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Surviving and Thriving in Medicine
Published in Clare Gerada, Zaid Al-Najjar, Beneath the White Coat, 2020
Depersonalisation allows us to detach from a disturbing emotional situation, and to get on with the task in hand. For example, the emergency department doctor might only be able to perform well by seeing the patient as a series of biometric values, rather than the critically ill, young mother fighting for her life. Depersonalisation could be considered an adaptive response to intolerable situations and a protection against becoming overly involved with suffering (certainly in the short term when exposed to traumatic situations) as it helps to shut down emotions.
ISQ – Psychopathology
Published in Bhaskar Punukollu, Michael Phelan, Anish Unadkat, MRCPsych Part 1 In a Box, 2019
Bhaskar Punukollu, Michael Phelan, Anish Unadkat
Aspects of depersonalization – May occur in healthy individuals. There is often a comorbid mood or neurotic disorder. Usually experiences are ego dystonic. Often felt to be subjectively unpleasant. Emotional numbing. Changes in body experience. Changes in sensory perception: visual/auditory/tactile/gustatory/olfactory. Loss of feelings of agency. Distortions in experience of time. Changes in subjective experience of memory. Heightened self-observation. Feelings of thoughts being empty. Subjective feeling of inability to evoke images.
Signs and Symptoms in Psychiatry
Published in Mohamed Ahmed Abd El-Hay, Essentials of Psychiatric Assessment, 2018
Depersonalization is a feeling that one’s self or one’s body is unreal or unfamiliar. This includes a sense of being outside of one’s self, that one’s goals or mores are wrongheaded or meaningless; it is generally accompanied by anxiety or dysphoria. Derealization refers to the feeling that the world is unreal or has abruptly taken on unreal characteristics. Except in the most extreme cases, patients with depersonalization or derealization have the feelings of unreality, yet intellectually recognize what is or is not real. Thus, depersonalization and derealization are usually not delusional. Depersonalization and derealization are most commonly encountered in borderline personality disorder, partial complex seizure disorders, conversion or hysterical disorders, early or mild psychotic states, and normal adolescence. These experiences are usually transient, lasting minutes to hours, but may recur. Some patients experience both derealization and depersonalization.
Dissociative Symptoms are Highly Prevalent in Adults with Narcolepsy Type 1
Published in Behavioral Sleep Medicine, 2022
Laury Quaedackers, Hal Droogleever Fortuyn, Merel Van Gilst, Martijn Lappenschaar, Sebastiaan Overeem
Over the past two decades, studies have increasingly shown a relationship between disordered sleep and dissociation (Koffel & Watson, 2009; Lynn et al., 2019; Selvi et al., 2015; Van Der Kloet et al., 2013; Van Der Kloet, Giesbrecht et al., 2012; Van Heugten-van Der Kloet et al., 2014). The American Psychiatric Association defines dissociation as “a disruption of the usually integrated functions of consciousness, memory, identity or perception of the environment” (American Psychiatric Association, 2000). Several pathologic dissociative symptoms can be distinguished. These include feeling like everything is unreal (derealization) and feeling disconnected from one’s body or feelings (depersonalization). In addition, they include amnesia for personal information or events that are too extensive to be explained by ordinary forgetfulness (dissociative amnesia). Dissociation may also lead to identity alteration; learning from others of activity of alternate identities, feeling possessed or controlled, and perceiving internal images and voices (identity alteration) (Korzekwa et al., 2009). The DSM-IV-TR lists four diagnoses under the category “dissociative disorder”: dissociative amnesia, dissociative fugue (a sudden, unexpected travel away from one’s home with an inability to recall some or all of one’s past), depersonalization disorder, dissociative identity disorder. Dissociative disorder “not otherwise specified” refers to various forms of dissociation that are not fully covered by any of the specific dissociative disorder (American Psychiatric Association, 2000)
Meditation app alleviates burnout and builds resilience for chaplains in hospices for older adults in Asian and African cities
Published in Journal of Health Care Chaplaincy, 2021
Chaplains working in hospices and facilities for older adults face multiple challenges such as care intensity, uncertainty, and diversity in beliefs of the clientele (Ai & McCormick, 2010; Lindholm, 2018; Willander, Bradby, Torres, & Jonsson, 2019). Spiritual will or legacy of the soul has been recommended for older adults’ end-of-life existential distress and corresponding planning by chaplains (Grewe, 2017). In general chaplaincy in facilities for older adults is challenging both in terms of chaplains’ own belief systems and psychological wellbeing (e.g. Liefbroer & Berghuijs, 2019). Experiencing burnout symptoms such as emotional exhaustion and depersonalization are common (Schaufeli & Taris, 2005). Emotional exhaustion entails feelings of being emotionally overextended and exhausted by one’s work. Depersonalization refers to an unfeeling and impersonal response toward recipients of one’s service, care treatment, or instruction (Moore & Levison, 2003). Interventions that promote personal fulfillment and build resilience among chaplains are thus required (Sanso et al., 2015). Activities that shift focus, such as leisure, are considered useful to build resilience regain psychological health (e.g. Lampinen, Heikkinen, & Heikkinen, 2006), though most studies combine only physical and leisure time activities (Hulteen et al., 2017) and none focus on clergy or chaplain populations.
The mediation effect of self-esteem on job-burnout and self-efficacy of special education teachers in Western China
Published in International Journal of Developmental Disabilities, 2021
Wangqian Fu, Wenjun Tang, Eryong Xue, Jian Li, Chengwei Shan
Burnout, the term was originally proposed to refer to the physically and psychologically burnt for the health-care workers and is generally applied for the human service professionals now (Jennett et al.2003). Although the definition of burnout is still not unified, the Maslach's multidimensional theory of burnout is widely accepted and cited (Maslach and Jackson 1984, Farber 1991, Díaz et al.2010) in most empirical work in the area. In this theory, they defined burnout as a psychological syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment in the people who need to interact with others. Specifically, emotional exhausting means that the individual’s emotional resources are overextended and depleted. When teacher perceive themselves that they can’t devote themselves to students and teaching as they did earlier, it is the signs of emotional exhaustion (Chang 2009). Depersonalization means the individuals treat other in a negative, callous, or excessively way to others, especially to the recipients. For the teachers, it refers to they develop that attitudes to students, parents, and/or colleagues. Reduced personal accomplishment means the feelings of competence and successful achievement is declined in the career. It exhibits when the teachers feel they are ineffective to accomplish the work, such as teaching and fulfilling other school responsibilities.