Canadian and American Psychiatrists' Attitudes toward Dissociative Disorders Diagnoses

Author:

Lalonde Justine K1,Hudson James I2,Gigante Robin A3,Pope Harrison G4

Affiliation:

1. Associate Chief, Child and Adolescent Psychiatry Research, Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts; Clinical Fellow in Psychiatry, Harvard Medical School, Boston, Massachusetts

2. Associate Chief, Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts; Associate Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts

3. Research Assistant, Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts

4. Chief, Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts; Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts

Abstract

Objective: To compare the opinions of Canadian psychiatrists regarding dissociative disorder diagnoses with those of previously surveyed American psychiatrists. Method: We sent a 1-page questionnaire to a stratified representative sample of 550 Canadian psychiatrists. Results: Eighty percent of Canadian psychiatrists responded. Fewer than one-third replied that dissociative amnesia and dissociative identity disorder should be included without reservations in the DSM-IV; fewer than 1 in 7 felt that the validity of these diagnoses was supported by strong scientific evidence. French- and English-speaking Canadians had similar opinions. Overall, Canadians were significantly less accepting than Americans. Conclusion: Both Canadian and American psychiatrists show little consensus regarding the diagnostic status or scientific validity of dissociative amnesia and dissociative identity disorder.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

Reference22 articles.

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