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Episodic Depersonalization

Observations on 7 Patients

Published online by Cambridge University Press:  29 January 2018

K. Davison
K. Davison*
Affiliation:
The National Hospital for Nervous Diseases, Queen Square, London, W.C.1
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Extract

The constellation of symptoms which is termed depersonalization is often as perplexing to the doctor as to the patient. It is more easily diagnosed than defined, and much of the controversy over its nosological position can be attributed to this vagueness of outline. Saperstein (1949) reviewed the historical development of the concept and concluded that the essential feature is the experience of a sense of strangeness or unreality to the individual of his personality, his body or the external environment. Other symptoms of cerebral dysfunction, such as perceptual distortion of the body image, déjà vu experiences, olfactory and auditory hallucinations, metamorphopsia, autoscopy and a disordered time sense, are frequently, but not necessarily, associated (Antoni, 1946; Roth, 1959). The difficulty of expressing unusual subjective events in words gives rise to descriptions remarkable for their rich and often bizarre metaphor (e.g. Lewis, 1934; Bockner, 1949; Roth, 1959). Saperstein (1949) and Bird (1958) emphasize the “as if” qualification of these accounts, which distinguishes them from the delusional experiences of depression and schizophrenia.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 110 , Issue 467 , July 1964 , pp. 505 - 513
Copyright
Copyright © Royal College of Psychiatrists, 1964 

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References

Ackner, B. (1954). “Depersonalization. II: Clinical syndromes.” J. Ment. Sci., 100, 854–872.Google Scholar
Ackner, B. and Grant, Q. A. F. R. (1960). “The prognostic significance of depersonalization in depressive illnesses treated with electro-convulsive therapy.” J. Neurol. Neurosurg. Psychiat., 23, 242–246.Google Scholar
Antoni, N. (1946). “Dreamy states, epileptic aura, depersonalization and psychasthenic fits.” Acta Psychiat. Neurol., 21, 1–20.Google Scholar
Bingley, T. (1958). “Mental symptoms in temporal lobe epilepsy and temporal lobe gliomas”, ibid., 33, Suppl. 120.Google Scholar
Bird, B. (1958). “Depersonalization.” Arch. Neurol. Psychiat., 80, 467–476.Google Scholar
Bliss, E. L., Clark, L. D., and West, C. D. (1959). “Studies of sleep deprivation—relationship to schizophrenia.” Ibid., 81, 348–359.Google Scholar
Bockner, S. (1949). “The depersonalization syndrome: report of a case.” J. Ment. Sci., 95, 968–971.Google Scholar
Bradley, P. B., and Elkes, J. (1957). “The effects of some drugs on the electrical activity of the brain.” Brain, 80, 77–117.CrossRefGoogle Scholar
Carmichael, E. A., Dix, M. R., and Hallpike, C. S. (1954). “Lesions of the cerebral hemispheres and their effects upon optokinetic and caloric nystagmus.” Ibid., 77, 345–372.Google Scholar
Carmichael, E. A., Dix, M. R., and Hallpike, C. S., Carmichael, E. A., Dix, M. R., and Hallpike, C. S., Carmichael, E. A., Dix, M. R., and Hallpike, C. S. and Hood, J. D. (1961). “Some further observations upon the effect of unilateral cerebral lesions on caloric and rotational nystagmus.” Ibid., 84, 571–584.Google Scholar
Dixon, J. C. (1963). “Depersonalization phenomena in a sample population of college students.” Brit. J. Psychiat., 109, 371–375.Google Scholar
Guttman, E., and Maclay, W. S. (1936). “Mescalin and depersonalization.” J. Neurol. Psychopath., 16, 193–212.CrossRefGoogle Scholar
Harper, M., and Roth, M. (1962). “Temporal lobe epilepsy and the phobic anxiety-depersonalization syndrome. I. A comparative study.” Compr. Psychiat., 3, 129–151.Google Scholar
Himwich, H. E. (1957). “Stimulants” (Chap. XXI), Res. Publ. Ass. new. ment. Dis., Vol. 27.Google Scholar
Jackson, J. Hughlings (1888). “On a particular variety of epilepsy (intellectual aura).” Brain, 11, 179–207.Google Scholar
King, A., and Little, J. C. (1959). “Thiopentone treatment of the phobic anxiety-depersonalization syndrome.” Proc. Roy. Soc. Med., 52, 595–596.CrossRefGoogle Scholar
Langfeldt, G. (1960). “Diagnosis and prognosis of schizophrenia.” Ibid., 53, 1047–1052.Google Scholar
Lewis, A. J. (1934). “Melancholia. A clinical survey of depressive states.” J. Ment. Sci., 80, 277–378.CrossRefGoogle Scholar
Mayer-Gross, W. (1935). “On depersonalization.” Brit. J. Med. Psychol., 15, 103–122.CrossRefGoogle Scholar
Preswick, G., and Reivich, M. (1962). “The EEG effects in normal subjects of combined hyperventilation and hypoxia.” EEG Clin. Neurophysiol., 14, 789–790.Google Scholar
Roberts, J. M. (1959). “Prognostic factors in the electro-shock treatment of depressive states. II. The application of specific tests.” J. Ment. Sci., 105, 703–713.Google Scholar
Roberts, W. W. (1960). “Normal and abnormal depersonalization.” Ibid., 106, 478–493.Google Scholar
Roth, M. (1959). “The phobic anxiety-depersonalization syndrome.” Proc. Roy. Soc. Med., 52, 587–595.Google Scholar
Roth, M. (1960). “The phobic anxiety-depersonalization syndrome and some general aetiological problems in psychiatry.” J. Neuropsychiat., i, 293–306.Google Scholar
Roth, M. and Harper, M. (1962). “Temporal lobe epilepsy and the phobic anxiety-depersonalization syndrome. II. Practical and theoretical considerations.” Compr. Psychiat., 3, 215–226.CrossRefGoogle Scholar
Rothballer, A. B. (1957). “The effect of phenylephrine, methamphetamine, cocaine and serotonin upon the adrenaline-sensitive component of the reticular activating system.” EEG Clin. Neurophysiol., 9, 409–417.Google Scholar
Salfield, D. J. (1958). “Depersonalization and allied disturbances in childhood.” J. Ment. Sci., 104, 472–476.Google Scholar
Saperstein, J. L. (1949). “On the phenomena of depersonalization.” J. New. Ment. Dis., 110, 236–251.Google Scholar
Sargant, W., and Slater, E. (1963). An Introduction to Physical Methods of Treatment in Psychiatry. 4th edition. Edinburgh and London: E. and S. Livingstone, Ltd.Google Scholar
Schilder, P. (1939). “Treatment of depersonalization.” Bull. NY. Acad. Med., 15, 258–272.Google Scholar
Sedman, G., and Reed, G. F. (1963). “Depersonalization phenomena in obsessional personalities and in depression.” Brit. J. Psychiat., 109, 376–379.Google Scholar
Sedman, G., and Reed, G. F. and Kenna, J. C. (1963). “Depersonalization and mood changes in schizophrenia.” Ibid., 109, 669–673.Google Scholar
Shorvon, H. J. (1947). “Prefrontal leucotomy and the depersonalization syndrome.” Lancet, ii, 714–719.CrossRefGoogle Scholar
Shorvon, H. J. (1953). “Discussion on abreaction.” Proc. Roy. Soc. Med., 46, 158–161.Google Scholar
Shorvon, H. J., Hill, J. D. N., Burkitt, E., and Halstead, H. (1946). “The depersonalization syndrome.” Ibid., 39, 779–792.Google Scholar
Störring, E. (1933). “Die Depersonalisation.” Arch. Psychiat. Newenkr., 98, 462–545.Google Scholar
Takaori, S., and Deneau, G. A. (1962). “Sites of action of some C.N.S. depressants.” Ann. Rev. Pharmacol., 2, 215–250 (cited by Domino, E. F. (1962)).Google Scholar
Todd, J. (1955). “The syndrome of Alice in Wonderland.” Canad. med. Ass. J., 73, 701–704.Google Scholar
Unna, K. R., and Martin, W. R. (1957). Psychotropic Drugs. Amsterdam: Elsevier Publishing Co.Google Scholar
Williams, D. (1956). “The structure of emotions reflected in epileptic experiences.” Brain, 79, 29–67.Google Scholar
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