七重人格分离性身份识别障碍1例

A case of dissociative identity disorder with seven personalities

分离性身份识别障碍(dissociative identity disorder,DID),曾被称为多重人格障碍,因其症状多样易变,因而容易被误诊。本文中的患者为1例16岁的男性青少年,具有七重人格特征的DID,因“大脑分裂出现数人7年,不愿上学5 d”就诊,曾被诊断为其他精神障碍。予以治疗后,患者情绪逐渐平稳。出院后3个月内随访患者能正常上学与生活。本文报告该病例,提高精神科医生对这一疾病的认识和诊断能力,通过综合运用心理治疗和药物治疗,以及建立稳固的治疗关系,控制其症状,逐步恢复社会功能。

Dissociative identity disorder(DID),formerly known as multiple personality disorder,is often misdiagnosed due to its diverse and variable symptoms.The patient in this case is a 16-year-old male adolescent with DID featuring seven distinct personality traits.He has been experiencing dissociation from multiple personalities for seven years and sought treatment after refusing to attend school.He had previously been diagnosed with other mental disorders.After treatment,the patient's mood gradually stabilized.Within 3 months after discharge,the patients could go to school and live normally.This report aims to raise psychiatrists′awareness of this condition and improve diagnostic accuracy.Through a combination of psychotherapy and pharmacotherapy and a stable therapeutic relationship,the patient′s symptoms can be controlled,and his social functioning can be gradually restored.