Cited by 225Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchIdentity, Memory, and Therapy

The DOI matches its Crossref record; 185 of the 186 references it cites were found in a registry or an index.

Dissociative identity disorder: An empirical overview

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Dorahy, Martin J, Brand, Bethany L, Şar, Vedat, Krüger, Christa, Stavropoulos, Pam, Martínez-Taboas, Alfonso, Lewis-Fernández, Roberto, Middleton, Warwick·2014·Australian & New Zealand Journal of Psychiatry

Abstract

Objective: Despite its long and auspicious place in the history of psychiatry, dissociative identity disorder (DID) has been associated with controversy. This paper aims to examine the empirical data related to DID and outline the contextual challenges to its scientific investigation. Methods: The overview is limited to DID-specific research in which one or more of the following conditions are met: (i) a sample of participants with DID was systematically investigated, (ii) psychometrically-sound measures were utilised, (iii) comparisons were made with other samples, (iv) DID was differentiated from other disorders, including other dissociative disorders, (v) extraneous variables were controlled or (vi) DID diagnosis was confirmed. Following an examination of challenges to research, data are organised around the validity and phenomenology of DID, its aetiology and epidemiology, the neurobiological and cognitive correlates of the disorder, and finally its treatment. Results: DID was found to be a complex yet valid disorder across a range of markers. It can be accurately discriminated from other disorders, especially when structured diagnostic interviews assess identity alterations and amnesia. DID is aetiologically associated with a complex combination of developmental and cultural factors, including severe childhood relational trauma. The prevalence of DID appears highest in emergency psychiatric settings and affects approximately 1% of the general population. Psychobiological studies are beginning to identify clear correlates of DID associated with diverse brain areas and cognitive functions. They are also providing an understanding of the potential metacognitive origins of amnesia. Phase-oriented empirically-guided treatments are emerging for DID. Conclusions: The empirical literature on DID is accumulating, although some areas remain under-investigated. Existing data show DID as a complex, valid and not uncommon disorder, associated with developmental and cultural variables, that is amenable to psychotherapeutic intervention.

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Cites

Show all 186 references

Research works printed but not linked: 20

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Metadata

Authors
Dorahy, M. J., Brand, B. L., Şar, V., Krüger, C., Stavropoulos, P., Martínez-Taboas, A., Lewis-Fernández, R., & Middleton, W.
Affiliations
  • University of Canterbury (NZ)
  • Towson University (US)
  • Istanbul University (TR)
  • University of Pretoria (ZA)
  • Adults Surviving Child Abuse, Sydney, Australia
  • Department of Psychology, Carlos Albizu University, San Juan, Puerto Rico
  • Department of Psychiatry, Columbia University, New York, USA
  • The University of Queensland (AU)
Venue
Australian & New Zealand Journal of Psychiatry
Published
2014-05
Volume
48
Issue
5
Pages
402-417
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
OpenAlex
W2118227624
Cited by
225
References
186
Citations by year
2026: 21 · 2025: 26 · 2024: 30 · 2023: 31 · 2022: 18 · 2021: 13 · 2020: 15 · 2019: 9 · 2018: 17 · 2017: 14 · 2016: 13 · 2015: 12 · 2014: 6
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Australian & New Zealand Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • UpSpace Institutional Repository (University of Pretoria) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
Keywords
dissociative identity disorder, dissociative disorders, diagnostic validity, childhood trauma, amnesia, neurobiology, cognitive correlates, metacognition, psychotherapy
MeSH terms
Brain, Cognition Disorders, Humans, Dissociative Identity Disorder, Psychiatric Status Rating Scales, Psychotherapy, Reproducibility of Results, Neuroimaging

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