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In recent years, psychoanalysis has undergone a very welcomed transformation away from a predominant emphasis on repressive symptomatology and intrapsychic conflict, toward an appreciation of dissociative symptomatology and the unformulated. And yet, much ambiguity surrounds our understanding of dissociation as a process, defense, and structure of the self. In this paper, I outline a self-state continuum model to help formulate the different ways defensive dissociation may be operating from a discrete process into becoming a structure of the self. I elaborate on this continuum model and go on to examine how discontinuous self-system patients may be better identified and treated from within a psychoanalytic perspective. [ABSTRACT FROM AUTHOR]

Pathological dissociation is relatively common in the United States and may be associated with violent or criminal behavior. Dissociative Disorders, especially Dissociative Identity Disorder, are considered controversial diagnoses by some in the psychiatric and legal professions. Individuals who offend during dissociative states may not be criminally responsible if they meet the legal standard for insanity, however, insanity pleas based on dissociative symptoms are rare. This review examined Federal appellate case law for potential legal barriers to the insanity defense for dissociative conditions and any restrictions imposed on related expert evidence. Few rulings directly addressed these questions but there do not appear to be any unique barriers for dissociation‐related insanity pleas. Some cases provided valuable insights regarding the admission of expert evidence, effective expert testimony, and the role of defense counsel. [ABSTRACT FROM AUTHOR]

Introduction: Recent studies showed an association between personality traits and individual patterns of visual behaviour in laboratory and other settings. The current study extends previous research by measuring multiple personality traits in natural settings; and by comparing accuracy of prediction of multiple machine learning algorithms. Methods: Adolescent participants (N = 35) completed personality questionnaires (Big Five Inventory and Short Dark Triad Questionnaire) and visited an interactive museum while their eye movements were recorded with head-mounted eye tracking. To predict personality traits the eye-movement data was analysed using eight machine-learning methods: Random Forest, Adaboost, Naive Bayes, Support Vector Machine, Logistic Regression, k Nearest Neighbours, Decision Tree and a three-layer Perceptron. Results and discussion: Extracted eye movement features introduced to machine learning algorithms predicted personality traits with above 33% chance accuracy (34%–48%). This result is comparable to previous ecologically valid studies, but lower than in laboratory-based research. Better prediction was achieved for Machiavellianism and Extraversion compared to other traits (10 and 9 predictions above the chance level by different algorithms from different parts of the recording). Conscientiousness, Narcissism and Psychopathy were not reliably predicted from eye movements. These differences in predictability across traits might be explained by differential activation of different traits in different situations, such as new vs. familiar, exciting vs. boring, and complex vs. simple settings. In turn, different machine learning approaches seem to be better at capturing specific gaze patterns (e.g. saccades), associated with specific traits evoked by the situation. Further research is needed to gain better insights into trait-situation-algorithm interactions. [ABSTRACT FROM AUTHOR]

Summary This exploratory study aimed to investigate the relationship between interoceptive sensibility and quality of consciousness in individuals with insomnia disorder, in order to understand how the modulation of internal states may contribute to modifying the experience of consciousness during sleep difficulties. A total of 37 patients with insomnia disorder (mean age = 46.05 ± 18.16) and 41 healthy good sleepers (mean age = 50.2 ± 12.99) underwent a psychometric sleep and interoceptive sensibility assessment, using Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), and Multidimensional Assessment of Interoceptive Awareness (MAIA). Moreover, patients with insomnia disorder also completed a quality of consciousness evaluation, using the Phenomenology of Consciousness Inventory (PCI). Patients with insomnia disorder exhibited heightened interoceptive sensibility, particularly in noticing body sensations (p < 0.0001) and emotional awareness (p = 0.032), along with diminished abilities in attention regulation (p = 0.040), not‐worrying (p = 0.001), and trusting (p = 0.002). Furthermore, correlations between interoceptive sensibility and multiple aspects of the consciousness state during the insomnia night were identified. Specifically, higher emotional awareness was linked to a 2.49‐fold increase in the likelihood of subjectively experiencing altered consciousness states during insomnia. The study sheds light on the relationship between interoceptive sensibility and the subjective state of consciousness during insomnia, emphasising the importance of exploring and considering interoception as part of the therapeutic process for insomnia disorder. Given the exploratory nature of the study and the increased risk of type‐I error from numerous correlations, the results should be interpreted with caution. Further research is needed to validate and confirm their robustness. [ABSTRACT FROM AUTHOR]

The fact that environmental factors have a broader effect on financial decision‐making has been lengthily explored, but there is a gap in understanding how personality traits might mediate the effects of temperature on individual decision‐making. Using plausibly exogenous variation of individuals' exposure to changes in national temperature between 2004 and 2018 across NUTS 1 regions in 29 European countries, we estimate the causal effect of a marginal change in temperature on financial investments and its interaction with the trait of optimism/pessimism using Survey of Health, Ageing and Retirement in Europe (SHARE) data. A 10% increase in temperature is associated with a 0.03 percentage point (pp) rise in the probability that an optimist invests in bonds and a 0.024 pp decline in the probability for investment in stocks. However, among pessimists, we find null effects. The results are comparable on the intensive margin. In sum, our results highlight the potentially heterogeneous ways that environmental factors shape individual decision‐making. [ABSTRACT FROM AUTHOR]

Objective: This study aims to explore the reciprocal associations between personality traits (conscientiousness and openness to experience) and academic achievement in adolescents, using the Personality Achievement Saturation Hypothesis (PASH). Background: Personality traits, especially conscientiousness, and openness, have been identified as strong predictors of academic achievement. The PASH provides a framework for understanding these relationships but has mainly been studied from a unidirectional perspective. This study extends the PASH to examine reciprocal associations and how they vary with different achievement indicators. Methods: Using large‐scale panel data (N = 6482) of secondary school students in Germany, we applied cross‐lagged panel models and latent change score models to examine the differential reciprocal associations between personality traits (conscientiousness/openness) and academic achievement (school grades/achievement test scores) in language and math over two years from grades 7 to 9. Results: In line with the PASH, initial levels of conscientiousness were more strongly associated with school grades than with achievement test scores over two years. Simultaneously, prior school grades were more strongly associated with conscientiousness over two years. However, initial levels of openness did not show differential associations with either school grades or achievement test scores over two years. Similarly, prior school grades and achievement test scores were also not differentially associated with openness over two years. Conclusions: Our findings introduce an innovative lens through which we observe how the PASH can be leveraged to explain the differential reciprocal associations between conscientiousness and academic achievement. Further research is needed to examine if PASH could be similarly extended to disentangle the associations between openness and academic achievement. [ABSTRACT FROM AUTHOR]

The issues related to Dissociative Disorder of Identity in Polish legal science have not been raised in principle. Few studies in this field emphasize its controversial nature, both in the psychiatric and criminal law aspects. This applies to the criminal liability of the perpetrator of the prohibited act, including his / her sanity, and consequently also to issues related to his rehabilitation or treatment. This disorder causes significant diagnostic difficulties, much greater than the relatively exhaustively described dissocial disorder (the so-called psychopathy), from which it is absolutely necessary to distinguish DID. Thus, the views on “psychopathy”, established in the literature and judicature of criminal law, do not find an adequate reference to Dissociative Identity Disorder. At the same time, the nature and manner of committing the act by perpetrators with this disorder justify a thorough analysis of the subject using a specific case. The practical dimension of this issue also includes forensic-psychiatric and psychological issues. The criminological point of view suggests that the phenomenon itself is underestimated. The aim of the study is to show the signaled problems and to try to answer the questions posed in the study. The most important of them is related to the possibility of recognizing the title disorders as the cause of insanity, referred to in Article 31 1 of the CC, and consequently the legitimacy of applying an appropriate precautionary measure to the perpetrator.

The article "Bagatelle Selbzweit, selbdritt" by Gabriele Lang deals with the topic of dissociation and shutting down in psychoanalysis. The author reflects on the possibility that the patient may not be present, but rather in another place. She poses the question of whether the patient may be split into different personality parts that can be switched on and off. The author also refers to the narrative "A Visit" by Olga Tocarczuk to illustrate her thoughts. The text describes a therapy session in which the patient speaks about feelings of overwhelm and helplessness. The therapist compares his situation to an artwork by Ai Weiwei depicting a prison cell. This allows her to understand the patient's inner state and connect it with memories. In a later session, the patient is more lively and humorous and talks about a conflict with his girlfriend. The therapist reflects on the ambiguity and contradictions in the therapeutic relationship. [Extracted from the article]

It is commonly assumed that where consciousness is present, it is a single stream. This notion is bolstered by functions attributed to consciousness, particularly providing multi-faceted experience of a perceptual scene and contributing to the production of coherent behavior, which supposedly require consciousness to be unitary. It is believed that were the unitary structure of consciousness to break down, such that multiple streams of consciousness are present, these functions would be compromised. The split-brain syndrome is widely regarded as evidence for this claim. However, the split-brain syndrome is an atypical structure of human consciousness. As such, conclusions based on the split-brain syndrome regarding the structure and functions of consciousness may be limited in generalizability. There may be cases where multiple consciousness is neither maladaptive nor anomalous but is the naturally evolved configuration, and thus may not compromise the capacity of consciousness to subserve multi-faceted experience and coherent behavior. This paper speculates on the different forms multiple consciousness may take, and demonstrates how they may be able to implement the aforementioned functions of consciousness. In doing so, the paper demonstrates that the commitment a unitary model of consciousness may be due more to anatomical constraints than functional ones. [ABSTRACT FROM AUTHOR]

Background: Multiple sclerosis (MS) is a neurodegenerative immunological disease causing significant impairment in all life areas. Therefore, personality changes are observed and associated with higher prevalence of depression and anxiety disorders. Considering this relationship, we hypothesized that clinical symptoms and personality disorders are more prevalent in MS and that dysfunctional psychological mechanisms mediate the path from personality disorders to clinical symptoms. Methods: The study sample consisted of 43 patients with MS (age M = 41.9, SD = 11.5) and 31 controls (age M = 39.8, SD = 10.3). Measures of personality, anxiety, depression, fatigue, health status, and dysfunctional psychological mechanisms were conducted. Results: The prevalence of clinical symptoms was increased in MS patients as compared to controls. Also, dependent and schizoid personality traits (PTs) were observed in the patient sample. Negative automatic thoughts (NATs) were found to mediate the association between dependent PT and clinical symptoms. Along with schizoid PT, all dysfunctional psychological mechanisms impacted clinical symptoms. Discussion: The results of our research are in line with previous studies showing that anxiety, depression, and dysfunctional personality traits are more prevalent in MS as compared to controls. Conclusions: PTs and dysfunctional psychological mechanisms predicted depression, anxiety, fatigue, and health status in MS patients. Cognition acts as a strong mediator between PTs and psychopathology in MS. Hence, integrative personalized psychological treatment is recommended to improve the quality of care in MS. [ABSTRACT FROM AUTHOR]

The aim of this work was to examine the profile and treatment outcomes of patients with dual pathology depending on whether the patients were attending addiction centers or are being treated in a coordinated model by mental health services. Data from 7225 dual diagnosis patients were used, of whom 2417 (33.5%) received treatment in the mental health coordinated modality. Clinical information was taken from the patients' electronic health record. Differences were found in patients' sociodemographic and comorbidity profiles according to treatment modality. In general, coordinated care yielded favorable outcomes (higher attendance and lower dropout rates but no differences in retention). The logistic regression analysis identified predictors of patient profiles in coordinated care, emphasizing having a severe mental health disorder (OR = 3.878, 95% CI [3.443, 4.368]; p =.000), being referred by social/health services, or having retired status. Main differences were observed according to the comorbid diagnosis presented, particularly in cases in which the patient had impulse control, hyperkinetic, or cluster C personality disorder. While therapeutic outcomes are influenced by associated comorbidities, the disorders prognosis can be favorable with appropriate treatment. Furthermore, analysis of differences according to treatment modality allows for predicting the type of patient who will receive a particular service, which enables the development of tailored treatments. [ABSTRACT FROM AUTHOR]

Society asks individuals, such as front-line medical and emergency personnel or social media moderators, to help others under highly negative emotional circumstances, and those individuals need to regulate their emotions for their own well being. A well-studied form of emotion regulation is reappraisal, the use of cognitive processes used to reinterpret initial emotional responses to negative events. Distancing (pretending that a situation is distant in time or space) is well documented to be an effective form of emotion regulation, but it may not be applicable in social contexts where individuals must engage with distressing events to help others. Here, for the first time, we asked whether a novel reappraisal strategy focused on Social Good–imagining that an aversive event is also an opportunity to prevent harm to others–can be an effective form of reappraisal. In a pre-registered experiment, participants were randomly assigned to Distancing or Social Good conditions as they viewed neutral or highly aversive images and then reported their subjective emotional states with or without reappraisal. Both Distancing and Social Good reappraisals led to significantly less negative affect. Distancing yielded a stronger effect, but importantly, participants reported both Distancing and Social Good as equally easy to employ and both were effective across multiple demographic and personality characteristics, indicating the broad value of both as effective forms of reappraisal. Across both reappraisal conditions, effective reappraisal increased with age and positive affect. These findings indicate that Social Good is an effective reappraisal strategy and raise the possibility that it could be particularly valuable in contexts in which emotionally demanding tasks are completed on behalf of the good for other people. [ABSTRACT FROM AUTHOR]

Dissociative identity disorder (DID) is characterised by, among others, subjectively reported inter-identity amnesia, reflecting compromised information transfer between dissociative identity states. Studies have found conflicting results regarding memory transfer between dissociative identity states. Here, we investigated inter-identity amnesia in individuals with DID using self-relevant, subject specific stimuli, and behavioural and neural measures. Data of 46 matched participants were included; 14 individuals with DID in a trauma-avoidant state, 16 trauma-avoiding DID simulators, and 16 healthy controls. Reaction times and neural activation patterns related to three types of subject specific words were acquired and statistically analysed, namely non-self-relevant trauma-related words (NSt), self-relevant trauma-related words from a trauma-avoidant identity state (St), and trauma-related words from a trauma-related identity state (XSt). We found no differences in reaction times between XSt and St words and faster reaction times for XSt over NSt. Reaction times of the diagnosed DID group were the longest. Increased brain activation to XSt words was found in the frontal and parietal regions, while decreased brain activity was found in the anterior cingulate cortex in the diagnosed DID group. The current study reproduces and amalgamates previous behavioural reports as well as brain activation patterns. Our finding of increased cognitive control over self-relevant trauma-related knowledge processing has important clinical implications and calls for the redefinition of "inter-identity amnesia" to "inter-identity avoidance". [ABSTRACT FROM AUTHOR]

Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states. [ABSTRACT FROM AUTHOR]

"The Psychotherapist and the Professional Complaint: The Shadow Side of Therapy" is an edited collection of essays that provides critical perspectives on professional complaint processes in psychotherapy. The book explores the experiences of therapists who have received patient complaints, highlighting the emotional impact and potential harm to their professional reputations. It argues for the need to reform the current legalistic and adversarial processes for handling complaints, suggesting restorative justice and the alignment of professional bodies' complaints processes under a single disciplinary center. However, the book's focus on therapists as victims of false complaints raises ethical challenges and neglects the potential for therapists' own aggression and narcissism. It also lacks a thorough examination of social power structures and their impact on patients' ability to make valid complaints. Overall, the book emphasizes the need for a deeper exploration of the shadow side of the psychotherapy profession and ongoing issues related to social power structures. [Extracted from the article]

The "pace‐of‐life" syndrome (POLS) framework can encompass multiple personality axes that drive important functional behaviors (e.g., foraging behavior) and that co‐vary with multiple life history traits. Food hoarding is an adaptive behavior important for an animal's ability to adapt to seasonal fluctuations in food availability. However, the empirical evidence for the relationships between animal personality and hoarding behavior remains unclear, including its fitness consequences in the POLS framework. In this study, the Mongolian gerbil (Meriones unguiculatus), a social rodent, was used as a model system to investigate how boldness or shyness is associated with food hoarding strategies during the food hoarding season and their impact on over‐winter survival and reproduction at both individual and group levels. The results of this study showed that, compared with shy gerbils, bold gerbils had a lower effort foraging strategy during the food hoarding season and exhibited lower over‐winter survival rates. However, bold–shy personality differences had no effect on over‐winter reproduction. These findings suggest that the personality is a crucial factor influencing the foraging strategy during the food hoarding season in Mongolian gerbils. Personality may be related to energy states or the reaction to environmental changes (e.g., predation risk and food availability) in bold or shy social animals. These results reflect animal life history trade‐offs between current versus future reproduction and reproduction versus self‐maintenance, thereby helping Mongolian gerbils in adapting to seasonal fluctuations in their habitat. [ABSTRACT FROM AUTHOR]

The diagnosis of dissociative identity disorder (DID) has been associated with controversy and remains an area of dispute among clinicians to this day. This review explores the evolution of the diagnosis and how it is currently described and understood in the International Classification of Diseases (ICD‐11) and Diagnostic and Statistical Manual of Mental Disorders (DSM‐5). Also considered, are recent implications for clinical practice, treatment recommendations and the potential for any medicolegal issues to emerge. [ABSTRACT FROM AUTHOR]

Dissociative Identity Disorder is a mental disorder in which seemingly independent identities arise within the same body. It is a disorder that raises profound questions about our understandings of certain theological concepts and doctrines, especially if one can consider the different identities to be different persons. In this paper, I shall provide support for this claim by exploring the implications that Dissociative Identity Disorder can have for our understanding of the indwelling of the Holy Spirit. After outlining two models of the indwelling that have been proposed in the contemporary analytic literature, I am going to explain the problem that Dissociative Identity Disorder seems to raise for these models. I will then consider various potential solutions and shall highlight which I find to be the most convincing. [ABSTRACT FROM AUTHOR]

BACKGROUND Previous research indicated that social categorization increased intergroup attitude. The current study extended research on social categorization by adopting the multiple personality categorization concept to explore whether it would alter intergroup attitudes toward Muslims and Buddhists. PARTICIPANTS AND PROCEDURE Study 1 examined multiple personality category perceptions among Buddhist and Muslim students living in the troubled southern provinces. Participants were 382 Thai Buddhist and Muslims students of mean age 20.15 years (SD = 1.01). They took the multiple personality categorization perception scale on outgroup perceived personality. Study 2 evaluated a mediated social identity complexity and a moderated personal value in association between multiple personality categorization and intergroup attitudes. Participants were 150 Thai Buddhists and Muslim students of mean age 20.31 years (SD = 0.94). They took the scales of multiple personality categorization: short version, intergroup attitudes, social identity complexity, and personal values. Descriptive statistics, independent f-tests and SEM were used to test hypotheses. RESULTS Study 1: Ten shared traits were identified (creative, smart, objective, talented, generous, kind, curious, resourceful, serious, skeptical) by both groups. This brought up awareness of similarity in shared personalities. Study 2: Multiple personality categorization and personal values were linked positively with intergroup attitudes. Personal values affected the links between multiple personality categorization and intergroup attitudes. However, social identity complexity as a mediator was nonsignificant. CONCLUSIONS Muslim and Buddhist students were stimulated to explore their similarity in personality traits. Educators and policy makers may use the findings on personal values and multiple personality categorization to plan long-term sustainable cooperation between Buddhists and Muslims. [ABSTRACT FROM AUTHOR]

Dissociative Identity Disorder (DID) is a highly disabling diagnosis, characterized by the presence of two or more personality states which impacts global functioning, with a substantial risk of suicide. The International Society for the Study of Trauma and Dissociation (ISSTD) published guidelines for treating DID in 2011 that noted individual Psychodynamically Informed Psychotherapy (PDIP) was a cornerstone of treatment. This paper systematically reviews the evidence base for PDIP in the treatment of adults with DID according to the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Thirty-five articles were located and reviewed: seven prospective longitudinal publications, 13 case series and 15 case studies. Results suggested that PDIP has been widely deployed in DID to reported good effect with a range of treatment protocols and using multiple theoretical models. Despite the positive findings observed, the evidence base remains at the level of observational-descriptive design. Creative approaches in recent years have been developed, which add empirical weight to the use of PDIP as an effective treatment. The elevation to observational-analytic designs in the Evidence-Based Medicine hierarchy has yet to take place. Bearing in mind the challenges of research in PDIP, suggestions are offered for how the evidence base might develop. [ABSTRACT FROM AUTHOR]

The recent social media–led and –centered movement encouraging mental health awareness, disclosure, and discussion, primarily among adolescents,1 can have significant benefits, including reducing mental health stigma, providing peer and social support, and disseminating information. Conversely, mental health disclosure online provides a catalyst for spreading misinformation and cyberbullying. It may also present opportunities for monetary and other forms of secondary gain; for example, some TikTok dissociative identity disorder (DID) influencers have vast numbers of followers and include donation links to their Venmo and PayPal accounts. At the time of this writing, TikTok hashtags "#did," "#didsystem," and "#dissociativeidentitydisorder" have amassed hundreds of thousands of views. [ABSTRACT FROM AUTHOR]

Objective: Child maltreatment, dissociation and dissociative disorders have been noted in relationship to eating disorders (EDs) for decades, and their co‐occurrence generally is associated with greater morbidity, self‐harm and mortality. The concomitant presentation of dissociative identity disorder (DID) with an ED (ED + DID) is especially challenging, and there is limited information on approaches to and the effects of integrated treatment for this serious comorbidity, especially in higher levels of care. There are also limited treatment resources for such patients, since they are often turned away from specialty units due to lack of expertise with or bias toward one or the other disorder. Method: We report our experience with a case series of 18 patients with DSM‐5 defined ED + DID (mean age (SD) = 32.6 (11.8) years) admitted to residential treatment (RT) and assessed using validated measures for symptoms of ED, major depression (MD), PTSD, state–trait anxiety, quality of life (QOL), age of ED onset, and family involvement during treatment. All patients received integrated, multimodal, trauma‐focused approaches including those based on DID practice guidelines, principles of cognitive processing therapy (CPT), and other evidence‐based approaches. Fifteen of 18 patients also completed discharge reassessments, which were compared to admission values using paired t‐tests. Results: Following integrated, trauma‐focused RT, patients with ED + DID demonstrated statistically significant improvements in all measures, with medium (anxiety) to high (ED, PTSD, MD, QOL) effect sizes. Discussion: These results provide positive proof of concept that patients with ED + DID can be effectively treated in a specialty, trauma‐focused ED program at higher levels of care. Public Significance: EDs and dissociative identity disorder (DID) are related conditions, but little is known about treating patients with both conditions. We describe the clinical features and integrated treatment of 18 such patients, 15 of whom completed discharge assessments. Significant clinical improvements were found in multiple domains (ED, PTSD, mood, anxiety, quality of life), which demonstrate positive proof of concept that ED + DID can be effectively treated in a specialty, trauma‐focused ED program. [ABSTRACT FROM AUTHOR]

The article focuses on the history and evolution of the International Society for the Study of Trauma and Dissociation's (ISSTD) Professional Training Program (PTP), tracing its origins to the year 2000. Topics include the development of the program, its restructuring, increased global participation, and plans for future advanced training modules in areas such as psychopharmacology, institutional betrayal, and addictions and eating disorders.

Background: While several studies documented a positive correlation between childhood maltreatment severity and dissociation severity, it is currently unknown whether specific dissociative symptoms cluster together among individuals with childhood trauma histories ranging from none to severe. Objective: We aimed to explore symptom constellations across the whole spectrum of dissociative processing from patients with severe dissociative disorders to healthy controls and relate these to maltreatment severity and sociodemographic characteristics. Methods: We employed latent profile analysis to explore symptom profiles based on five subscales, measuring absorption, depersonalization, derealization, somatoform and identity alteration, based on the 20 items of the German short version of the Dissociative Experiences Scale-II (Fragebogen zu Dissoziativen Symptomen-20) in a large aggregate sample (n = 3,128) overrepresenting patients with trauma-related disorders. We then related these profiles to maltreatment severity as measured by the five subscales of the Childhood Trauma Questionnaire as well as sociodemographic characteristics. Results: Based on the five FDS subscales, six clusters differentiated by symptom severity, but not symptom constellations, were identified. Somatoform dissociation varied in accordance with the remaining symptom clusters. The cluster with the highest overall symptom severity entailed nearly all subjects diagnosed with Dissociative Identity Disorder and was characterized by extreme levels of childhood maltreatment. Both abuse and neglect were predictive of cluster membership throughout. Conclusions: The higher the severity of dissociative processing in a cluster, the more subjects reported high severity and multiplicity of childhood maltreatment. However, some subjects remain resilient to the development of dissociative processing although they experience extreme childhood maltreatment. [ABSTRACT FROM AUTHOR]

Objective: Unusual clinical course Background: We report the case of a 28-year-old man with comorbidity of OCD, PTSD, and DID responding to aripiprazole augmentation of clomipramine combined with psychoeducation and exposure and response prevention (ERP). Case Report: A 28-year-old, well-educated man presented with depression, obsessive thoughts, behavioral impulsivity, and suicidal thoughts/behavior. He was known to be stubborn and sensitive to criticism since childhood. The obsessive thoughts and compulsive behaviors also started at an early age. He had 4 past psychiatric hospitalizations, mostly for dissociative episodes and bizarre behaviors, complicated with significant anxiety and distress from traumatic experiences during doctoral study. He had no-to-minimal responses to various psychotropics and traditional Chinese medicine. A thorough assessment showed he met the diagnostic criteria for OCD, PTSD, and DID. He was then treated with clomipramine in combination with aripiprazole, plus psychoeducation and exposure and response prevention (ERP). His anxiety and irritability significantly improved within 2 months and his obsessive thoughts faded away. At 6-month follow-up, the patient achieved clinical remission. One year later, he remained stable and reported having a normal life. Conclusions: The case illustrates both how impairing the comorbidity of OCD, PTSD, and DID can be and how concurrent use of tricyclic antidepressant (TCA) clomipramine and partial dopamine agonist aripiprazole, together with psychoeducation and ERP, can improve outcomes when other treatment choices fail to be effective. [ABSTRACT FROM AUTHOR]

Associative processes that provide salience through sorting of mental content rely upon dissociative processes to remove non-salient content from awareness, like not noticing the glasses on your nose. When association fails in trauma, as capacities to assimilate and accommodate experience are outstripped by that experience being outside the usual range of human experience, then more elaborate dissociative experience like depersonalization and derealization may become active to help us tolerate our perception even if it costs the price of isolated affect or additional amnesia for experience. With repetition of traumatic experience identity confusion and identity alteration may occur, effectively generating the less common dissociative identity disorder. This guide first explores the basis of dissociative experience as a prelude to the reader's foray into the subject of this special issue of this journal. Additionally, the writer delves into aspects of the work of a world-class collection of authoritative articles to fully flesh them out or emphasize critically important perspectives. Finally, the centrality of the relationship in psychotherapy is emphasized as a requirement for effective treatment when persistent dissociative processes dominate the activities of a wounded human mind. [ABSTRACT FROM AUTHOR]

Dissociative identity disorder (DID) is life-long, childhood-onset, posttraumatic developmental disorder where chronic early-life maltreatment and attachment disturbances prevents the child's development of a continuous sense of self across emotional states, relationships, and social contexts. As development proceeds, these self-states acquire a sense of themselves, a capacity for information processing, memory, emotion, and behavior. Conceptualizing DID involves paradoxes and apparent contradictions. DID has been categorized as a severe mental illness with major psychiatric comorbidities. Studies show that DID individuals have a unique personality organization with repeated, often covert posttraumatic reactivity, especially in relationships (e.g., therapy). Paradoxically, research shows that, during development, DID individuals preserve psychological resiliencies consistent with responsivity to long-term, psychodynamically informed treatment. These include, when not stressed, capacities for therapeutic alliance, reality testing, and observing ego. [ABSTRACT FROM AUTHOR]

Recent research emphasizes the importance of personalized treatment in forensic psychiatry. However, the heterogeneity of forensic patients regarding psychopathology, offenses and risk and protective factors makes it difficult to provide personalized treatment. To facilitate the treatment indication process, previous research has developed patient profiles with corresponding treatment trajectories to compare individual patients with more homogeneous groups. The current study applied latent class analysis in 399 high-security patients in the two Forensic Psychiatric Centres in Flanders, based on their psychopathology, criminal history and risk and protective factors (Historical Clinical Future - Revised; HKT-R). Five patient profiles were found: the antisocial patient, the psychotic patient with diverse criminal behaviour, the patient with a personality disorder and multiple problems, the psychotic patient with physical violent crimes and the patient with a paraphilic disorder and sexual crimes. Similarities and differences from previous research and the importance to clinical practice and research are discussed. [ABSTRACT FROM AUTHOR]

• A new VQA for Big-Five-Factors personality traits identification. • A deep model for integrating text and person/face recognition-based features. • A dynamic Text-Object graph and a clip Transformer encoder have been explored. • A New dataset has been created, which will be released to the public for research. Visual Question Answering (VQA) for personality trait images on social media is challenging because of multiple emotions and actions with complex backgrounds in social media images. This work aims at developing a new VQA model for different personality traits (VQAPT) identification in a single image. This work considers the Big Five Factors (BFF) for personality traits namely, Openness, Conscientiousness, Extraversion, Agreeableness and Neuroticism. VQA is proposed based on the observation that multiple personality traits can be seen in a single image. We propose a model integrating text recognition and person/face recognition to derive the unique relationship between the text and the person's action in the image. Furthermore, a dynamic text-object graph for personality traits identification is constructed according to the query. For understanding a query, we explore the Contrastive Language-Image Pre-trained (CLIP) transformer encoder in this work. Since it is the first work of its kind, we have created a new dataset under this work for evaluation and the dataset is available publicly as mentioned in Section 4. The effectiveness of the proposed method is also evaluated on two benchmark datasets, namely TextVQA for VQA and PTI for personality traits identification. [Display omitted] [ABSTRACT FROM AUTHOR]

Background: Dissociative Identity Disorder (DID) is a rare condition that causes alternation of at least two separate personality states and has a prevalence of less than 1% in the general population. This study aims to appraise the social media platforms, YouTube and TikTok, as sources of medical information on DID. Methods: YouTube and TikTok were queried using the following search phrases: “Dissociative Identity Disorder,” “Multiple Personality Disorder,” and “Split Personality Disorder.” The top 60 videos by views for YouTube and likes for TikTok were selected from each search term on each platform. Videos were reviewed by four independent reviewers using a modified DISCERN (mDISCERN) Scale, Global Quality Scale (GQS), and they were further classified as useful, misleading, or neither useful or misleading. Results: Number of videos that met criteria were 60 YouTube videos and 97 TikTok videos. After classification, 51.7% of YouTube videos were useful while only 5.2% of TikTok videos were useful. A significant difference was found between (mDISCERN and GQS) score and the video source, type of content, and classification (α < 0.05). Limitations: This study focused exclusively on English videos. Additionally, it did not evaluate other social media platforms that are used worldwide. Conclusion: This results of this study show the need for healthcare professionals and organizations to not only create content of high quality but increase engagement on social media platforms, particularly TikTok, in order to educate users on DID.

Some evidence in non-clinical groups suggests that the relationship context in which dissociation is experienced might moderate its association with shame. The current study used vignettes detailing either dissociative symptoms or the expression of sadness occurring in three different relationship contexts: with a friend, an acquaintance, or when alone. Ratings of emotional (e.g. shame, anxiety) and behavioral (e.g. leave, talk) reactions were made on single-item measures, and shame feelings were further assessed with the State Shame Scale. Participants were in treatment for either dissociative identity disorder (n = 31) or other specified dissociative disorder (n = 3; N = 34). Feelings of shame were elevated in the acquaintance condition compared to when with a close friend or alone regardless of whether dissociation or sadness was experienced. In the acquaintance context, participants exposed to dissociation or sadness reported feeling annoyed at themselves, having a greater desire to leave, and a lesser desire to talk compared to when these experiences happened with a close friend or alone. Results suggest those with a dissociative disorder appraise themselves as more vulnerable to shame if experiencing dissociation or sadness when with an acquaintance, potentially because the risk of not being understood and rejected is heightened. [ABSTRACT FROM AUTHOR]

Anomalous strange-face illusions (SFIs) are produced when mirror gazing under a low level of face illumination. In contrast to past studies in which an observer's task was to pay attention to the reflected face and to perceive potential facial changes, the present research used a mirror gazing task (MGT) that instructed participants to fixate their gaze on a 4-mm hole in a glass mirror. The participants' eye-blink rates were thus measured without priming any facial changes. Twenty-one healthy young individuals participated in the MGT and a control panel-fixation task (staring at a hole in a gray non-reflective panel). The Revised Strange-Face Questionnaire (SFQ-R) indexed derealization (deformations of facial features; FD), depersonalization (bodily face detachment; BD), and dissociative identity (new or unknown identities; DI) scales. Mirror-fixation increased FD, BD, and DI scores compared to panel-fixation. In mirror-fixation, FD scores revealed fading specific to facial features, distinct from "classical" Troxler- and Brewster-fading. In mirror-fixation, eye-blink rates correlated negatively with FD scores. Panel-fixation produced low BD scores, and, in a few participants, face pareidolias as detected on FD scores. Females were more prone to early derealization and males to compartmentalization of a dissociative identity. SFQ-R may be a valuable instrument for measuring face-specific dissociation (FD, BD, DI) produced by MGT. Use of MGT and panel-fixation task for differential diagnoses between schizophrenia and dissociative identity disorder is discussed. [ABSTRACT FROM AUTHOR]

Multiple identities of employees are different and will tangibly or intangibly influence innovative behavior of employees. Based on social identity theory, this study examines the relationship between multiple identities of employees and innovative behavior of dual paths (future time perspective and work-family conflict), and further explores whether employees have a moderating effect on the aforementioned relationship under the situational aesthetic. In this study, 1,019 cross-industry employees were selected as research objects. Results include: (1) the higher the level of multiple identities, the more the employees exhibit innovative behavior; (2) the future time perspective mediates the relationship between multiple identities and innovative behavior; (3) multiple identities reduce the performance of employees' innovative behavior through increases in work-family conflict.; and (4) the situational aesthetic has a moderating effect on the relationship between work-family conflict and innovative behavior. When the situational aesthetic is high, the higher the employee's work-family conflict, the greater the employee's innovative behavior. By contrast, when the situational aesthetic is low, the higher the employee's work-family conflict, the lower their innovative behavior. Finally, this study discusses the theoretical and managerial implications. [ABSTRACT FROM AUTHOR]

Introduction: Dissociative identity disorder (DID) is characterized by, among others, amnesic episodes and the recurrence of different dissociative identity states. While consistently observed in clinical settings, to our knowledge, no controlled research study has shown the degree to which different identity states report autobiographical knowledge over time. Hence, the current study investigates self‐relevance and emotional intensity ratings of words longitudinally. Methods: Data of 46 participants were included: 13 individuals with DID, 11 DID‐simulating actors, and a control group of 22 paired individuals. Individuals with DID and DID simulators participated once in the neutral identity state (NIS) and once in the trauma‐related dissociative identity state (TIS). The control group paired 11 healthy controls with 11 participants with posttraumatic stress disorder (PTSD) as a NIS–TIS pair. Self‐relevance ratings of different word types were collected in a baseline and a follow‐up session, on average 6 weeks apart. A mixed ANOVA design was used to assess the effects of group, session, word type, and dissociative identity state. Results: All participants in TIS and individuals with DID in NIS rated self‐relevant trauma‐related words more negatively. In the NIS, the control group rated self‐relevant trauma‐related words as less negative, whereas the ratings of simulating actors were intermediate. There was no group‐dependent longitudinal effect for intensity ratings. Conclusions: This study was the first to confirm clinical observations that self‐relevant and emotional processing are different between individuals with DID and controls, but consistent over time. Actors were unable to perfectly simulate DID. The finding that ratings of self‐relevant trauma‐related words differ between subgroups as included in the study is in line with clinical observations. [ABSTRACT FROM AUTHOR]

Dissociative Identity Disorder (DID), formerly Multiple Personality Disorder, involves two or more distinct identities controlling behaviour, stemming from trauma-related dissociation. Understanding DID's cognitive, neural, and psychometric aspects remains a challenge, especially in distinguishing genuine cases from malingering. We present a case of a DID patient with nine identities, evaluated to rule out malingering. Using the Millon Index of Personality Styles, we assessed the primary and two alternate identities, revealing marked differences. High consistency scores support validity. We suggest employing personality inventories beyond symptomatology to characterise dissociative identities' consistency and adaptation styles, aiding in malingering assessments in future studies. [ABSTRACT FROM AUTHOR]

The article discusses Joseph Fernando's book, "A Psychoanalytic Understanding of Trauma," which offers a specific approach to examining trauma based on different unconscious processes. The book explores the concept of the zero process, which explains the mental shutdown that occurs in extreme traumatic situations. Fernando differentiates trauma from other psychopathologies and emphasizes the importance of addressing traumatic repetitions and their defenses directly in therapy. The article praises Fernando's work as a significant contribution to the literature on trauma and suggests that it will lead to improved treatment methods. [Extracted from the article]

In response to brood parasitism, which significantly reduces the reproductive success of avian hosts, hosts have evolved the ability to recognize and reject parasitic eggs. Many studies have revealed the factors influencing egg recognition and egg rejection. Recent work has demonstrated that host personality along the bold–shy continuum can influence egg rejection behaviour. In addition, the egg rejection behaviour of hosts differs among populations, suggesting that individuals with different personalities might evolve various adaptive behaviours under different parasitic pressures, but there have been few relevant experiments to test this. In the present study, two populations of the Japanese tit, Parus minor , distributed in China were used to examine whether there were differences in egg rejection behaviour of individuals with different personalities. The results showed that egg rejection rates of bold individuals (which remained in the nest box when encountering human invaders) and shy individuals (which immediately flew away from the nest box when encountering human invaders) were similar in both populations of the Japanese tit, and there were also no significant differences in egg rejection rates between individuals of the same personality in the two populations. This study suggests that host personality along the bold–shy continuum does not account for egg rejection behaviour in Japanese tits. This might be attributable either to other factors that affect egg rejection behaviour counteracting the effect of personality or to the presence of multiple personality traits that act together in the Japanese tits, counteracting the effect of a single personality trait. [ABSTRACT FROM AUTHOR]

Between 1983 and 1989, the number of women in U.S. jails more than doubled and continues to increase. Most women behind bars have been victims of violence including childhood sexual abuse. This may lead to psychiatric dissociative disorders such as Complex Post‐Traumatic Stress Disorder and Dissociative Identity Disorder (Multiple Personality Disorder.). It is difficult for clinicians to study these women. This article describes several severe dissociative disorders in the women in the Washington, D.C. Detention Center ("D.C. jail") from September 1987 to September 1989. The author was able to live with them for more than 2 years. The author, a surgeon, kept a diary and frequently intervened in the episodes described here. Conditions in the co‐ed jail were hostile and dangerous to the women inmates. The women's observed dissociative behaviors included Dissociative Identity Disorder ("DID"), prolonged screaming, and prolonged sexual self‐abuse. Dissociative episodes could trigger ones in other women inmates or even in female jail "Officers." The author suggests (i) that dissociation is likely to be common and severe among incarcerated women (ii) that at least one of its antecedents here is severe childhood sexual abuse and that (iii) judicial and correctional biases exacerbate these symptoms. [ABSTRACT FROM AUTHOR]

Objectives: Dissociative identity disorder (DID) and schizophrenia‐spectrum disorders (SSD) share some overlapping phenomenological features making accurate diagnosis more difficult. Childhood abuse and depersonalization have been associated with psychotic symptoms across psychological disorders but their relationship to psychotic phenomenology remains understudied. Method: The present study used quantitative measures to examine (1) similarities and differences in phenomenological voice hearing experiences, interpretations of voices, and thought disorder symptoms in individuals with DID (n = 44) or SSD (n = 45), and (2) whether depersonalization and childhood maltreatment influenced the initial pattern of findings. Results: DID participants perceived their voices as being more internally located and generated, louder, and uncontrollable than SSD participants. Furthermore, the DID participants endorsed a greater frequency of thought disorder symptoms. Adding the covariates (sex, depersonalization, and child maltreatment) did not change the findings associated with location and origin of voices, and derailment, but there were now no differences in loudness or controllability. However, the schizophrenia sample reported more distress and metaphysical beliefs associated with voices, as well as more thought disorder incoherence and word substitution with the covariates controlled. Conclusion: While tentative, metaphysical interpretations of voices, incoherent thoughts and word substitution may reflect more psychotic processes. [ABSTRACT FROM AUTHOR]