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Yıl:1996; Cilt: 4; Sayı: 3>> Özet
Psikiyatri Bülteni; 1996;4(3):139-142
Obsesif Kompulsif Spektrum Bozuklukları İçinde Yer Alan Depersonalizasyon ve Vücut Dismorfik Bozukluğu: Olgu Sunumu
SH Aslan, YE Evlice
Çukurova Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı
Depersonalizasyon, psikiyatrik kaynaklarda giderek daha çok ilgi çekmektedir. Kişinin duygularını ve kendilik duyumunu yabancı ve acayip bulması olarak tanımlanır. Bu, sanrısal düzeyde olmayıp hastanın içgörüsü vardır. Kısa süreli ve geçici olarak normal bireylerde de görülebilen depersonalizasyon, organik ve ruhsal birçok hastalığa eşlik edebilmektedir. Depersonalizasyon bozukluğu tanısı ise belirli diğer hastalıklar dışında, inatçı, ısrarlı ve yineleyici bir biçimde ortaya çıkıp, belirgin sıkıntıya yol açtığında konmaktadır. Vücut dismorfik bozukluğu ise kişinin görünümünde belirgin bir kusur olmamasına karşın, kendisinde var saydığı bir kusurla uğraşıp durmasıdır. Hafif bir kusuru varsa bile kişi bunu abartmakta, bunaltısı bu kusura göre aşırı olmaktadır. Birçok çalışma ve olgu sunumunda depersonalizasyon ve vücut dismorfik bozukluğu ile obsesif kompulsif kişilik özelliklerinin birlikte olduğu belirlenmiştir. Son yıllarda depersonalizasyon ve vücut dismorfik bozukluktan obsesif kompulsif bozukluk yelpazesindeki hastalıklar arasında sayılmaktadır. Obsesif kompulsif kişilik zemininde depersonalizasyon ve vücut dismorfik bozukluğu belirtileri gösterdiği düşünülen bu olgu ilginç bulunarak tartışılmıştır.

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