THE DISSOCIATIVE CONFABULATORY PROBLEM
Authors: Simona Trifu , Irina Boeru , Ilinca Vlaicu , Amelia Damiana Trifu , Ana Miruna Drăgoi
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Motivation/Background: The dissociative identity disorder implies as central defense the
dissociation, that is being more recently studied. With the identification of the importance of this
mechanism of functioning, the modern psychiatrists show the interest of this area, not only about
the spectrum of the discharge, as was the case in Freud's time. Dissociative identity disorder
involves a patient who can function in any registry, be it neurotic, psychotic or disharmonic.
Method: Study of specialized literature, psychodynamic and psychoanalytic psychiatric
perspective, psychiatric evaluation, evaluation of intrapsychic dynamics, transfer and
countertransference analysis, hypnosis option study.
Results: Psychically, patients function within a DID, with particularities such as the construction
of illogisms, reversing the cause with the effect, sliding the speech towards the secondary
meanings of the words, sliding easily from general to particular and from abstract to concrete.
From the dissociative dimension we find the impersonal speech or the use of several pronouns
with reference to the self and the denial of reality as a handy way to deal with the trauma, which
we suppose from the register of abuse.
Conclusions: We find several personalities with symbolic meanings, with a deficit of
mentalization, sometimes with an emphatic laugh and an attitude of superiority.