Dissociative psychosis – regarding a clinical case

Authors

  • Pedro Felgueiras IFE Psiquiatria
  • Ana Miguel Centro Hospitalar de Vila Nova de Gaia
  • Nélson Almeida Centro Hospitalar de Vila Nova de Gaia
  • Joana Silva Ribeiro Centro Hospitalar de Vila Nova de Gaia

DOI:

https://doi.org/10.25752/psi.21924

Keywords:

Dissociative psychosis, Janet, Dissociation, Psychosis

Abstract

Background: Janet's dissociative psychosis contemplates the phenomenon of dividing the personality during a traumatic life event. In a context of intense emotional stress, the level of energy attached to the dimension that maintains the individual's functionality can decrease and allow the expression of the dimension associated with the primary event. This phenomenon is expressed in a condition with changes in sense-perception and thinking.

Aims: Regarding a clinical case, to revisit a classical description of the dissociation process, with recourse to a clinical case, by integrating the anamnesis.

Methods: A comprehensive psychopathological approach to the clinical case was carried out.

Results and Conclusions: Female patient, 26 years of age , irrelevant medical-surgical history. Biographical journey with two traumatic life events (parents' death, aged 18 and 22). Sudden psychopathological clinical state of disorganized and incoherent speech, derailed thinking with grandiose and self-referential ideas, involving parents. Critical anamnesis made the authors revisit a classic description of the psychotic process, in particular a continuum between dissociation and psychosis.

Published

2023-12-30

Issue

Section

Case Reports