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The failure to preserve potential space in dissociative disorders: A Rorschach study.

The current study explores a psychoanalytic conceptualization of dissociation based on Winnicott’s (1971) construct of potential space and Ogden’s (1986) model of using this construct to capture different types of psychopathological states. Following Smith (1990), we apply the Rorschach Reality-Fantasy Scale (RFS; Tibon, Handelzalts & Weinberger, 2005) to Rorschach protocols of 100 patients with severe dissociative disorders (Brand, Armstrong, & Loewenstein, 2006). Overall, the results support the conceptualization of dissociation as a form of collapse of potential space. When compared with a normative sample, the dissociative patients demonstrated significantly elevated RFS-S scores, indicative of fluctuations between reality-bound and fantasy-derived Rorschach responses, in which reality…

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Latest NewsSomatic DisordersSomatization Disorder

Prevalence of body dysmorphic disorder in a German psychiatric inpatient sample

Abstract: Body dysmorphic disorder (BDD) is a distressing or impairing preoccupation with an imagined or slight defect in appearance. Only a few studies have examined BDD prevalence in psychiatric settings. Prevalence rates vary widely and most studies have been conducted in outpatient samples. In the current study, we examined 155 adult psychiatric inpatients. Diagnostic criteria of BDD were assessed with the BDD module of the Structured Clinical Interview for DSM-IV. The prevalence of lifetime BDD was 2.6% (95% CI=0.1–5.1%). Currently 1.9% of the patients suffered from BDD (95% CI=0.0–4.0%). None of these patients were diagnosed with BDD on admission or during hospitalization. The BDD rates found in this study are considerably lower than lifetime and current prevalence rates reported…

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