An example of identity confusion is when a person sometimes feels a thrill while engaged in an activity (e.g., reckless driving, drug use) which at other times would be repugnant. Identity confusion is a sense of confusion about who a person is. A dissociative disorder is suggested by the robust presence of any of the five features. These are the main areas of investigation in the Structured Clinical Interview for Dissociative Disorders (SCID-D) (Steinberg, 1994a Steinberg, Rounsaville, & Cicchetti, 1990). 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. This is sometimes described as the experience of being a “passenger” in one’s body, rather than the driver. Or someone may find himself or herself doing something that they would not normally do but unable to stop themselves, almost as if they are being compelled to do it. Feeling suddenly, unbearably sad, without an apparent reason, and then having the sadness leave in much the same manner as it came, is an example. Typically, a person feels “taken over” by an emotion that does not seem to makes sense at the time. These are thoughts or emotions seemingly coming out of nowhere, or finding oneself carrying out an action as if it were controlled by a force other than oneself (Dell, 2001). Dissociation is a psychological process commonly found in persons seeking mental health treatment (Maldonado et al., 2002).ĭissociation may affect a person subjectively in the form of “made” thoughts, feelings, and actions. Clinically, this is termed emotional numbing, one of the hallmarks of post-traumatic stress disorder. For example, someone may think about an event that was tremendously upsetting yet have no feelings about it. In severe forms of dissociation, disconnection occurs in the usually integrated functions of consciousness, memory, identity, or perception. Dissociated experiences are not integrated into the usual sense of self, resulting in discontinuities in conscious awareness (Anderson & Alexander, 1996 Frey, 2001 International Society for the Study of Dissociation, 2002 Maldonado, Butler, & Spiegel, 2002 Pascuzzi & Weber, 1997 Rauschenberger & Lynn, 1995 Simeon et al., 2001 Spiegel & Cardeña, 1991 Steinberg et al., 1990, 1993). Dissociation is a word that is used to describe the disconnection or lack of connection between things usually associated with each other.
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