Title

Dissociation Affect Dysregulation and Somatization

Abstract

This study investigates the relationship between the current diagnostic formulation of PTSD and the symptoms of dissociation, affect dysregulation and somatization. Over the past century, these symptoms consistently have been shown to be related, regardless of whether investigators have approached their subjects prospectively or retrospectively, or from the vantage point of 1) psychological trauma, 2) dissociation, 3) somatization, or 4) disorders of affect regulation.

PTSD, dissociation, somatization and affect dysregulation can be different expressions of adaptation to trauma. While they often go together, traumatized individuals may suffer from different combinations of symptoms over time. When treating individuals with histories of psychic trauma, it is critical to attend to the dimensions of dissociation, somatization, and affect dysregulation, even when intrusive recollections of the trauma currently are not prominent symptoms.

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