Abstract

GONZALEZ-DE CHAVEZ, Manuel. Identity fragmentation in dissociation and psychoses. Rev. Asoc. Esp. Neuropsiq. [online]. 2023, vol.43, n.143, pp.19-35.  Epub July 31, 2023. ISSN 2340-2733.  https://dx.doi.org/10.4321/s0211-57352023000100002.

In current psychiatry, there is a great interest in elucidating the existing similarities and differences between psychotic experiences and dissociative ones; especially, the pathogenic dynamics that give rise to both of them, as well as the most effective therapeutic approaches in each case. From the point of view of plural identity, these two experiences make up the two great functional biographic crises that give rise to identity fragmentation, with the loss of their unity and continuity, in addition to the loss of their autonomy and self-esteem. Both of them are differentiated by the repression and dissociation mechanisms that exist in their origin. That said, any approach or hypothesis that we may use to try to understand these two types of experiences should not be limited to understanding them in their current representations and with the keys that we currently call “scientific”, because experiences of this type have existed throughout the history of humanity, reconceptualized differently in other cultural, spiritual, religious or moral keys.

Keywords : psychosis; dissociation; repression; guilt; shame; plural identity; fragmented identity; multiple personalities; therianthropy; possession.

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