Dissociative Disorders

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EVOLUTIONARY CLASSIFICATION DISORDER: Dissociative

Archetypal Disruption
Disorders of:

A
Attachment Archetype

B
Hierarchical/
Ranking Archetype

C
Courtship/ Mating
Archetype

D
Threat Response Archetype

1. Malf-
unction

1.1
Modular

1.1A

1.1B

1.1C

1.1D

1.2
Integrative

1.2A

1.2B

1.2C

1.2D

2. Dys-
regulation

2.1 Environmental Uniqueness

2.1A

2.1B

2.1C

2.1D

2.2
Maladaptive Meme

2.2A

2.2B

2.2C

2.2D

3. Sociability

3.1
By-product (trade off)

3.1A

3.1B

3.1C

3.1D

3.2
Defense
3.2A 3.2B 3.2C 3.2D

As a Disorder of Integration

Edelman & Tononi (2000) note the striking similarity between neurological disconnection syndromes and psychiatric dissociation syndromes (conversion or psychogenic symptoms such as hysterical sensory symptoms e.g. hysterical blindness, where the ability to see becomes unconscious, fugue states, hypnotic analgesia or amnesia, multiple personality disorder, depersonalisation, derealisation).

They suggest both represent disorders of integration, with alterations in the degree of interactivity between brain areas, due to impairment of re-entrant interactions.  Re-entry is a central feature of their Evolutionary Theory of Neuronal Group Selection Studies by Benjamin Libet (1983) in the 1970s & by Edelman & Tononi (2000) have found that for a stimulus to be consciously perceived, there was the requirement of ongoing, sustained neuronal activity (in the order of 100-500 msec such that anything shorter would result in "subliminal perception" i.e. registered but unconscious) in the form of rapidly integrating re-entrant interactions between multiple brain regions, especially among the distributed neurones in the thalamocortical system.  

LeDoux related, in his book The Emotional Brain, how split-brain surgery revealed evidence for the dichotomy between cognition (thinking) & emotion (feeling) in the brain.  When examining patients who had had their corpus callosum (nerve fibres permitting information sharing between the brain's left & right hemispheres) severed, he found clear evidence that emotional processing occurs in independent fibres to that of somatosensory & cognitive processing.  For example, he found a patient in whom emotional information was exchanged between the left & right hemispheres but not cognitive information, such that when the patient was shown pictures that reached only his right hemisphere, he was not able to say what he saw but he was able to indicate how the picture made him feel.  LeDoux concluded that Freud was correct in proposing that "the unconscious is the home of our emotions, which were dissociated from normal thought processes" (LeDoux 1996).

Other mental disorders that have symptoms suggestive of degrees of disconnection occurring are schizophrenia (delusions - in particular first rank symptoms (recurrent ego-dystonic intrusive thoughts), hallucinations (ego-dystonic intrusive auditory sounds and communications), disorganised speech & behaviour) & obsessive compulsive disorder (recurrent ego-syntonic intrusive thoughts & images).  

 


As a Disorder of the Attachment Archetype

Disorganised-disoriented insecure attachment, a primary risk factor for the development of psychiatric disorders, has been specifically implicated in the aetiology of the dissociative disorders (Schore 2002).

Dissociative symptoms are common in borderline personality disorder, schizoid personality disorder and antisocial personality disorder.

 


As a Disorder of the Threat Response Archetype

From the perspective of developmental psychopathology, dissociation has been described as offering "potentially very rich models for understanding the ontogeny of environmentally produced psychiatric conditions" (Putnam 1995).  It is thought that dissociation at the time of exposure to extreme stress signals the invocation of neural mechanisms that result in long-term alterations in brain functioningRussell Meares (1999) concluded that in all stages "dissociation, at its first occurrence, is a consequence of a 'psychological shock' or high arousal."

Dissociative symptoms are common in acute stress reactions and PTSD

 


3.1A, 3.1D (By-prod. Sociab. Dis, Defens. Sociab. Dis.)

Bracha (2006) argues that this "stress and fear circuitry disorder" results from "overconsolidation" of gene-culture co-evolution. (See Classification Intro)

 
Era Time-depth Fear circuits Inheritance type
1. Mesozoic Era mammalian-wide 
evolved fear circuits 
140,000,000 yrs
 
2. Cenozoic Era 
simian-wide 
evolved fear circuits
20,000,000 yrs    
3. Mid/Upper Paleolithic 
H. Sapiens-wide 
evolved fear circuits
200,000-70,000 yrs (mid)

70,000-12,000 yrs (upper)

   
4. Neolithic culture-bound genome specific evolved fear circuits (fear adaptations) 12,000 years UNLOCALIZED (PSEUDO-SOMATIC) SYMPTOMS IN THE CONVERSIVE DISSOCIATIVE SPECTRUM:

Pseudo-cytokine-driven (pseudo-infectious) fear symptoms 

Epidemic pseudo-cytokine driven (pseudo-infectious) fear symptoms

Primary dissociative disorder?

PSEUDO-LOCALIZED (PSEUDONEUROLOGICAL “CONVERSIVE”)
SYMPTOMS: 

Psychogenic non-epileptic attacks (pseudoseizures)

Epidemic sociogenic illness “epidemic hysteria”

Psychogenic pseudoparalysis (e.g. limping)

Psychogenic imbalance (Pseudocerebellar symptoms)

Psychogenic blindness

Species atypical (psychopathological) fear circuits firm-wired (prepotentiated) in a small no. of extant humans by previously rare allele variants, spread after the emergence of human Neolithic tribalism (cultures) & mostly by gene-culture co-evolution & by mate-choice driven stabilising selection.

 

 

 



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Citation suggestion: Dr Gary Galambos, Dissociative Disorders, Evolutionary Psychiatry Home Sydney Australia (http://www.ep.org.au/dis/dissoc.htm) [date accessed]
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Page last updated: 02 December 2007