Davidson (1966) suggested the term “de-affectualization” to denote the change in emotional experience commonly reported by patients with DPD, in which there is a persistent diminution or loss of emotional reactivity, and emotions seem to lack spontaneity and subjective validity. Various terms have been coined to describe domains of symptoms within DPD. 1524) observe that patients with DPD may complain of “numbed emotional experiencing, heightened self-observation altered body experience, feelings of not being in control of movement changes in the experiencing of time and space feelings of mind emptiness, inability to imagine things,” as well as perceptual anomalies, for example, the external world seeming oddly flat and two-dimensional, or colors seeming less (or, sometimes, more) vivid than previously. Sierra, Baker, Medford, and David (2005, p. Despite this, it is not always appreciated that, in both practice (evidence from symptom surveys) as well as theory (the scope of the formal ICD definition), DPD usually involves symptoms in a number of different domains. 171–172), however, it is possible to see that almost any aspect of first-person experience is, in theory, available for inclusion in the definition. When the ICD-10 notes that “the sufferer complains that his or her mental activity, body, and/or surroundings are changed in their quality” ( World Health Organization, 1992, pp. All subjects Allied Health Cardiology & Cardiovascular Medicine Dentistry Emergency Medicine & Critical Care Endocrinology & Metabolism Environmental Science General Medicine Geriatrics Infectious Diseases Medico-legal Neurology Nursing Nutrition Obstetrics & Gynecology Oncology Orthopaedics & Sports Medicine Otolaryngology Palliative Medicine & Chronic Care Pediatrics Pharmacology & Toxicology Psychiatry & Psychology Public Health Pulmonary & Respiratory Medicine Radiology Research Methods & Evaluation Rheumatology Surgery Tropical Medicine Veterinary Medicine Cell Biology Clinical Biochemistry Environmental Science Life Sciences Neuroscience Pharmacology & Toxicology Biomedical Engineering Engineering & Computing Environmental Engineering Materials Science Anthropology & Archaeology Communication & Media Studies Criminology & Criminal Justice Cultural Studies Economics & Development Education Environmental Studies Ethnic Studies Family Studies Gender Studies Geography Gerontology & Aging Group Studies History Information Science Interpersonal Violence Language & Linguistics Law Management & Organization Studies Marketing & Hospitality Music Peace Studies & Conflict Resolution Philosophy Politics & International Relations Psychoanalysis Psychology & Counseling Public Administration Regional Studies Religion Research Methods & Evaluation Science & Society Studies Social Work & Social Policy Sociology Special Education Urban Studies & Planning BROWSE JOURNALSĪttempts to describe and understand the depersonalized state evoke fundamental questions: What do we mean by “sense of self”? How is such a sense generated and maintained? If a person says their surroundings feel “unreal,” yet knows that they are in fact real, what might this tell us about the phenomenology of experience? The brief descriptions in the DSM-IV and ICD-10 only hint at this complexity.
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