The Concept of Peritraumatic Dissociation: A Qualitative Approach

Qual Health Res. 2016 Jun;26(7):1005-14. doi: 10.1177/1049732315610521. Epub 2015 Nov 3.

Abstract

Peritraumatic dissociation has been considered an important feature for the development of post-traumatic stress disorders, but this concept remains widely unclear. To explore the peritraumatic experience, we interviewed eight victims of urban violence shortly after their traumatic events. The data collected were compared and analyzed according to the systematic set of procedures of Grounded Theory (GT). The alterations reported by participants were coded and categorized according to their perceptions of their inner and outer world, and the impressions of others involved, including the examiner's observations. The theoretical perspective for interpreting this study has parallels with Jaspers' psychopathology. Peritraumatic dissociation was conceived as a failure of synthesis among emerging stimuli from the internal and the external world, including the time-space flow structure, even when cognitive-perceptual tools remain intact. This synthesis qualifies the totality of the perceptual experience as coherent and meaningful to conscience, enabling possibilities for being/existing.

Keywords: acute stress disorder; brazilian urban violence; dissociation; dissociative experiences; peritraumatic dissociation; post-traumatic stress disorder; psychiatry; psychopathology; qualitative research; trauma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Dissociative Disorders / etiology
  • Dissociative Disorders / psychology*
  • Female
  • Grounded Theory
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Qualitative Research
  • Stress Disorders, Post-Traumatic / etiology
  • Stress Disorders, Post-Traumatic / psychology
  • Violence / psychology*
  • Young Adult