Disosyatif Bozuklukların Psikanalitik Kuram Çerçevesinde İncelenmesi Üzerine Bir Derleme
An Overview of Dissociative Disorders from a Psychoanalytic Perspective

Summary/Abstract: This literature review provides a comprehensive analysis of dissociative disorders from the perspective of psychoanalytic theory, drawing upon theoretical, clinical, and research-based knowledge. Dissociative disorders are psychiatric conditions characterized by disruptions in consciousness, memory, identity, and perception of the environment, often linked to severe traumatic experiences in early childhood. Psychoanalytic theory interprets these disorders as the result of unconscious defense mechanisms, emphasizing the roles of repression, splitting, and isolation as fundamental processes underlying these conditions. The study reviews clinical cases, therapeutic practices, and current research in the literature, presenting detailed psychoanalytic explanations of various dissociative symptoms, including dissociative identity disorder. Particular focus is given to the relationship between childhood trauma and the development of fragmented self-representations, the emergence of false self-structures, and the dynamics of transference and countertransference. The psychoanalytic behavioral therapy (PBT) approach is also discussed as an effective model in addressing both the internal conflicts and externalized behaviors associated with dissociative pathology. In this context, the study highlights the importance of evaluating dissociative disorders not solely based on symptoms, but also in light of the individual’s subjective experiences, developmental history, and unconscious processes. It suggests that dissociation should not be seen merely as a pathological phenomenon, but also as a defensive strategy developed to preserve psychological integrity.

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