There is a growing body of evidence linking the dissociative disorders to a trauma history, and to specific neural mechanisms. Dissociative Trance Disorder should be included in the Unspecified Dissociative Disorder (UDD) category. The experience of possession should be included in the definition of identity disruption. The diagnostic criteria for DID should be changed to emphasize the disruptive nature of the dissociation and amnesia for everyday as well as traumatic events. Dissociative Fugue should become a subtype of Dissociative Amnesia (DA).
There are 3 types of dissociative disorders recognized by the Diagnostic and Statistical Manual of Mental Disorders, 5th edition ( DSM-5 ): dissociative identity disorder, dissociative amnesia. Depersonalization Disorder (DPD) should include derealization symptoms as well. Dissociative disorders are mental health conditions that cause a person to be disconnected from their consciousness, thoughts, memories, and identity. We make the following recommendations for DSM-5: 1. Based on this review, we propose a revised definition of dissociation for DSM-5 and discuss the implications of this definition for understanding dissociative symptoms and disorders. Also, we review more general conceptual issues in defining dissociation and dissociative disorders. First, we review the definitions of dissociation and the differences between the definitions of dissociation and conceptualization of DDs in the DSM-IV-TR and the ICD-10, respectively. This paper reviews clinical, phenomenological, epidemiological, cultural, and neurobiological data related to the DDs in order to generate an up-to-date, evidence-based set of DD diagnoses and diagnostic criteria for DSM-5. The periodic revision of the DSM provides an opportunity to revisit the assumptions underlying specific diagnoses and the empirical support, or lack of it, for the defining diagnostic criteria. Dissociative identity disorder (DID) is defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an identity. We present recommendations for revision of the diagnostic criteria for the Dissociative Disorders (DDs) for DSM-5.