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Depersonalization: A New Look at a Neglected Syndrome, by Mauricio Sierra
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Depersonalization is a dissociative disorder, causing alteration in the perception or experience of the self and a detachment from reality. This is a fascinating and clinically relevant phenomenon neglected within psychiatry. Far from being a rare condition, it can be as prevalent as schizophrenia or bipolar disorder and frequently occurs in association with other neuropsychiatric conditions. This book is a review of depersonalization, dealing with the subject from a wide range of perspectives and covering historical, conceptual, clinical, trans-cultural, pharmacological and neurobiological factors. It discusses recent neuroimaging studies providing fresh insights into the condition and opening up new opportunities to manage the symptoms with pharmacologic and psychotherapeutic interventions. It will be relevant to psychiatrists and clinical psychologists, as well as primary care practitioners, neurologists and psychiatric nurses.
- Sales Rank: #316457 in Books
- Brand: Brand: Cambridge University Press
- Published on: 2012-08-16
- Original language: English
- Number of items: 1
- Dimensions: 9.21" h x .39" w x 6.14" l, .59 pounds
- Binding: Paperback
- 184 pages
- Used Book in Good Condition
Review
"Mauricio Sierra's wonderfully concise and rounded new book is a very welcome addition to this new literature ... In eleven chapters, all very engaging to read ... a 'must read' for professionals at all levels of training who want and need to better understand chronic depersonalization in its own right."
Psychological Medicine
About the Author
Mauricio Sierra is Lecturer, Institute of Psychiatry, King's College London, UK.
Most helpful customer reviews
23 of 23 people found the following review helpful.
Doctor, I am so glad you have read this, I have chronic DP/DR
By Dreamer
I have struggled with this from childhood and have fought my way through the mental health system for about 35 years. I am now 50. I thought I was one of about 4 people in the world who had this, per SO many professionals, until the internet, when all of us came out of the woodwork to see we were not alone.
I am furious with the medical profession, and tremendously grateful for Dr. Sierra's work. I beg that all mental health professionals become aware of this, ASAP.
If I could I would buy copies for every psychiatrist/therapist I've ever seen who "doesn't get it" or those who have told me to "get over it." Medical residents have absolutely no clue about it though it is a common symptom of panic attacks. Neurologists are very informed about DP/DR. What happened to the study of neurology in psychiatry? One current medical resident who has seen me doesn't even understand what deja-vu is. How is that possible?
I'm sorry I am so angry, but now feel vindicated. Again thank you Dr. Sierra for your tireless efforts. For the first time in my life I have a grain of hope that all DP/DR sufferers will not be neglected or dismissed any more. I was thrilled when "Feeling Unreal" came out, but I feel this will have a far greater impact on the medical community, PLEASE.
Also, all psychiatrists out there -- anti-psychotics may help some of us, but in many cases (including my own) they can cause DP/DR to become unbearable.
Spread the word!
[...]
(My website on my experience)
17 of 17 people found the following review helpful.
The best book yet on depersonalization
By Paul F. Dell
Depersonalization is a symptom that is completely private; it has no observable signs. During chronic depersonalization, one's emotional connection to body, self, and world vanishes. One's normal background sense of aliveness is replaced with a pervasive, muzzy numbness. One feels distant and disconnected from one's thoughts, actions, emotional reactions, and body sensations -- indeed, from everything that one is experiencing. This is a very unpleasant state.
Although depersonalization is the third most common psychiatric symptom (after anxiety and depression), it has received little attention until recently. At present, there are two major depersonalization research teams -- one in New York and the other in London. This book is written by the leader of the London team at King's College's Institute of Psychiatry -- Mauricio Sierra. Dr. Sierra is probably the world's leading scholar and researcher of depersonalization.
The prevalence of depersonalization disorder (DPD), the most chronic and severe form of depersonalization, is about 1%. Although this prevalence is comparable to that of schizophrenia and bipolar disorder, DPD is sorely under-diagnosed (Read: routinely misdiagnosed). The average person with DPD spends 12 years in the mental health system before receiving the correct diagnosis. Sierra attributes this to three factors. First, "most psychiatrists are still trained to believe that depersonalization disorder is extremely rare or non-existent" (p. 3). Second, psychiatrists' standard mental status examination contains no questions about depersonalization. Third, persons with DPD have difficulty describing their peculiar experiences and are often reluctant to disclose them (for fear of being thought to be 'crazy').
The onset of depersonalization disorder typically occurs during adolescence. It is usually chronic and is frequently associated with other psychiatric disorders (especially panic disorder and social anxiety disorder). Its most frequent predisposing factors and triggers are acute stress or trauma, illicit use of certain drugs, the presence of an anxiety disorder, and a childhood history of emotional abuse.
DPD has long been thought to be substantially untreatable. Sierra, however, provides a detailed description of the ways that DPD is beginning to respond to both psychotherapy and medication. Clearly, Sierra intends this book for clinicians and researchers. It is an excellent book that advances the field.
Finally, although this book is not aimed at those who suffer from DPD, the book may be of considerable interest to them as well. If nothing else, this superb little volume may serve as a guide and an encouragement to patients who have been contending with mental health professionals who are clueless about DPD (as is unfortunately the case in many instances).
13 of 14 people found the following review helpful.
Depersonalization:A New Look at a Neglected Syndrome
By Juan Jaramillo
I am a trained and Board Certified (in the US) Psychiatrist, with 11 years of experience. I was shocked to see that Depersonalization Disorder is such a common syndrome, and one about which so much is known, as Dr. Sierra, a true expert in the topic, brilliantly explains, in this "little" gem of a book (it can easily be read in a week or less). His knowledge about the syndrome is wide and deep. His respect for the topic and the reader are evident throughout the book, in things such as how well referenced, how clear and easy to read, and how up to date it is. From epidemiology to diagnosis, from neurobiology to pharmacological and psychotherapeutic approaches, everything you want to know (and more) about Depersonalization is here. The other shocking thing is to see how truly neglected (as the title says) this syndrome has been. Thanks to this book, I will now have Depersoalization more present when I am doing my diagnostic evaluations. This book is another proof (as if more were needed) that it behooves American and European Psychiatries to communicate more and to learn more from each other(some of that is already happening, increasingly so).
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