Dissociative symptom complexes in mental disorders

Dissociative symptom complexes in mental disorders

 

Authors

 

A.P. Kotsyubinsky

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

A.R. Protasov

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

Yu.V. Isaenko

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

A.A. Stepanova

Federal State Budgetary Institution “V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

D.E. Bolotova

Federal State Budgetary Educational Institution of Higher Education “First Saint Petersburg State Medical University named after academician I.P. Pavlov” of the Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation

 

https://doi.org/10.26617/1810-3111-2025-2(127)-33-44

 

Journal: Siberian Herald of Psychiatry and Addiction Psychiatry. 2025; 2 (127):  33-44.

 

Abstract

Personality dimensions identified in ICD-11 actually represent a nonpsychotic level of those dimensions that are designated as psychotic in the case of development of severe, chronic mental and behavioral disorders with persistent and more severe symptoms. This understanding opens up the prospect of talking about an extended representation of each dimension as a phenomenon characterized by a continuum of severity from a nonpsychotic to a psychotic level. It is proposed to include its dissociative type in the list of dimensions. Guided by the principle of a five-level representation of all dimensions in the range from 0 to 4, we propose a glossary containing specific principles for ranking the dissociative dimension. This diagnostic approach will allow differentiating more accurately the mental states of patients across degrees of severity of the disease and its holistic clinical presentations.

 

Keywords: dissociation, dissociative disorders, dimensions, dimensional approach, categorical approach.

 

Article (pdf)

 

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Materials

 

For citationKotsyubinsky A.P., Protasov A.R., Isaenko Yu.V., Stepanova A.A., Bolotova D.E. Dissociative symptom complexesin mental disorders. Sibirskii Vestnik Psikhiatrii i Narkologii.2025; 2 (127): 33-44. https://doi.org/10.26617/1810-3111-2025-2(127)-33-44

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