Everyone can be disconnected from reality in daily life from time to time, depending on the emotional loads and mental fullness that arise after the hustle and bustle of life. However, in this situation, which we call detachment from the reality experienced in the present moment, it is often seen that the mind can be immersed in places related to the past or the future. At the same time, disconnection from reality in the moment is sometimes based on the process of mindlessly being distracted without feeling or thinking anything. Even if he is aware of it, this awareness is incomplete, that is, the moment in the memory of the person cannot be remembered as a whole. This process, which disconnects the person from the moment, comes out as a result of a warning, a sudden sound or a body sensation. Must read over and over. Sometimes, when you are going back to a place you have been to, you may not be aware of where you pass through on the road. The situation experienced in both these examples is explained as the disconnections in perception and consciousness in the moment. This situation can cause difficulties in daily life, fatigue, anxiety-provoking situations, insomnia or short-term feelings of alienation from the body, emotions, thoughts and the environment as a result of caffeine consumption. As a result, these breaks do not disturb the flow of daily life and are generally short-lived.
However, unlike these situations, some breaks from the moment are experienced for longer and more disturbing. These long-term ruptures are triggered by certain emotional experiences. In fact, this situation can affect a person's life in a very negative way. For example, past life events may not be instantly remembered by the person.
In another example, body image and emotional experiences may not be felt at the moment, or these feelings may be felt very little. lived and It is useful to get information about the scientific explanations of these breaks in order to fully understand what and why the disruptions in the integrity of the body, thought, perception, feeling and memory in the moment are experienced.
Dissociation What is (Dissociation)?
Dissociation; It is a state of separation or separation from the body, emotions and environment. Dissociation literally means the opposite of staying in the moment, being here and now. This is actually a defense mechanism that many people use when coping with stressful conditions and difficult emotions in daily life.
The state of consciousness, memory, identity, emotions, sensory perceptions, and behavioral control breakouts occur. In short, these perceptions, which are as a whole, are perceived as having broken integrity as a result of dissociation.
Not every dissociation is considered a dissociative disorder. Dissociations in consciousness, memory, identity, emotions, sensory perceptions, and behavioral control, which are normally encountered by many people in daily life, are evaluated as dissociative disorders under certain conditions.
In short, dissociation is pathological. It is evaluated under 2 different sub-headings as and not. In this case, it can be said that there are clear differences between dissociation and dissociative disorders, which are normally used in daily life and are actually a coping mechanism.
What is the Difference Between Non-Pathological Dissociation and Dissociative Disorders? strong>
First of all, the most fundamental and primary difference separating non-pathological dissociation from dissociative disorders is the level of impact of this condition on daily life. In dissociative disorders, intense difficulties are seen in the daily life of the person. At the same time, the individual with dissociative disorder has intense difficulties in maintaining a healthy work, social and family life in daily life.
The second difference between dissociation and dissociative disorders is based on the frequency of this situation. While dissociation has a shorter-term effect on the person's life, dissociative Disorders can last for hours, days, weeks, months or years.
Another difference between the non-pathological state of dissociation and the pathological state of dissociation, which can be considered as a disorder, is the prevalence of these conditions in the community. . Dissociative symptoms, which can be seen normally in daily life, are seen in 75% of the population. However, the prevalence of dissociative disorders in the community is around 2-3%.
Dissociative Disorders
In order to talk about any dissociative disorder in individuals, First of all, these behavioral changes should not be based on any organic change or disease that has occurred in the body through internal or external factors. should not have happened. These two factors have been determined as prerequisites for the diagnosis of dissociative disorder.
Dissociative disorders are handled in four different categories. These are:
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Depersonalization (Self Alienation/Identity Dissolution) and Derealization Disorder (Reality/Reality Dissolution)
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Dissociative Amnesia (Forgetfulness Dissolution/Memory Loss) and Dissociative Fugue (Escape)
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Dissociative Identity Disorder (Multiple Personality Disorder) -Identification Dissociation Disorder)
Other Dissociative Disorders:
Another Specified Dissociative Disorder
Unspecified Dissociative Disorder
Depersonalization (Self Alienation/Dissociation)
Depersonalization In the case of (Self Alienation/Identity Dissolution), people feel that they are alienated from themselves, namely their own body, sensations and emotions. They may experience this situation as if they were separated from their own body or mind. they say. themselves t Feelings of inability to remember and alienation are dominant.
Derealization Disorder (Reality/Reality Dissolution)
Derealization In the case of ) the person experiences an alienation experience not from himself or his own body, but from the environment he is in. The environment and people are perceived as alienated and unreal. People experiencing derealization express that they are in a dream, observing events after a smoke screen, and thinking that people and experiences are fake.
Depersonalization and derealization are often seen together. People often use the words "as if" and "like" when describing their experiences. Depersonalization and derealization situations may occur once or repeatedly. . These questions are often “Am I real, is this situation real? Who am I? If it is not real, what is the truth?'''.
The person's being immersed in these questions and constantly trying to answer these questions can increase the anxiety of the situation and cause the person to feel boredom all the time.
Dissociative Amnesia (Forgetfulness Resolution)
Dissociative amnesia is the sudden forgetting of important events, people and information. Forgotten information is observed as forgetting very important information and relatively long-term events rather than simple forgetting. This condition is characterized as memory loss rather than forgetfulness.
Memory loss covers long periods such as a few days to a few weeks, a few months or a few years. Experienced memory loss usually occurs after stressful events and traumatic experiences, as well as forgotten events are usually these traumatic events. Serious impairments are seen in the daily living skills of people with dissociative amnesia, that is, in life functionality.
Dissociative Fugue (Escape) )
Dissociative Fugue, on the other hand, occurs after amnesia. A person with a dissociative fugue may leave the place where he lives, as a result of sudden memory loss, and establish a new life with another identity in different places and with people. In this case, the person does not remember his past identity and experiences, and creates a new identity and experience for himself. Sometimes, however, it cannot develop organized behaviors as much as choosing a different life, determining a different identity and place. Therefore, the person may perform aimlessly running and running-like behaviors.
Dissociative Identity Disorder (Multiple Personality Disorder/Identity Dissociation Disorder)
People who experience this condition have multiple personalities and memories. The personalities that people create in their minds may have different names, genders, experiences, characters, and ages. Usually these personalities are not aware of each other. In each transition to a different identity, information about previous identities is forgotten. The transition between identities can often occur quickly and abruptly. This situation creates the impression that there is more than one person inside a person when viewed from the outside.
Other Dissociative Disorders
There is no place in this category. On the other hand, dissociative disorders, depersonalization and derealization disorder, dissociative amnesia and dissociative fugue, meet the ongoing dissociation conditions that do not fully meet the criteria to diagnose dissociative identity disorder, but that negatively affect the daily life quality of individuals.
What Should People Who Have Dissociative Disorder Do?
Dissociative experiences are characterized by ruptures and disintegration of sensations, perceptions, feelings and thoughts. These experiences of people can actually be defined as not being able to stay in the moment or not being in the moment as a whole. For this reason, regular breathing exercises and breathing exercises to be done about these situations can benefit the person.
Dissociation and dissociative disorders occur as a result of a system that the brain automatically activates. So these experiences are beyond one's control.
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