Hi, I have a full document on this from The Clinic for Dissociative Studies London. I don't think I can post it here so perhaps check their website. I have a depersonalization disorder. As I understand it, dissociation is the term which covers a neuro-biological response to extreme stress. It has a range or spectrum of severity depending on the intensity/length of the stress scenario/s.
Depersonalization/Derealisation are perception based conditions which arise from the above over time. One is inverted one is extroverted Depersonalization is 'this can't be happening TO ME'...Derealisation is this can't be happening, ITS not real (the place/object).
To be honest...I ignore them. The only reason I got an official diagnosis from a specialist was to stop ill qualified meddling psychiatrists from trying to give me drugs. The point is it's a spectrum and everyone is on it, ptsd or not.
SUMMARY OF ABSTRACT
- Neglect of attachment needs may leave a person with fewer receptors for endogenous opiods (natural morphine) because these receptors are formed during good attachment experiences
- Chronic childhood trauma and abuse induces repeated flooding of the system with endogenous opiods, one of the consequences of which may be dissociative phenomena (which can pass largely unnoticed in a secretive, isolated, highly adapted childhood where attachment figures have a vested interest in keeping it so)
- The dissociative phenomena are much less functional and understandable in adulthood, especially away from the context they formed in, particularly where denial is the norm (societal also)
- A survivor's capacity for pleasure and well-being may be reduced by their paucity of opioid receptors, making any emotion at all feel overwhelming and out of control
- With consciousness and day to day life preoccupied with PTSD triggers, flashbacks, sleep disturbance, anxiety and depression, somatic consequences etc etc etc a survivor's rare or only experiences of something approaching well-being may be when flooded with endogenous opioids during dissociative experiences, or other opioid-inducing behaviours such as self-harm, addictive behaviours, eating disorders, OCD and so on, and therefore 'habit-forming'
- Therapy sessions may precipitate flooding with endogenous opioids and consequent dissociative phenomena, hence by blocking the opioid receptors with Naltrexone the survivor may be assisted in amending behaviours that have become unhelpful, and would otherwise be extraordinarily difficult to change due to their addictive nature
More information
International Society for the Study of Trauma and Dissociation: Frequently Asked Questions on Dissociation:
The Touch
International Society for the Study of Trauma and Dissociation: Guidelines for Treating Dissociative Identity Disorder in Adults:
The Touch
MIND: Understanding Dissociative Disorders:
[DLMURL]http://www.mind.org.uk/help/diagnoses_and_conditions/dissociative_disorders[/DLMURL]