![]() The addition of a dissociative subtype to the PTSD diagnosis is expected to further advance research examining the etiology, epidemiology, neurobiology, and treatment response of this subtype and facilitate the search for biomarkers of PTSD. Similarly, states of derealization during which individuals experience that 'things are not real it is just a dream' create the perception that 'this is not really happening to me' and are often associated with the experience of decreased emotional intensity. ![]() An 'out-of-body' or depersonalization experience during which individuals often see themselves observing their own body from above has the capacity to create the perception that 'this is not happening to me' and is typically accompanied by an attenuation of the emotional experience. ![]() States of depersonalization and derealization provide striking examples of how consciousness can be altered to accommodate overwhelming experience that allows the person to continue functioning under fierce conditions. Rationale Evidence Assessment Associated features and risks of the dissociative subtype Treatment concerns ReferencesĬonfrontation with overwhelming experience from which actual escape is not possible, such as childhood abuse, torture, as well as war trauma challenges the individual to find an escape from the external environment as well as their internal distress and arousal when no escape is possible.
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