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Feeling Unreal

Daphne Simeon, Jeffrey Abugel

June 22, 2023 DOI: 10.1093/oso/9780197622445.001.0001

Summary

AI-generated from the abstract

Depersonalization/derealization disorder is comprehensively examined, covering its history, diagnosis, and treatment. The book describes the dissociative state of feeling unreal through personal vignettes and explores both psychological and biological perspectives. Treatment options discussed include medications, transcranial magnetic stimulation, and various psychotherapies such as cognitive-behavioral, acceptance, mindfulness, and psychodynamic approaches. Literary and philosophical reflections enrich the understanding, and contemporary societal factors like chronic internet use and virtual reality are explored for their impact on detachment.

Study at a glance

Characteristics Review
Key finding Depersonalization/derealization disorder is a dissociative state of mind that can be understood through psychological and biological perspectives, with multiple treatment approaches available.

Abstract

Abstract Feeling Unreal presents a comprehensive and contemporary overview of depersonalization/derealization disorder. The book examines in depth, and through many personal vignettes, the many shapes and forms that the dissociative state of mind known as depersonalization takes, its conceptualization over the past two centuries of psychiatric study, its detection, and its measurement. The diagnosis and differential diagnosis of the disorder are explicated and brought to life with clinical vignettes. The book covers with similar attention and details both psychological and biological perspectives on understanding the disorder. Treatment chapters discuss medications and transcranial magnetic stimulation; psychoeducation; and cognitive-behavioral, acceptance, mindfulness, and psychodynamic approaches to psychotherapy. Illuminating literary and philosophical reflections on the condition enrich the reading. Contemporary societal factors such as chronic internet use and virtual reality and their impact on detachment and depersonalization are explored.

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