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Pieces of Me: A Story of Trauma and Dissociation

Published online by Cambridge University Press:  23 March 2020

L. Garcia Ayala
Affiliation:
Osakidetza, Psychiatry, Salvatierra-Agurain, Spain
M. Gómez Revuelta
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
C. Martin Requena
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
M. Juncal Ruiz
Affiliation:
Marqués de Valdecilla, Psychiatry, Santander, Spain
O. Porta Olivares
Affiliation:
Marqués de Valdecilla, Psychiatry, Santander, Spain
E. Saez de Adana García de Acilu
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
A. Aranzabal Itoiz
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
B. González Hernández
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
M. Laborde Zufiaurre
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
M. Zubia Martín
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
N. Núñez Morales
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
M.P. López Peña
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain
A.M. González-Pinto Arrillaga
Affiliation:
Osakidetza, Psychiatry, Vitoria, Spain

Abstract

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Introduction

Traumatic event related disorders (ASD, PTSD and dissociative disorders) could share a common dissociative psychobiological origin. Patients diagnosed with dissociative identity disorder present a high sexual abuse rate (85–90%), way above the rest of the traumatic spectrum disorders.

Objectives

The goal of this study is to analyse the existing relation between different types of trauma, especially sexual abuse, and the onset and continuity of dissociative disorders.

Materials and methods

We report the case of a 37 years old woman with a long sexual abuse history. The symptoms appear by age 30, in the form of flashbacks, ushering a persistent identity fragmentation in individual differentiated opposed components, shaping a dissociative personality disorder, which was present for years taking a fluctuating and invalidating nature.

Discussion

When a traumatic event occurs, acute dissociative reactions frequently appear, usually briefly, disappearing spontaneously afterwards. In this case, we can discern the persistence of the dissociative symptoms and the repercussion they had in the patient's functionality.

Conclusion

The existence of a correlation between the duration of a chronic traumatic event and the persistence of dissociative symptoms in the evolution of a dissociative personality disorder is possible.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Post-traumatic stress disorder
Copyright
Copyright © European Psychiatric Association 2017
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