Citation

Masramon Fontserè H, Álvarez Alonso MJ, Santos López JM, Arrufat FX. Psiquiatr. Biol. (Barcelona, Spain) 2012; 19(Suppl 1): 59-61.

Copyright

(Copyright © 2012, Elsevier Publishing)

DOI

10.1016/j.psiq.2012.11.001

PMID

unavailable

Abstract

We report the case of a 22-year-old woman with history of childhood trauma. At 14 years old, she began with a clinical syndrome, characterized by anxiety and depression and made the first suicide attempt. She continued with repeated self-harm behavior and suicide attempts, showing dissociative symptoms, visual and auditory hallucinations, and prejudice delusions. The current examinations indicate high dissociation, preserved cognitive abilities, absence of formal thought disorder and negative symptoms, and acceptable social adjustment.

DISCUSSION: The childhood trauma has been associated with psychotic symptoms, with the borderline personality disorder and with the dissociative symptoms. Diverse studies showed the inability to distinguish the psychotic hallucinations from the dissociative hallucinations or from the post-traumatic flashbacks. Some of the symptoms of schizophrenic patients with a history of childhood abuse are likely to have a dissociative component. The childhood trauma history and the presence of dissociative symptoms should be explored in all patients with schizophrenia. © 2013 Elsevier España, S.L. All rights reserved.

Language: es

Keywords

adult; Trauma; human; female; case report; child abuse; Schizophrenia; depression; Psychosis; schizophrenia; anxiety; suicide attempt; Dissociation; dissociative disorder; Childhood abuse; article; automutilation; social psychology; borderline state; childhood injury; auditory hallucination; medical history; visual hallucination