trastorno disociativo de la personalidad (trastorno de personalidad multiple)

7/24/2019 trastorno disociativo de la personalidad (trastorno de personalidad multiple)

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BITACORA NO. 2TRASTORNO DISOCIATIVO DE PERSONALIDAD

KARLA MARIA ARIZA HERNANDEZUNIVERSIDAD MARIANO GALVEZ DE GUATEMALA- SEDE JUTIAPA

CLAVE

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ContenidoINTRODUCCION:...............................................................................................................................3

OBJETIVOS:......................................................................................................................................4

GENERAL:...................................................................................................................................... 4

ESPECIFICOS:...............................................................................................................................4

TRASTORNO DISOCIATIVO DE IDENTIDAD...................................................................................5Abordaje !"#$r!%o de &o" 'e($)e(o" d!"o%!a#!*o"..............................................................................+

E& Tra"#or(o D!"o%!a#!*o e( &a A(#!,-edad a"#a /011...................................................................+

La" do%#r!(a" er$#!%a" 2 de)o(a%a"..............................................................................................+

E"#d!o" %!e(#'!%o" a ar#!r de& /011: e& ao,eo de& "!"#e)a (er*!o"o...............................................6

P!erre Ja(e# 7/0589/846................................................................................................................ 0

A&'red B!(e# 7/0569/8//............................................................................................................... /1

S!,)(d Fred 7/05+9/838........................................................................................................./1

;!&&!a) Ja)e" 7/04


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D!a,($"#!%o d!'ere(%!a& e(#re #ra"#or(o d!"o%!a#!*o de !de(#!dad 2 &a e!&e"!a de& &$b&o #e)ora&.......................................................................................................................................................


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INTRODUCCION:

Lo" #ra"#or(o" d!"o%!a#!*o" "o( ( ,ro de "(dro)e" "!@!#r!%o" @e "e %ara%#er!a( orer#rba%!o(e" e( a&,(o" a"e%#o" de &a %o(%!e(%!a !de(#!dad )e)or!a %o(d%#a )o#ora. La)a2or ar#e de &o" e"#d!o" a( e(%o(#rado re&a%!$( e(#re &o" #ra"#or(o" de d!"o%!a%!$( 2 &aeer!e(%!a de ( #ra)a "!%o&$,!%o. Todo" &o" #!o" de e"#ado" d!"o%!a#!*o" #!e(de( a re)!#!r a&%abo de (a" o%a" "e)a(a" o )e"e" e( e"e%!a& "! " %o)!e(o #*o re&a%!$( %o( (a%o(#e%!)!e(#o b!o,r'!%o #ra)#!%o. De(#ro de &o" #ra"#or(o" d!"o%!a#!*o" e(%o(#ra)o" &a a)(e"!ad!"o%!a#!*a &a ',a d!"o%!a#!*a e& #ra"#or(o de !de(#!dad d!"o%!a#!*o de(o)!(ado a(#er!or)e(#e

%o)o #ra"#or(o de er"o(a&!dad )H!&e "e %ara%#er!a or &a e!"#e(%!a de do" o )" !de(#!dade"o e"#ado" de &a er"o(a&!dad @e %o(#ro&a( e& %o)or#a)!e(#o de& !(d!*!do de )odo re%rre(#e.A&,(o" %&(!%o" o!(a( @e e& TID #!e(de a !('ra*a&orar"e 2a @e "e ede %o('(d!r %o( o#ra"a#o&o,a" )e(#a&e" ero &o" 'a%#ore" @e ede( 'a%!&!#ar e& d!a,($"#!%o "o( (a %&ara"!(#o)a#o&o,a d!"o%!a#!*a %o( %a)b!o" de !de(#!dad ree(#!(o" a)(e"!a re*er"!b&e 2 (#a%!o(e"e&e*ada" e( &o" #e"# de d!"o%!a%!$( e !(o#!ab!&!dad e( !(d!*!do" @e (o )a(!'!e"#a( "(#o)a"ro!o" de o#ro #ra"#or(o )e(#a&.

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OBJETIVOS:

GENERAL:

Co(o%er @e e" 2 or @ "e %ara%#er!a e& Tra"#or(o D!"o%!a#!*o de er"o(a&!dad.

ESPECIFICOS:

Ide(#!'!%ar &a E#!o&o,a de& TDI o DID 7or "" "!,&a" e( !(,&e" Saber d!'ere(%!ar e"#a e#!o&o,a de o#ro" d!a,($"#!%o". Co)re(der e( "! &a a#o&o,a ara (o ob*!ar&a 2a @e e" de &a )e(o" 're%e(#e" 2 de &a"

)" d!'%!&e" de d!a,(o"#!%ar a%er (a re*!"!$( de ( %a"o C&(!%o.

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TRASTORNO DISOCIATIVO DE IDENTIDAD

E& #ra"#or(o d!"o%!a#!*o de !de(#!dad 7DID a(#er!or)e(#e %o(o%!do %o)o er"o(a&!dad )H!&e7A)er!%a( P"2%!a#r!% A""o%!a#!o( 7/801. =a(a& D!a,($"#!%o 2 E"#ad"#!%o de &o" Tra"#or(o"=e(#a&e" e" (o de &o" e(!,)a" )" 'a"%!(a(#e" e( &a "!%o&o,a %&(!%a.E"#a %o(d!%!$( a "!do ba"#a(#e o&)!%a 2a @e %o)o re'!ere( o&)e" e# a&. 7


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Abordaje histri!o de "os #e$%e$os diso!iati&os

Lo" 'e($)e(o" d!"o%!a#!*o" ede( "er re%o(o%!do" a &o &ar,o de &a !"#or!a (!*er"a&. a( !(%&!do#a(#o %e"#!o(e" 'e(o)e(o&$,!%a" #a&e" %o)o e"#ado" !($#!%o" "o(a)b&!")o o"e"!o(e"de)o(a%a" %a(a&!a%!o(e"M e"!r!#!"#a" "a(a%!o(e" %ar!")#!%a" a" %o)o %!er#o" e'e%#o""o)a#o"e("or!a&e" #a& e" e& %a"o de &a" %o(*er"!o(e" !"#r!%a" a)(e"!a "!%o,(!%a e#%.De(#ro de &o" #ra"#or(o" d!"o%!a#!*o" e& #ra"#or(o d!"o%!a#!*o de !de(#!dad ede &&e,ar o2 or o2a "er e(#e(d!do %o)o (a %a#e,ora %o)&eja 2 %r$(!%a de(#ro de &o @e %o(o%e)o" %o)o #ra"#or(oore"#r" o"# #ra)#!%o.S! b!e( &a d!"o%!a%!$( e" e& ra",o '(da)e(#a& de e"#e #ra"#or(o "#a "e e(%e(#ra (#!)a)e(#e&!,ada a " e#!o&o,a 2 a " 'e(o)e(o&o,a ar#!%&ar %o)o "e *er )" ade&a(#e.

E" Trastor$o Diso!iati&o e$ "a A$ti'(edad) hasta *+,,

Las do!tri$as erti!as - de%o$.a!as/

!$%ra#e" "aba o%o a%er%a de &a !"#er!aM 7de !"ie!o #$%&'() *+,t"iM 2 " #ra#a)!e(#o. E((o de "" a'or!")o" %o)e(#a I(,e(!ero" 7/850 (o" e(%o(#ra)o" %o( e"#a re"(%!$(ro(o"#!%a:

*Mie"e ,/ te"in, 0,11ione e",toe) ,t di34te" 0,"t"ienti) 1to"nt,tio) 10e"ien1) /ono5.

Nad!e "o(dr @e &o" )d!%o" de o2 e( da 'aar( a& re"e#o a& %reador de &a )ed!%!(a(a#r!"#a "! "e er)!#e( ddar de& be( o )a& re"a,!o de &o" e"#or(do" @e aare%e( e( e& %r"ode (a !"#er!a o e( &o" ar#o" d!'%!&e".De"de e(#o(%e" re'!ere I(,e(!ero" e( " #e#o de /814 7o.%!# &a %!e(%!a (o a od!do de'!(!r &a!"#er!a e( (a '$r)&a ,e(era& a%e#ab&e or %a(#o" e"#d!a( " a#o&o,a 2 )oda&!dad %&(!%a.S!( &,ar a dda" )%o a %a)b!ado de"de e(#o(%e".

Se odra d!*!d!r &a !"#or!a de &a !"#er!aM '(da)e(#a&)e(#e e( #re" erodo":6 E& r!)er erodo e" a@e& e( e& @e '&ore%e( do" %o(%e%!o(e" e)r!%a" a "aber: &a

,e(!#a& 2 &a )"#!%a @e a#r!b2e( a &a !"#er!aM (a ba"e #er!(a o de)o(a%a

re"e%#!*a)e(#e.6 E& "e,(do erodo e" e& @e &o%a&!a a &a !"#er!a e( e& "!"#e)a (er*!o"o Sobre e"#e "e

e'e%#aro( e"#d!o" %&(!%o" %o)&e#o" de &a e('er)edad "e,H( &o er)!#!ero( &a"&!)!#a%!o(e" de &a o%a.

6 E( e& #er%er erodo "e !(*e"#!,a &a e#!oa#o,e(!a de &o" 'e($)e(o" ob"er*ado" 2 "r,e(d!*er"a" #eora" "!%o&$,!%a" (o"o&$,!%a" 2 '!"!o&$,!%a".

E( e& r!)er erodo "e e(%e(#ra( re'!ere I(,e(!ero" 7o.%!# do" #eora" !,a&)e(#e ab"rda": &a#er!(a @e 'e )" a'or#(ada e" #*o ( ,ra( a,e e(#re &o" o)bre" de %!e(%!a 2 or o#ro&ado &a )"#!%a @e %a2$ e( )a(o" de )a"a" 'a(a#!ada". 7Re%orde)o" @e e( e"o" #!e)o" &a!"#er!a )a"%&!(a era o%o o (ada %o(o%!da or &o @e #o%o a& "eo 'e)e(!(o %ar,ar %o( e"#e #r!"#e

)o(oo&!o de &a (ero"!" !"#r!%a.Para "!#ar"e e( &a A(#!,-edad e& &e%#or #!e(e @e re%ordar @e &a %o(%e%!$( de& (!*er"o%o")o,$(!%o #ra("!#aba e(#re e"r!#" d!o"e" 2 de)o(!o" or &o @e )%o" eb&o" a(#!,o"#e(der( a e&!%ar &a" e('er)edade" 2 &a )er#e %o)o re"ado de &a" !(#er*e(%!o(e""obre(a#ra&e" de "" de!dade" !rr!#ada". Ta(#o &o" d!o"e" de& O&!)o %o)o "" %o(#ra d!o"e" &o"de& A*er(o #e(a( odere" "e)eja(#e". I(,e(!ero" 7o.%!#.Pede ob"er*ar"e @e &a !"#er!a "e de"e(*e&*e or &ar,o" erodo" aera(do e(#re e"#a" do"#eora" de )odo #a& @e %a(do &a" e('er)a" (o are%a( *%#!)a" de " H#ero "e &a" %o("!deraba

+


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e" o"eda" or a&,H( #!o de e"r!# )a&'!%o. Por &o @e e"#o" deba( "er ee&!do" de&or,a(!")o )ed!a(#e r!'!%a%!o(e" ab&%!o(e" "a%r!'!%!o" 2 ')!,a%!o(e". I(,e(!ero" 7o.%!#.

A e"ar de @e &a !"#er!a 'e &&a)ada e& )a& "a,radoM ara !$%ra#e" e"#a %o(d!%!$( (ada #e(a@e *er %o( &o )"#!%o o &o "obre(a#ra& )" b!e( era (a e('er)edad @e oda "er o%a"!o(adaor &a &&e,ada de &a r!)a*era !$%ra#e" 7"e%.III a'or.


9/28

E& #r)!(o er"o(a&!dadM %o)!e(a a "er a&!%ado a %a"o" "!)!&are" re'er!do" a %a)b!o" e( &o"e"#ado" de %o(%!e(%!a de"de /065 e( Fra(%!a %a(do a&,(o" %a"o" depersonalidad doble 'ero(de"%r!#o".E"#o 'e "e,!do or ( erodo de ,ra( !(#er" e( &o" E"#ado" U(!do" @e dr$ a"#a &a r!)era)!#ad de& "!,&o *e!(#e 7Car&"o( /80/ a%K!(, /88/.

=!e(#ra" @e "!%o&o,a 2 &a "!@!a#ra !(#e(#aba( &e(#a)e(#e de"re(der"e de &a '!&o"o'a 2 &a'!"!o&o,a a& '!(a& de& "!,&o I &o" %&(!%o" e( Eroa 2 &o" E"#ado" U(!do" "e *!ero( e('re(#ado"or )a(!'e"#a%!o(e" !"#r!%a"M @e "er!a)e(#e de"a'!aro( " "e(#!do a%er%a de @e e" &o )e(#a& 2

@e &o '"!%o &o (or)a& 2 &o a(or)a&.E" a ar#!r de e"#o" )o)e(#o" %a(do %o)!e(a a e(#e(der"e e& arad!,)a de &a !"#er!a %o)o e&de &a disociacin 2 "e ro)e &a !&"!$( de& "e&' (!#ar!o. S!e,e& 7/884.=%o" *!ero( e( &a #rad!%!$( de B!(e# Ja(e# 2 J(, 7/835 /8+0 ./00 a &a %o("#!#%!$(!"#r!%a %o)o )a(!'e"#a%!o(e" de "b er"o(a&!dade" 2 a &a (ero"!" e( " )!")a %o)o &ad!"o%!a%!$( de &a er"o(a&!dad deb!do a &a e!"#e(%!a de %o)&ejo"M )%o" de &o" '(dadore" de&a "!%o#era!a 2 &a "!%o'!"!o&o,a %o)o Car%o# B!(e# 2 Ja(e# e(#re o#ro" e( Fra(%!a Breer 2Fred e( A"#r!a Pr!(%e 2 Ja)e" e(#re o#ro" e( &o" E"#ado" U(!do" %o)e(#a( Cardea ?R!je(!" 7


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La a&abra "o)(a)b&!")oM "!,(!'!%aba )%o )" @e a"eo" (o%#r(o" dra(#e e& "eo araJa(e#. Z& e#e(d!$ e"#e %o(%e#o a"#a !(%&!r %a&@!er %&a"e de a%#!*!dad rea&!ada )!e(#ra" "eer)a(e%e e( (a %o(d!%!$( de d!"o%!a%!$(. a&e 7o.%!#..La e"%r!#ra a#o)#!%a or eje)&o era a"!)!")o %o("!derada "o(a)bH&!%a or@e "e rea&!aba%o( (a ar#e de &a er"o(a&!dad )!e(#ra" &a o#ra ar#e er)a(e%a e( &a !,(ora(%!a %o)&e#a de&o rea&!ado or &a r!)era.Lo" e"#ado" "o(a)bH&!%o" or &o #a(#o 'ero( e(#e(d!do" %o)o 'e($)e(o" or &o" %a&e" do" o)" e"#ado" de %o(o%!)!e(#o d!"o%!ado" or (a barrera a)("!%a odra( '(%!o(ar a& are%er%o( !(dee(de(%!a e& (o de& o#ro. > @e or &o ,e(era& a'e%#aba( e& or,a(!")o e(#ero

e(%o(#ra(do " ere"!$( e( &a" er#rba%!o(e" "o)a#o)or'e" de "e("a%!$( )o*!)!e(#o ab&a*!"!$( 2 ad!%!$( a" %o)o er#rba%!o(e" %o,(!#!*a" 2 de )e)or!a 2 e& "e(#!do de !de(#!dad.Cardea ? R!je(!" 7o.%!#..La !"#er!a "e,H( Ja(e# era e(#o(%e" (a 'or)a a#o&$,!%a de "o)(a)b&!")o e( &a %a& &ad!"o%!a%!$( aare%a !(dee(d!e(#e)e(#e or "! "o&a or )o#!*o" (er$#!%o"M %a(do "!#a%!o(e"de"'a*orab&e" !(#er'era( e( &a *!da de& !(d!*!do rod%!e(do a&,H( #!o de r#ra o 'ra,)e(#o"@e ,e(eraba( )!(! er"o(a&!dade" o "! "e adera( (a er"o(a&!dad aer(a#!*a.

A &o" %a)b!o" e( &a er"o(a&!dad Ja(e# &o" %o("!deraba %o)o (a %o(d!%!$( de& e"#ado"o)(a)b&"#!%o a" %o)o e& e"#ado de #ra(%e de &o" )ed!)" e( &a" "e"!o(e" e"!r!#!"#a" era("e,H( & (a e"e%!e de "o)(a)b&!")o "e)! *o&(#ar!o @e !)&!%aba ade)" &a a#r!b%!$( de%a"a&!dad a "e"#o" "ere" de"e(%ar(ado" e"r!#" a,e(#e" e#er(o" a& !(d!*!do. a&e

7o.%!#..La %o(%!e(%!a oda e(#o(%e" de#er)!(ar"e %o)o ( %a)" do(de %!er#o" e&e)e(#o" o%aba(( &a(o r!(%!a& )!e(#ra" @e o#ro" o%aba( (o "e%(dar!o. Ja(e# 7o.%!#. a"e*eraba @e "erod%a ( e"#re%a)!e(#o de& %a)o de &a %o(%!e(%!a red%!(do"e a" e( (H)ero de'e($)e(o" @e oda( "er e&orado" "!)(ea)e(#e. E"#e e%o e" e& @e &&e*aba a ro%e"o")e(#a&e" a%#!*o" (o er%!b!do" or &a %o(%!e(%!a 2 e& r!(%!a& "!"#e)a de "(#e"!" er"o(a&.Ja(e# "e re'!r!$ a& ro%e"o !($#!%o %o)o la influence somnambulique (a "er#e de"o)(a)b&!")o ar#!'!%!a&M (a d!"o%!a%!$( !(d%!da or e& #erae#a %o( '!(e" eer!)e(#a&e" o#era#!%o": (a !)!#a%!$( de&!berada de &a !"#er!a. a&e 7o.%!#.Pero[ @ e" &o @e "e e(%o(#raba e( &a ba"e de e"#o" 'e($)e(o" "o(a)bH&!%o" de e"#a"a%!e(#e" !"#r!%a" E( " #e"!" Lautomatism psicologiqueM Ja(e# 7/008 roo(e @e &a"

!"#r!%a" %aa(M *%#!)a" de &a d!"o%!a%!$( or (a deb!&!dad e( &a !(#e,ra%!$( de &o" e&e)e(#o""@!%o". Por &o @e e"#a %o(d!%!$( obede%a a (a de,e(era%!$( o or %a"a" ered!#ar!a"9&&a)$ a e"#a red!"o"!%!$(de,e(era%!$( )e(#a&M #r)!(o @e ereda de =ore&. E&&e(ber,er7/861 .538 e"#r" #ra)a o &a !(#era%%!$( e(#re e"#o".

La !dea de @e (a a%!e(#e %o( #ra"#or(o" d!"o%!a#!*o" deb!do a& e"#r" o"# #ra)#!%o 'era#e!da de de,e(era%!$( )e(#a&M %o)e(#a Ro"" 7/808 %o(#r!b2$ a de"a%red!#ar a& #ra"#or(o deer"o(a&!dad )H!&e a 'a*or de& d!a,($"#!%o de e"@!o're(!a %o("!der(do"e or &o #a(#o (#ra"#or(o de or!,e( or,(!%o.

Ja(e# 7/816 re(!$ bajo e& a(#!,o (o)bre de !"#er!aM &o @e o2 %o(o%e)o" %o)o #ra"#or(od!"o%!a#!*o de !de(#!dad #ra"#or(o border&!(e de &a er"o(a&!dad e( re&a%!$( a &a" %ara%#er"#!%a" de

&a er"o(a&!dad !&"#rado or =!&&o( 7/880 er"o(a&!dade" &!)#ro'e" e( re&a%!$( a &a ,ra*edad e(&a e"#r%#ra e( &a de'!(!%!$( de er(ber, 7/868 #ra"#or(o or e"#r" o"# #ra)#!%o%o(*er"!o(e" 2 #ra"#or(o" "o)a#o)or'o" 7DS=9III /801 or %o)ar#!r e& )e%a(!")o d!"o%!a#!*o: &o@e "e %o(o%e o2 da e( "!@!a#ra %o)o ( ,ra( %aj$( de "a"#reM.

A"#red Bi$et 2*+375*4**8

B!(e# e"%r!b!$ do" ,ra(de" #ra#ado" "obre d!"o%!a%!$(: Sobre &a dob&e %o(%!e(%!aM b&!%ado e(

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/081 2 Aera%!o(e" de &a er"o(a&!dadM b&!%ado e( /08+. E"#o" do" *o&H)e(e" %o(#!e(e( (a,ra( r!@ea de #eora ob"er*a%!o(e" %&(!%a" 2 e*!de(%!a eer!)e(#a& re"e%#o a& #ra"#or(od!"o%!a#!*o de !de(#!dad 9 %!#ado bajo " a(#!,a (o)e(%&a#ra #ra"#or(o de er"o(a&!dad )H!&e 2d!"o%!a%!$( 2 a( "!do reed!#ado" ba"#a(#e re%!e(#e)e(#e. B!(e# 7/866a /866b.

B!(e# ob"er*$ @e &o" aer" ede( "er rod%!do" e( eer!)e(#o" "obre "je#o" (or)a&e" %o((a ,ra( %aa%!dad de !(o#!ab!&!dad ade&a(#(do"e e( e"#a %o(%&"!$( a Sa(o" e# a&. 7/80+.E"#o" aer" "e&e( "er %o)o )ode&o" !(%o)&e#o" 2 ar#!'!%!a&e" de &a er"o(a&!dad )H!&e. La%o(%!e(%!a da& e" ( )e%a(!")o %o)H( de a&&ar e( &a %&(!%a de &o" #ra"#or(o" "!@!#r!%o" @e

!(%&2e "o)a#!a%!$( %o(*er"!$( d!"o%!a%!$( %&a"!'!%ado" e( e& DS=9III 2 DS=9IIIR 7o.%!# 2 @e"e&e( a"o%!ar"e a ar&!"!" a)(e"!a" e"%r!#ra a#o)#!%a a&%!(a%!o(e" *!"a&e" e("a)!e(#o"ob"e"!*o" 2 )%o" o#ro" 'e($)e(o". U( e&e)e(#o de"#a%ado de "" ob"er*a%!o(e" @e da or#!erra (o ob"#a(#e %o( )%a" e"e%&a%!o(e" a%er%a de &a #eora !a#ro,(!%a 7 &a %rea%!$( deaer"M de )a(era ar#!'!%!a& or ar#e de &o" #erae#a" a& re"e%#o d!%e @e &o" aer" %reado"eer!)e(#a&)e(#e "o&a)e(#e ede( "er &&a)ado" a re"e(#ar"eM or &a er"o(a @e &o" %re$)!e(#ra" @e aer" %reado" e( 'or)a a#o!($#!%aM ede( "er &&a)ado" or %a&@!era 2#a)b!( de"aare%er e"o(#(ea)e(#e. 7B!(e# o.%!#..

B!(e# #rabaj$ e( !(*e"#!,a%!o(e" b"!%a)e(#e %o( e& %r!#er!o de& ob"er*ador o%oM e( &o" e"#ado"!($#!%o" @e &e,o de"arro&&$ !&,ard09 e& o.o. "e re'!ere a (a ar#e de& 2o @e er)a(e%e a#e(#a

2 ob"er*a(do &o" a%o(#e%!)!e(#o" bajo &o" e"#ado" !($#!%o" 9 #!&!a(do ()ero"o"ro%ed!)!e(#o" e( re&a%!$( a& do&or e& #a%#o &a ad!%!$( )e)or!a 2 o#ra" 'a%ade". Para &o"e"#(dare" de &a "!%o&o,a eer!)e(#a& "" )#odo" era( ba"#a(#e rH"#!%o" a(@e !o(ero" e(" o%a.Co)o e& &e%#or ede ob"er*ar B!(e# %o("!dera @e e& #!o de d!"o%!a%!$( @e o%rre e( e& DIDre"o(de a (a 'or)a de a#o!(o"!".

Si'%0$d Fre0d 2*+395*448

Lo" "(#o)a" !"#r!%o" e"#ara( "e,H( Fred re&a%!o(ado" %o( e& %o(%e#o de de'e("a 7aber.E"#e a%e a&"!$( a @e "!#a%!o(e" do&oro"a" ara e& "e&' "era( ( e&e)e(#o )o#!*ador ara

o&*!do: de !dea" de re%erdo" e#%. 2 @e "era( 'oro"a)e(#e e%&!do" or ( ro%e"o derere"!$( de &a %o(%!e(%!a a%!a e& !(%o("%!e(#e ,e(era(do "(#o)a".=!e(#ra" #ra#aba a E))a e( /08+ Fred re"e(#$ a "" %o&e,a" ( do%)e(#o &&a)ado berdie

Aetiologie der HysterieM 7Sobre &a e#!o&o,a de &a !"#er!a e( e& %a& a"e*eraba @e #ra)a"re&a%!o(ado" %o( ab"o" '"!%o" "ea&e" e( &a (!e era( &a %a"a de &a !"#er!a e( &a *!da ada.E( e"#o" )o)e(#o" Fred #rabajaba %o( a%!e(#e" %o)o &o" de B!(e# Ja(e# 2 Pr!(%e. Ro"" 7/808.Fred e( /815 "e re#ra%#a Hb&!%a)e(#e de &a #eora de& ab"o '"!%o 2 "ea& e( &a (!e %o)o%a"a de &a a#o&o,a de "" a%!e(#e" !"#r!%a"M #a& %o)o &o #e"#!)o(!a " %orre"o(de(%!a a;!&e&) F&!e"". Fred 7/085.S" e"%r!#o" o"#er!ore" da( %e(#a de (a (e*a #eora e( #or(o a e"#e ade%!)!e(#o: &a

)e#a"!%o&$,!%a: &o" "(#o)a" !"#r!%o" d!"o%!a#!*o" a"aro( a "er ara Fred (a "o&%!$( de%o)ro)!"o @e %o(&&e*aba( &a "a#!"'a%%!$( de ( de"eo.

E& %a)b!o de o"!%!$( de Fred re"e%#o a &a e#!o&o,a de ab"o "ea& a 'a(#a"a" %o("#r!da"a&rededor de& %o)&ejo de Ed!o o%rre( e(#re /085 2 /813 )o)e(#o" e( &o" @e aba%o)e(ado (a ,ra( %o(#ro*er"!a ,e(era&!ada de(#ro de& )b!#o "!@!#r!%o re"e#o a &a e#!o&o,ade &o" #ra"#or(o" d!"o%!a#!*o" de !de(#!dad. Se,H( &a" !(*e"#!,a%!o(e" Ro"" 7o.%!#. &a %o)(!dad"!%o&$,!%a de '!(a&e" de& /011 e"#aba d!*!d!da e( do" %a)o" ( ,ro )2 e@eo @e %rea

/1


12/28

@e e'e%#!*a)e(#e &a" )jere" %o( "er!o" rob&e)a" "!%o&$,!%o" @e de%&araro( aber "!do"ea&)e(#e ab"ada" e( &a (!e rea&)e(#e &o 'ero( 2 e& ,ro de &o" @e (o &o %rea(.

A(#e" de Fred "e #rabajaba )%"!)o %o( &a !(*e"#!,a%!$( "obre er"o(a&!dade" )H!&e" ero%o( e& %re%!)!e(#o de &a o&ar!dad de &a" #eora" de Fred 2 &a !(%red&!dad ,e(era&!ada e( &a%o)(!dad "!@!#r!%a a%er%a de& ab"o "ea& e( &a (!e e& d!a,($"#!%o de er"o(a&!dad )H!&e%a2$ rad!%a&)e(#e e( o" de& de e"@!o're(!a. 7Ro"" /808.

E& a,e de& "!%oa(&!"!" e( a@e&&o" #!e)o" %o(#r!b2$ "e,( &a )a2ora de &o" !(*e"#!,adore"a%#a&e" 7P#(a) /808 &'# /804 Cardea /808 a de"a%red!#ar e& %o(%e#o de d!"o%!a%!$(

%o)o re"e"#a a& #err!b&e do&or re"ado de& ab"o '"!%o 2 "ea& e( (!o" or ar#e de ado" de" %r%&o (#!)o 'a)!&!ar 2 a ""#!#!r&o or e& )ode&o de rere"!$( 2 %o)&ejo de Ed!o. E"#oro!%!$ ( de%&!*e or e& !(#er" de &a !(*e"#!,a%!$( de "" %a"a" #ra)#!%a" rea&e" dra(#e &a"H!)a" d%ada" de& "!,&o I 2 r!)era" de& : or )" de "e#e(#a ao". Ro"" 7o.%!#..

;i""ia% Ja%es 2*+6


13/28

compasin y caluroso apoyo en muchos momentos de prueba, dedico este traba%o afectuosamente.

Por e& ao /815 S!d!" 7o.%!#. re&a#aba e( " b&!%a%!$( 7o.%!# @e %a"o" de dob&e er"o(a&!dad(o era( ab(da(#e" e( &a &!#era#ra de "!%oa#o&o,a #oda*a )" raro" era( &o" %a"o" do(de &ad!"o%!a%!$( era de (a #a& !(#e("!dad ara rod%!r (a a)(e"!a #a( ro'(da @e &a e#e("ard!da de %o(#e(!do )e(#a& a%a a& a%!e(#e *o&*er a ( e"#ado de !('a(%!a #e)ra(a a& e"#adode ( beb %o)o re%!( (a%!do: e"#o aba o%rr!do e( e& %a"o a((aM. E( e"#e %a"o "e)a(!'e"#aba (a d!"o%!a%!$( %o)&e#a 2 (a rd!da #o#a& de %o(#e(!do )e(#a& a"#a e& #!e)o dera)a.

E( &a" d!"o%!a%!o(e" a(#er!or)e(#e ob"er*ada" e( &o" %a"o" de er"o(a&!dad dob&e o )H!&e &aa)(e"!a era ar%!a&. E& a%!e(#e aba erd!do (a ar#e de " eer!e(%!a de *!da. E"#a rd!daoda %br!r ( erodo de (a" ora" a *ar!o" ao" o a'e%#ar r%#!%a)e(#e e& #odo de &aeer!e(%!a de *!da de& a%!e(#e S!d!" 7o.%!#..Bor!" S!d!" #a)b!( %oed!#$ e& Jor(a& o' Ab(or)a& P"2%o&o,2M 7/81+ j(#o a =or#o( Pr!(%e @!e(e"%r!b!$ e#e("a)e(#e "obre TP= 7#ra"#or(o de er"o(a&!dad )H!&e. S &!bro Te d!""o%!a#!o( o'er"o(a&!#2M 7/815]/860 a& @e #oda*a "e a%e re'ere(%!a a "!do reed!#ado &e,o de "e#e(#a 2#re" ao".

A1ortes e$ "a a!t0a"idad: =ode"os Teri!os

=ode"o de redes $e0ro1si!o"'i!as

La er"e%#!*a de &o" )ode&o" de rede" (ero"!%o&$,!%a" %o(#r!b2$ a &a %o)re("!$( de &o"'e($)e(o" d!"o%!a#!*o".E(#re e"#o" )ode&o" ode)o" )e(%!o(ar e& de Boer" 7/80/ 2 e& de >a#e" ? Na"b2 7/883.=ode&o de Boer"Co( e& obje#!*o de e&!%ar %$)o "e *e a'e%#ado e& ro%e"o de are(d!aje Boer de"arro&&$ ()ode&o.De a%erdo %o( e"#e )ode&o e!"#!ra ( "!"#e)a de rede" %o)e"#o or (odo" de )e)or!a 2(odo" e)o%!o(a&e". La )e)or!a "era a&)a%e(ada e( &o" (odo" de a%o(#e%!)!e(#o" 2 ara "er

re%erada "era (e%e"ar!o @e e& (odo %orre"o(d!e(#e 'era a%#!*ado or e(%!)a de " )bra&de e%!#a%!$(.A )a2or (H)ero de %o(e!o(e" )" aa "era &a robab!&!dad de "er a%#!*ado. abra (a!(#er"e%%!$( e(#re &a e%!#a%!$( e)o%!o(a& 2 &a e%!#a%!$( %o(#e#a& or &o @e &a e%!#a%!$( de(odo" e)o%!o(a&e" "era ")ada a &a e%!#a%!$( %o(#e#a& or &o" @e &e re"ara )" '%!& araa&%a(ar e& )bra& de a%#!*a%!$(.E"#e a#or "ea&$ @e &o" (odo" a'e%#!*o" @e re%!be( "!,(o" a'e%#!*o" oe"#o" "e !(!b!ra()#a)e(#e.

Por &o" @e da#o" de &a )e)or!a @e 'ero( a"o%!ado" %o( %!er#o" a'e%#o" "era( )" '%!&)e(#ere%erado" bajo &o" )!")o" e"#ado" e)o%!o(a&e" 2 )" !(a%%e"!b&e" bajo e"#ado" e)o%!o(a&e"d!'ere(#e". Boer" 7o.%!#..La ada#a%!$( de e"#e )ode&o a &o" 'e($)e(o" d!"o%!a#!*o" ",!ere &o @e &a" er"o(a" @eade%e(DID o ',a" d!"o%!a#!*a" or,a(!ara( "" re%erdo" bajo ( e"#ado e)o%!o(a& e#re)o or &o @eae(a" "era( a%%e"!b&e" bajo e& e"#ado e)o%!o(a& %o#!d!a(o 2 're%e(#e e( e& !(d!*!do. Boer"7o.%!#.

=ode"o de >ates ? Nasb-

/


14/28

E& )ode&o de >a#e" ? Na"b2 'e %reado ara e&!%ar &a d!"o%!a%!$( o"# #ra)#!%a. Co)ar#ea&,(o" %o(%e#o" %o( e& )ode&o de Boer ba"ado e( e& )!")o )ode&o de rede" (era&e". E&%a)b!o r!(%!a& e" @e >a#e" ? Na"b2 a")e( @e e!"#!ra (a !(!b!%!$( d!re%#a e(#re &o" (odo"e)o%!o(a&e" 2 &o" (odo" de a%o(#e%!)!e(#o".S! bajo %!r%("#a(%!a" #ra)#!%a" ( (odo e)o%!o(a& e" e%!#ado !(#e("a)e(#e e"#a %o(e!$(e%!#a#or!a o !(!b!#or!a e(#re &o" (odo" e)o%!o(a&e" 2 &o" de )e)or!a odra !r a%!a (a d!re%%!$((!)oda& de 'or)a "e)! er)a(e(#e. Por &o #a(#o !(!b!r &a" %o(e!o(e" )#a".Gro" de (odo" e)o%!o(a&e" %o( (a %o("#e&a%!$( de (odo" de )e)or!a @e a( "!do a"o%!ado"e%!#a#or!a)e(#e odra( %o("#!#!r e& %e(#ro de *ar!a" er"o(a&!dade" a#o rere"e(#ada".

E"#o" )ode&o" "!( e)bar,o (o (o" da( (a e&!%a%!$( %o)&e#a de o#ro" ra",o" de e"#ado"d!"o%!a#!*o".

=ode"os @0e "a 1ost0"a$ a "a diso!ia!i$ !o%o 0$ continuum - %ode"oscategricos.

E( " 'or)&a%!$( or!,!(a& P!erre Ja(e# 7/008 *!o a &a d!"o%!a%!$( %&(!%a %o)o (a d!"%o(#!(!dade( &a %o(%!e(%!a @e rara" *e%e" era eer!)e(#ada or !(d!*!do" "a(o". 7Perr2 ? Lare(%e/804.S" %o(#e)or(eo" ;!&&!a) Ja)e" 7/081]/803 2 =or#o( Pr!(%e 7/815]/860 d!"%rearo(ar,)e(#a(do @e &a d!"o%!a%!$( e" ( %o(#!() o (a *ar!ab&e %a(#!#a#!*a @e *a de ( ,rado)e(or a (o )a2or dee(d!e(do de %ada (o.

A ar#!r de a&& "e 'ero( de"arro&&a(do do" %r!#er!o" @e abar%aro( (o "o&a)e(#e e& #err!#or!o de &ad!"o%!a%!$( "!(o de %a"! #oda &a "!%oa#o&o,a.

=ode"o de !o$ti$00%

E"#e )ode&o &a(#eado or ;!&&!a) Ja)e" =or#o( Pr!(%e !&,ard 2 S!e,e& 7/81


15/28

Disociacin Terciaria: aare%e e( e& #ra"#or(o d!"o%!a#!*o de !de(#!dad 7DID do(de%o("#e&a%!o(e" %o,(!#!*a" e)o%!o(a&e" "o)a#o er%e#!*a" 2 %o(d%#a&e" "e or,a(!a( e(d!'ere(#e" "!"#e)a" de "b92oe" "e,H( !&"#ro) 7/88


16/28

=ode"os @0e 1ost0"a$ "a etio"o'.a de" trastor$o diso!iati&o de

ide$tidad: teor.as tra0%ato'$i!as - teor.as iatro'$i!as/

Dra(#e &o" H!)o" #re!(#a ao" "e a( %o(#!(ado e&aborado #eora" 2 rea&!a(do e#e("a"!(*e"#!,a%!o(e" re"e%#o a& #ra"#or(o d!"o%!a#!*o de !de(#!dad 2 "e,H( G&a*e" =a2 ? Cardea7


17/28

A. La er"o(a a eer!)e(#ado re"e(%!ado o &e a( e&!%ado (o o )" a%o(#e%!)!e(#o"%ara%#er!ado" or )er#e o a)e(aa ara " !(#e,r!dad '"!%a o &a de &o" de)".B. La er"o(a a re"o(d!do %o( #e)or de"e"era(a orror !(#e("o.C. Co)o %o("e%e(%!a de e"#a eo"!%!$( &a er"o(a a de"arro&&ado (a "er!e de "(#o)a"d!"o%!a#!*o". 73 $ )"

A)(e"!a e)o%!o(a&. A)(e"!a d!"o%!a#!*a.

De"rea&!a%!$(. De"er"o(a&!a%!$(. Red%%!$( de &a a#e(%!$(.

D!"#!(,!)o" ara #ra)a: 7"!e)re e("a(do e( e& %o(%e#o #ra)a %o)o e& de (a re"e"#a ae*e(#o" d!"r#!*o":

Trauma de tipo IU( H(!%o e*e(#o #ra)#!%o e( 'or)a !(e"erada e !)rede%!b&e &&e*a a o(er e( )ar%a)e%a(!")o" de de'e("a 2 a'ro(#a)!e(#o e( 'or)a e"o(#(ea.

Trauma de tipo IIExposicin prolongada a eventos traumticos graves.

La d!"o%!a%!$( "e %o("!dera (a re"e"#a ada#a#!*a a (a "!#a%!$( d!"r#!*a e"#a re"e"#a e"!((a#a 2 are(d!da a& )!")o #!e)o 2 o%rre dra(#e e !()ed!a#a)e(#e de"" de e&]&o" e%o]".No ob"#a(#e e& "o %r$(!%o de )e%a(!")o" d!"o%!a#!*o" %o)o )a(era de #ra#ar %o( &a" "!#a%!o(e"d!"r#!*a" ede &&e*ar a (a 'a&&a e( e& ro%e"a)!e(#o de &a" )!")a" de"de e& (#o de *!"#ae)o%!o(a& 2 %o,(!#!*o 2 or &o #a(#o re"ar e( rea%%!o(e" o"# #ra)#!%a" )" "e*era".Re'!ere oro!# 7/886 @e %a(do (a er"o(a (o e" %aa de o(er e( )ar%a (a re"e"#a&a "!#a%!$( #ra)#!%a 2a "ea de& #!o '!,# o '&2 7&%a o da de*!e(e ( "je#o ara&!ado.Re"e%#o a e"#o Ld!%K 7/803 a"e*era @e %o)ar#!)o" e& )e%a(!")o @e #!e(e( a&,(o"

a(!)a&e" %o)o &a ar!,-e2a @e &e er)!#e congelarse 're(#e a& redador 2 a" a"ar or )er#a.

La a#ora !('!ere or &o #a(#o @e congelarse odra e(#e(der"e %o)o e& e@!*a&e(#e adisociarse.

A '!(e" de &o" ao" "e#e(#a e& )o*!)!e(#o 'e)!(!"#a d!o &,ar a @e "e !(*e"#!,ara )" "obre e&ab"o "ea& "!%o&$,!%o 2 '"!%o !('a(#!& 2 o#ro" #ra)a" a"o%!ado" a &a rod%%!$( de "e%e&a"d!"o%!a#!*a".bo a ar#!r de e(#o(%e" ( re%o(o%!)!e(#o %re%!e(#e de &a !$#e"!" de& ab"o !('a(#!& 2 de &o#ra)#!%o %o)o rea de !(*e"#!,a%!$( %!e(#'!%a)e(#e *&!da ara &a e#!o&o,a de& #ra"#or(od!"o%!a#!*o de !de(#!dad.Ro"" 7/886 e(#!e(de a &a d!"o%!a%!$( %o)o ( )e%a(!")o de de'e("a ero (o de 'a(#a"a"ed!%a" "!(o de "!#a%!o(e" #ra)#!%a" rea&e".

S! b!e( errore" 2 d!"#or"!o(e" @e ede( o%rr!r e( &a re%era%!$( )("!%a 7!&"#ro)


18/28

Teor.as iatro'$i!as

Lo" @e roo(e( &a #eora !a#ro,(!%a 7=%, /883 =er"Ke2 /88


19/28

Fe$o%e$o"o'.a es1e!i#i!a de" trastor$o diso!iati&o de

ide$tidad

A%$esias/

E& DID "e re"e(#a %o( " 'e(o)e(o&o,a e"e%!'!%a #a& %o)o "e a *!"#o de"%r!#a or e& DS= IV7o.%!#.. E(#re &o" %r!#er!o" %!#ado" "e e(%e(#ra a &a !(%aa%!dad ara re%ordar !('or)a%!$(er"o(a& !)or#a(#e @e e" de)a"!ado a)&!a ara "er e&!%ada or ( o&*!do ord!(ar!o. E"#o (o

"!,(!'!%a @e &o" a%!e(#e" ade%a( (a a)(e"!a #o#a& e(#re #odo" 2 %ada (o de &o" e"#ado" de!de(#!dad. Lo" ,rado" de a)(e"!a ede( "er *ar!ab&e" 2 e!"#!r e(#re *ar!a" !de(#!dade" o "$&oe(#re a&,(a" 2 ede "er )#a o (!d!re%%!o(a& . ej. &a !de(#!dad B ede "aber #odo re"e%#oa &a !de(#!dad A ero &a !de(#!dad A !,(orar %o)&e#a)e(#e a &a !de(#!dad B. 7E&&e(ber,er /861Ja(e# /816 Pe#er" U2#er&!(de Co("e)&der ? Va( der ar# /880.

La )a2ora de &a" !(*e"#!,a%!o(e" %o(%erda %o( @e e& DID "e a%o)aa or (a er#rba%!$( e(&a )e)or!a episdica are%e( d!"%rear e( %a(#o a "! &a" !de(#!dade" %o)ar#e( &a )e)or!a!)&%!#a %o)o e& r!)!(, 2 &a )e)or!a ro%edra& 7=er%Ke&ba% De*!&&2 ? Ra""!( a(K 7/88/.La" d!'ere(%!a" e( &o" ra",o" de e"%r!#ra e( "je#o" %o( DID a "!do %o("!derada ( #$!%o!)or#a(#e or &o" %&(!%o" 'a)!&!ar!ado" %o( e"#e #ra"#or(o 7&'# /806a P#(a) /808. A)e(do e" (a erra)!e(#a !(#ere"a(#e or@e %o(#!e(e !('or)a%!$( e"e%'!%a a%er%a dee)o%!o(e" o re%erdo" de !de(#!dade" d!'ere(#e" o e"#ado" de &a er"o(a&!dad @e "e e(%e(#ra(bajo (a barrera a)("!%a e(#re (o" 2 o#ro". 7P#(a) o.%!#..E& e"#d!o de &o" ra",o" de &a e"%r!#ra de do%)e(#o" "e &&e*a a %abo or eer#o" @e #rabaja(,e(era&)e(#e e( e& )b!#o &e,a& 2 "e ded!%a( a &a !de(#!'!%a%!$( 2 &a %o)ara%!$( de &ado%)e(#a%!$(.

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20/28

E" (a #area ")a)e(#e %o)&eja @e ede de"e()a"%arar "!)!&!#de" o d!'ere(%!a" @e (o "o(e( ab"oo e*!de(#e" ara ojo !(eer#o 7Brad&e2 /80+.E& a#r$( de e"%r!#ra @e d!"#!(,e a (a er"o(a de o#ra a "!do a#r!b!do a (a "er!e de%e"#!o(e" %o)o %aa%!dade" re%e#a&e" '!"!o&o,a "!"#e)a )H"%&o e"@e!%o "!"#e)a(er*!o"o e& de"arro&&o !(#e&e%#a& &a" e)o%!o(e" 2 )o#!*a%!o(e" de& e"%r!b!e(#e 7Brad&e2 o.%!#.a" %o)o &a ed%a%!$( 2 &a o%a%!$( 7SadeK /833. E"#a %o)b!(a%!$( de ra",o" "e re'&eja e( (!(d!*!do %o)o "! 'era " e&&a d!,!#a& 2 e& )ode&o er"o(a& e" r%#!%a)e(#e !)o"!b&e ded&!%ar (#e,ra)e(#e. S)!# 7/804. La robab!&!dad de @e "%eda (a d&!%a%!$( e( "$&o /

trastorno disociativo de la personalidad (trastorno de personalidad multiple)

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