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Two of us live in this body

INTRODUCTION: The dissociative disorders are characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. OBJECTIVES: We present the case of a 22-year-old patient, who has be...

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Autores principales: Palomo Monge, M., Pérez Fominaya, M., López Rodrigo, M.V., Osca Oliver, A., Tascón Guerra, M.F., García Montero, C., Ros Font, V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567789/
http://dx.doi.org/10.1192/j.eurpsy.2022.2256
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author Palomo Monge, M.
Pérez Fominaya, M.
López Rodrigo, M.V.
Osca Oliver, A.
Tascón Guerra, M.F.
García Montero, C.
Ros Font, V.
author_facet Palomo Monge, M.
Pérez Fominaya, M.
López Rodrigo, M.V.
Osca Oliver, A.
Tascón Guerra, M.F.
García Montero, C.
Ros Font, V.
author_sort Palomo Monge, M.
collection PubMed
description INTRODUCTION: The dissociative disorders are characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. OBJECTIVES: We present the case of a 22-year-old patient, who has been following up for just over a year. The patient refers that two people inhabit her body, talk to each other, exchange opinions and both have control over the body, one giving the turn to the other depending on the circumstances. To this is added delusional symptoms of grandeur and sensorial-perceptual symptoms. In turn, depressive symptoms have appeared that have led the patient to have several suicide attempts throughout the follow-up time. METHODS: During this time, the patient has required hospital admission on two occasions due to the autolytic ideation. Treatment with neuroleptics and antidepressants has been established that have helped control delusions and thoughts of death, but not the dissociative clinic. RESULTS: Dissociative Identity disorder 300.14 (F44.81) CONCLUSIONS: The different symptoms presented by the patient, as well as the social and occupational deterioration that he presents, make this an extremely complicated case, both in diagnosis and in treatment. Dissociative identity disorder has been very controversial, changing its diagnostic criteria over time. More studies are needed and perhaps future research can give us more clues about this disorder. DISCLOSURE: No significant relationships.
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spelling pubmed-95677892022-10-17 Two of us live in this body Palomo Monge, M. Pérez Fominaya, M. López Rodrigo, M.V. Osca Oliver, A. Tascón Guerra, M.F. García Montero, C. Ros Font, V. Eur Psychiatry Abstract INTRODUCTION: The dissociative disorders are characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. OBJECTIVES: We present the case of a 22-year-old patient, who has been following up for just over a year. The patient refers that two people inhabit her body, talk to each other, exchange opinions and both have control over the body, one giving the turn to the other depending on the circumstances. To this is added delusional symptoms of grandeur and sensorial-perceptual symptoms. In turn, depressive symptoms have appeared that have led the patient to have several suicide attempts throughout the follow-up time. METHODS: During this time, the patient has required hospital admission on two occasions due to the autolytic ideation. Treatment with neuroleptics and antidepressants has been established that have helped control delusions and thoughts of death, but not the dissociative clinic. RESULTS: Dissociative Identity disorder 300.14 (F44.81) CONCLUSIONS: The different symptoms presented by the patient, as well as the social and occupational deterioration that he presents, make this an extremely complicated case, both in diagnosis and in treatment. Dissociative identity disorder has been very controversial, changing its diagnostic criteria over time. More studies are needed and perhaps future research can give us more clues about this disorder. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9567789/ http://dx.doi.org/10.1192/j.eurpsy.2022.2256 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Palomo Monge, M.
Pérez Fominaya, M.
López Rodrigo, M.V.
Osca Oliver, A.
Tascón Guerra, M.F.
García Montero, C.
Ros Font, V.
Two of us live in this body
title Two of us live in this body
title_full Two of us live in this body
title_fullStr Two of us live in this body
title_full_unstemmed Two of us live in this body
title_short Two of us live in this body
title_sort two of us live in this body
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9567789/
http://dx.doi.org/10.1192/j.eurpsy.2022.2256
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