Somatoform dissociative symptoms as related to animal defensive reactions to predatory imminence and injury

J Abnorm Psychol. 1998 Feb;107(1):63-73. doi: 10.1037//0021-843x.107.1.63.

Abstract

The authors hypothesized that there would be a similarity between animal defensive responses to variable predatory imminence and injury and certain somatoform dissociative symptoms of trauma-reporting patients who have dissociative disorder. As a first test of this hypothesis, 12 somatoform symptom clusters consisting of clinically observed somatoform dissociative phenomena were constructed. All clusters discriminated between patients with dissociative disorders (n = 50) and patients with other psychiatric diagnoses (n = 50). Those expressive of the hypothesized similarity--freezing, anesthesia-analgesia, and disturbed eating--belonged to the 5 most characteristic symptoms of dissociative disorder patients. Anesthesia-analgesia, urogenital pain, and freezing symptom clusters independently contributed to predicted presence of dissociative disorder. Using an independent sample, it appeared that anesthesia-analgesia best predicted presence of dissociative disorder after controlling for symptom severity. The results were largely consistent with the hypothesized similarity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Animals
  • Arousal*
  • Defense Mechanisms*
  • Dissociative Disorders / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Personality Assessment
  • Predatory Behavior*
  • Somatoform Disorders / psychology*
  • Species Specificity
  • Wounds and Injuries / psychology*