Editorial
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Apr 19, 2025; 15(4): 102008
Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.102008
Are dissociative psychosis and dissociative schizophrenia reality?
Hasan Belli
Hasan Belli, Department of Psychiatry, Health Science University, Bagcilar Education and Research Hospital, Istanbul 34400, Türkiye
Author contributions: Belli H designed the overall concept and outline of the manuscript, reviewed the literature, and wrote the manuscript.
Conflict-of-interest statement: The author declare that has no conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hasan Belli, PhD, Associate Professor, Department of Psychiatry, Health Science University, Bagcilar Education and Research Hospital, Mustafa Yaşar Caddesi Gençosman Mahallesi No. 5/7, Güngören, Istanbul 34400, Türkiye. hasan.belli@hotmail.com
Received: October 5, 2024
Revised: February 21, 2025
Accepted: March 5, 2025
Published online: April 19, 2025
Processing time: 171 Days and 4.6 Hours
Abstract

Even if dissociation has various facets, it is clear that knowledge of dissociative psychosis and a dissociative schizophrenia-based viewpoint may provide new perspectives on mental disorders. Many researchers screening for comorbid symptoms of “childhood traumatic experiences” and “dissociation”, where specific characteristics are significant to the presence of psychosis and schizophrenia, may lead to an acceptable definition. In recent years, researchers have also reported crucial advances in the understanding of dissociative psychosis and dissociative schizophrenia. Although clinical studies in this area have been ongoing for a long time, research has not demonstrated that a clear and valid relationship exists between dissociation, childhood traumatic experiences, and schizophrenia or psychotic spectrum disorders. However, some results of statistical comparisons have supported the existence of the clinical manifestation known as dissociative psychosis and dissociative schizophrenia. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be a prominent part of dissociative psychosis and schizophrenia. The intense presence of negative symptoms may indicate classical schizophrenia. In research and clinical practice, researchers and clinicians may use psychometric tests to detect symptoms of dissociative psychosis. Psychotic persons with traumatic experiences likely benefit from treatment focused on trauma symptomatolgy.

Keywords: Dissociation; Childhood trauma; Psychotic spectrum; Psychosis; Schizophrenia

Core Tip: Many researchers have suggested that an acceptable definition might be achieved by analysis screened for comorbid symptoms of “childhood traumatic experiences” and “dissociation”. Dissociation, childhood traumatic experiences, and positive psychotic symptoms may be a prominent part of dissociative psychosis and schizophrenia. The intense presence of negative symptoms may indicate classical schizophrenia.