在临床理论中,结构解离理论(Structural Dissociation Theory)是对 DID 病因的常见解释路径之一。该理论认为,个体人格在早期遭遇极端创伤时无法整合,形成“表面正常人格部分”(Apparently Normal Parts, ANPs)与“情绪人格部分”(Emotional Parts, EPs)[9]。这类“结构性解离”不仅体现在记忆和意识上,也涉及功能角色的分裂与人格结构的稳定化。
其他特定的解离性障碍(OSDD)
其他特定的解离性障碍适用于那些未完全符合 DID 标准,但仍展现身份交替、意识割裂、强烈内在角色等特征的个体[10]。OSDD 的临床表现可能较轻微或较模糊,分类也较灵活。
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115–187. https://doi.org/10.1080/15299732.2011.537247
^American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
^World Health Organization. (2019). International Classification of Diseases 11th Revision (ICD-11). https://icd.who.int (页面存档备份,存于互联网档案馆)
^Loewenstein, R. J. (1991). Dissociative identity disorder as a trauma-spectrum disorder. Psychiatric Clinics of North America, 14(3), 489–515. https://doi.org/10.1016/S0193-953X(18)30352-2
^Nijenhuis, E. R. S., van der Hart, O., & Steele, K. (2004). The theory of structural dissociation of the personality. Journal of Trauma & Dissociation, 5(3), 1–23. https://doi.org/10.1300/J229v05n03_01
^World Health Organization. (2019). ICD-11 Clinical Descriptions and Diagnostic Guidelines for Mental and Behavioural Disorders. https://icd.who.int (页面存档备份,存于互联网档案馆)
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^Fernando, S. (2010). Mental Health, Race and Culture (3rd ed.). Palgrave Macmillan.
^Howell, E. F. (2005). The Dissociative Mind. Routledge.
^Veissière, S. P. L. (2016). Varieties of tulpa experiences: The hypnotic nature of imaginary companions. Anthropology of Consciousness, 27(2), 171–192. https://doi.org/10.1111/anoc.12040
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^Harrison, J. (2023). Beyond diagnosis: Plural identity in digital communities. Journal of Cyberpsychology and Mental Health, 2(1), 55–70.
^Reinders, A. A. T. S., Willemsen, A. T. M., Vos, H. P. J., den Boer, J. A., & Nijenhuis, E. R. S. (2012). Fact or factitious? A psychobiological study of authentic and simulated dissociative identity states. PLOS ONE, 7(6), e39279. https://doi.org/10.1371/journal.pone.0039279
^Fernando, S. (2010). Mental Health, Race and Culture (3rd ed.). Palgrave Macmillan.
^Brand, B. L., & Loewenstein, R. J. (2014). Dissociative disorders: An overview of assessment, phenomenology, and treatment. Psychiatric Clinics of North America, 37(2), 213–229. https://doi.org/10.1016/j.psc.2014.01.001
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115–187. https://doi.org/10.1080/15299732.2011.537247
^Nijenhuis, E. R. S., & van der Hart, O. (2011). The haunted self: Structural dissociation and the treatment of chronic traumatization. Norton Series on Interpersonal Neurobiology.
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115–187. https://doi.org/10.1080/15299732.2011.537247
^Brand, B. L., & Loewenstein, R. J. (2014). Dissociative disorders: An overview of assessment, phenomenology, and treatment. Psychiatric Clinics of North America, 37(2), 213–229. https://doi.org/10.1016/j.psc.2014.01.001
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472.
^David-Néel, A. (1929). Magic and Mystery in Tibet. London: Penguin Books.
^Veissière, S. P. L. (2016). Varieties of tulpa experiences: The hypnotic nature of imaginary companions. Anthropology of Consciousness, 27(2), 171–192. https://doi.org/10.1111/anoc.12040
^Kotchoubey, B. (2021). Conceptual problems of tulpamancy. Frontiers in Psychology, 12, 699021.
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327
^Lowe, B. (2020). Psychological considerations in tulpamancy. Journal of Unusual Mental States, 8(1), 45–61.
^Brand, B. L., & Chasson, G. S. (2015). Distinguishing simulated from genuine dissociative identity disorder. Current Directions in Psychological Science, 24(4), 307–312. https://doi.org/10.1177/0963721415587856
^Wang, A. (2021). Exploring plurality: Identity and self-definition in online multiple communities. New Media & Society, 23(7), 1450–1472. https://doi.org/10.1177/1461444820929327