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Depersonalization in Early Adolescence

Masayuki Shimizu, Shozo Sakamoto

Psychiatry and Clinical Neurosciences December 1, 1986 DOI: 10.1111/j.1440-1819.1986.tb03174.x (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 6
Population Children with onset of depersonalization before age 15, drawn from a larger series of 120 depersonalization cases
Key findings Only 16 of 120 observed depersonalization cases began before age 15, and the 6 detailed cases illustrate that children's limited verbal expression (similes rather than metaphors) can lead clinicians to overlook depersonalization. The authors report these children shared passive interpersonal traits and a tendency toward frustration or inferiority over minor matters.

Abstract

Abstract: Depersonalization is a comparatively rare disease in the psychiatric field. Particularly, its occurrence in early adolescence or even before seems to be quite uncommon. We have observed 120 cases of depersonalization, of which only 16 cases had their onset before the age of 15. Among them, we will present here 6 cases for which a detailed observation was available. It is very difficult for these minors to put their feeling into verbal expressions because the experience of depersonalization is a “negative symptom.” Adult patients can explain metaphorically how they feel. However, children can use only similes. Therefore, in the case of depersonalization, children have more difficulty in expressing their feeling than adults. This might cause to clinically overlook depersonalization in children. Even in our observation of the cases reported here, we found after a while that their complaints actually meant experiences of depersonalization, although their explanations were at first obscure. These 6 cases showed common personality traits that they are passive in interpersonal relationship and that they easily become frustrated or hold a sense of inferiority even at trifles.