Many millions of people frequently experience themselves in a pronounced state of unreality, in what can be described as an out-of-body, vague, dreamlike mental-emotional condition.
This affliction—known as depersonalization—gets little attention in the media. Yet it is, in fact, the third most common psychological complaint, after feelings of anxiety and depression. According to the diagnostic manual of the American Psychiatric Association, “The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.”
The manual says that episodes of depersonalization “are characterized by a feeling of unreality or detachment from, or unfamiliarity with, one’s whole self or from aspects of the self.” In addition, the depersonalization experience “can sometimes be one of a split self, with one part observing and one part participating, known as an ‘out of body experience’ in its most extreme form.”
Depersonalization is commonly associated with childhood trauma, stress, anxiety, depression, bipolar disorder, obsessive-compulsive disorder, panic attacks, migraine, sleep deprivation, and recreational drug use. The affliction does not produce discontinuity of consciousness, a symptom associated with dissociative identity disorder.
Experts say the exact cause of depersonalization is unknown. I am making the case, however, that the origin or cause of depersonalization, as published in psychoanalytic literature in 1950, is, in fact, known.* [Read more…]