday, December 16, 2010

Here, There, Nowhere - Criteria 9 / Part 2: Dissociative Disorders


The next episode in our Criteria 9 series is Dissociative Disorders. 

Dissociation is one of my more severe challenges. I will cover this in three parts. The general Dissociative Disorder. Depersonalization, and Derealization (this spectrum also covers things like Dissociative Identity Disorder, Dissociative Fugue and DD non-specified… but since those aren’t my issues I’m not going to cover them now).

What is a Dissociative Disorder? Dissociative Disorders are defined as conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. Dissociation is a partial or complete disruption of the normal integration of a person’s conscious or psychological functioning.  The hypothesis is that symptoms can result to the extent of interfering with a person's general functioning.

It’s actually pretty normal for people to feel brief instances of Dissociation such as Psychological numbing. Psychological numbing is a mental mechanism to prevent psychological trauma. The mind chooses to ignore thoughts or emotions relating to a specific event, occurrence or body of knowledge, emotions, or ideas. It’s an important function for sanity when someone whose basic moral principles or ideology would be destroyed by comprehending the full implications of an action or occurrence.

When this feeling state becomes persistent, that's when it’s identified as a disorder.

So what causes Dissociative disorders? In short, it’s a defense mechanism. At least that’s thought to be the primary reason for it. It’s a way for the mind to protect itself from extreme emotional trauma, prolonged stress and anxiety or alternatively, a response to drug use. Part of your mind and memory are compartmentalized to a different feeling state so you can process them separately, or not at all.

My version of Dissociation (Depersonalization and Derealization to a lesser extent) isn’t like a total break from reality. I don’t have amnesiac fugue states or multiple personalities. I can always, ‘check in’ and know that I am actually in the real world, I just don’t ‘feel’ like I am real. This is Depersonalization....

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