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Cited by 100Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchPain Management and Placebo Effect

Somatoform dissociative symptoms as related to animal defensive reactions to predatory imminence and injury

Nijenhuis, Ellert R. S., Spinhoven, Philip, Vanderlinden, Johan, van Dyck, Richard, van der Hart, Onno·1998·Journal of Abnormal Psychology
DOI 10.1037/0021-843x.107.1.63
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Abstract

The authors hypothesized that there would be a similarity between animal defensive responses to variable predatory imminence and injury and certain somatoform dissociative symptoms of trauma-reporting patients who have dissociative disorder. As a first test of this hypothesis, 12 somatoform symptom clusters consisting of clinically observed somatoform dissociative phenomena were constructed. All clusters discriminated between patients with dissociative disorders (n = 50) and patients with other psychiatric diagnoses (n = 50). Those expressive of the hypothesized similarity--freezing, anesthesia-analgesia, and disturbed eating--belonged to the 5 most characteristic symptoms of dissociative disorder patients. Anesthesia-analgesia, urogenital pain, and freezing symptom clusters independently contributed to predicted presence of dissociative disorder. Using an independent sample, it appeared that anesthesia-analgesia best predicted presence of dissociative disorder after controlling for symptom severity. The results were largely consistent with the hypothesized similarity.

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  • The phenomenon of extreme co-activation of sympathetic and parasympathetic systems under life-threatening conditions offers a compelling model for the freeze, collapse, and dissociation often observed in PTSD.

    “however, the phenomenon (demonstrated in cats by Gellhorn, 1964a) of extreme co-activation of sympathetic and parasympathetic systems under life-threatening conditions offers a compelling model for the freeze, collapse, and dissociation often observed in PTSD (Nijenhuis et al., 1998b; Halvorsen, 2014); see Figure 5.”

    From Somatic experiencing: using interoception and proprioception as core elements of trauma therapy (2015) · cites this paper as Nijenhuis et al., 1998b

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Authors
Nijenhuis, E. R. S., Spinhoven, P., Vanderlinden, J., van Dyck, R., & van der Hart, O.
Affiliations
Vrije Universiteit Amsterdam (NL)
ORCID
Venue
Journal of Abnormal Psychology
Publisher
American Psychological Association (APA)
Published
1998-02
Volume
107
Issue
1
Pages
63-73
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
DOI
10.1037/0021-843x.107.1.63
OpenAlex
W2011113410
Cited by
100
References
0
Citations by year
2024: 1 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 2 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 1 · 2012: 8
FWCI
4.16
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords
dissociative disorders, injuries, freezing, disordered eating, urogenital pain, trauma, symptom clusters
MeSH terms
Adult, Animals, Arousal, Defense Mechanisms, Dissociative Disorders, Female, Humans, Male, Middle Aged, Personality Assessment, Predatory Behavior, Somatoform Disorders, Species Specificity, Wounds and Injuries

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