Cognitive restructuring improves emotional regulation and identity integration in dissociative identity disorder, indicating a viable treatment approach.
Dissociative Identity Disorder (DID) have fragmented identities, memory impairments, and emotional resistance, which seriously affect their physical and mental health. This article explores cognitive restructuring as a key method for psychological rehabilitation. The research results of this article show that recombination is the core treatment method for DID, targeting the cognitive processes of maintaining dispersed identity and emotional disorders. By challenging maladaptive thinking patterns through techniques such as dialogue questioning and visual rewriting, this approach promotes functional integration of identity states, disrupts memory separation, and supports neural reconstruction involved in emotion regulation. Neurobiological studies have shown that this intervention can enhance the activity of brain regions crucial for real-world testing and emotional management, while clinical studies have shown a significant reduction in dissociative symptoms. However, several limitations must be acknowledged in order to optimize its application. The average reduction in separation symptoms was 38%, and patients' memory continuity of different identities also improved. Neuroimaging shows that the connectivity of memory related brain regions has increased by 25%. In addition, 70% of patients reported a decrease in emotional resistance and actively engaged in the treatment process. These findings highlight the effectiveness of cognitive restructuring in promoting identity integration and emotional regulation, providing a promising direction for DID rehabilitation. However, limitations such as emotional distress that may arise during the treatment process also need to be noted.
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Yan Sun (2025) studied this question.
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