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Case Reports in Psychiatry
Volume 2014 (2014), Article ID 425892, 6 pages
http://dx.doi.org/10.1155/2014/425892
Case Report

Dissociative Disorders: Between Neurosis and Psychosis

Department of Mental Health and Psychiatry, General Psychiatry Department, University Hospital of Geneva, CAPPI Jonction, Rue des Bains 35, 1205 Geneva, Switzerland

Received 4 May 2014; Revised 17 August 2014; Accepted 15 September 2014; Published 22 October 2014

Academic Editor: Thomas Frodl

Copyright © 2014 C. Devillé et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dissociative disorders are a set of disorders defined by a disturbance affecting functions that are normally integrated with a prevalence of 2.4 percent in industrialised countries. These disorders are often poorly diagnosed or misdiagnosed because of sharing common clinical features with psychotic disorders, but requiring a very different trajectory of care. Repeated clinical situations in a crisis centre in Geneva provided us with a critical overview of current evidence of knowledge in clinical and etiopathological field about dissociative disorders. Because of their multiple expressions and the overlap with psychotic disorders, we focused on the clinical aspects using three different situations to better understand their specificity and to extend our thinking to the relevance of terms “neurosis” and “psychosis.” Finally, we hope that this work might help physicians and psychiatrists to become more aware of this complex set of disorders while making a diagnosis.