Evaluation of dissociative disorder in the context of attachment trauma: A case report

Abstract

Dissociation is defined as impairment and/or interruption in the integration of consciousness, memory, identity, emotion, perception, body representation, motor control and behavior. Dissociation is evaluated in a spectrum ranging from a natural response that can occur in response to small tensions to dissociative disorders (DB) that can cause severe impairment in functionality. Although the underlying cause of CD development is often childhood trauma, attachment disorder is also an important factor. In the studies conducted, it was stated that internal working models formed through traumatic relational experiences experienced in childhood and internalized by repetition may lead to insecure attachment and disrupt the functional regulation of emotions. There are many studies in the literature that indicate a strong relationship between attachment style, emotional neglect, and dissociative symptoms. However, dissociative symptoms are not discussed in detail by clinicians within the framework of attachment pathology. In this case report, it is aimed to present a 14-year-old girl who applied to our clinic due to dissociative symptoms in the light of literature findings.