Background: Patients suffering from dissociative disorders (DD) are characterized by an avoidance of aversive stimuli. Clinical experience has shown that DD patients typically avoid the confrontation with their own faces in a mirror (CFM).Objective: To investigate potential CFM-associated self-reported and psychophysiological stress reactions of DD patients, which most likely inform on the still unknown pathophysiology of dysfunctional self-perception in DD.Method: Eighteen DD patients and 18 healthy controls (HCs) underwent CFM. They were assessed for CFM-induced subjective self-reported stress, acute dissociative symptoms and sympathetic and parasympathetic drive using impedance cardiography.Results: DD patients experienced more subjective stress and acute dissociation than HCs upon CFM. Their psychological stress response did not activate the sympathetic and parasympathetic nervous system.Conclusions: In DD patients, CFM constitutes serious self-reported stress and is associated with a blunted autonomic reactivity. Therapeutic approaches promoting self-perception and self-compassion, in particular by using CFM, might serve as goal-oriented diagnostic and therapeutic tools in DD.
Published: 2018-11-01
The enemy in the mirror: self-perception-induced stress results in dissociation of psychological and physiological responses in patients with dissociative disorder
Eva Schäflein, Heribert Sattel, Ulrike Schmidt, Martin Sack
Autonomic nervous system, autopercepción, avoidance, face in the mirror, impedance cardiography, mirror-confrontation, parasympathetic, post-traumatic stress disorder, self-perception, sistema nervioso autónomo, sympathetic
- Item Type: journalArticle
- Publication Title: European Journal of Psychotraumatology
- Volume: 9
- Pages: 1472991
- Series:
- Series Title:
- Series Text:
- Journal Abbreviation:
- DOI: /10.1080/20008198.2018.1472991
- ISSN: null
- Short Title: The enemy in the mirror
- Library Catalog: Taylor and Francis+NEJM
