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Are dissociative psychosis and dissociative schizophrenia reality?

Hasan Belli

World Journal of Psychiatry April 19, 2025 DOI: 10.5498/wjp.v15.i4.102008

Summary

AI-generated from the abstract

Dissociative psychosis and dissociative schizophrenia are clinical concepts that may offer new perspectives on mental disorders. Research has not demonstrated a clear and valid relationship between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders, though some statistical comparisons support the existence of these clinical manifestations. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be prominent in dissociative psychosis and schizophrenia, while intense negative symptoms may indicate classical schizophrenia. Psychometric tests can help detect dissociative psychosis symptoms. Psychotic individuals with traumatic experiences may benefit from trauma-focused treatment.

Study at a glance

Characteristics Review Peer reviewed
Key finding Research has not demonstrated a clear and valid relationship between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders, though some statistical comparisons support the existence of dissociative psychosis and dissociative schizophrenia.

Abstract

Even if dissociation has various facets, it is clear that knowledge of dissociative psychosis and a dissociative schizophrenia-based viewpoint may provide new perspectives on mental disorders. Many researchers screening for comorbid symptoms of “childhood traumatic experiences” and “dissociation”, where specific characteristics are significant to the presence of psychosis and schizophrenia, may lead to an acceptable definition. In recent years, researchers have also reported crucial advances in the understanding of dissociative psychosis and dissociative schizophrenia. Although clinical studies in this area have been ongoing for a long time, research has not demonstrated that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. However, some results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis and dissociative schizophrenia. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be a prominent part of dissociative psychosis and schizophrenia. The intense presence of negative symptoms may indicate classical schizophrenia. In research and clinical practice, researchers and clinicians may use psychometric tests to detect symptoms of dissociative psychosis. Psychotic persons with traumatic experiences likely benefit from treatment focused on trauma symptomatolgy.

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