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<onlyinclude>
<onlyinclude>
[[File:Life_through_a_screen_by_Anonymous.jpg|thumbnail|250px|An artistic replication of what it feels like to experience watching the world through a screen.]]
[[File:Life_through_a_screen_by_Anonymous.jpg|thumbnail|250px|An artistic replication of what it feels like to experience watching the world through a screen.]]
'''Derealization''' or '''derealisation''' (sometimes abbreviated as '''DR''') is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's surroundings.<ref name="DSM5Glossary">American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), 818-20. Arlington, VA: American Psychiatric Publishing.  https://doi.org/10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms</ref> This effect is characterized by the individual feeling as if they are in a fog, dream, bubble, or something watched through a screen,<ref name="Espiard2005">Espiard, M. L., Lecardeur, L., Abadie, P., Halbecq, I., & Dollfus, S. (2005). Hallucinogen persisting perception disorder after psilocybin consumption: a case study. European Psychiatry, 20(5), 458-460. https://doi.org/10.1016/j.eurpsy.2005.04.008</ref> like a film or video game.<ref name=":0">American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.), 302-306. Arlington, VA: American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596.dsm08</ref> These feelings instill the person with a sensation of alienation and distance from those around them.   
'''Derealization''' or '''derealisation''' (sometimes abbreviated as '''DR''') is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's surroundings.<ref name="DSM5Glossary">{{cite journal|title=Glossary of Technical Terms|journal=Diagnostic and statistical manual of mental disorders (5th ed.)|year=2013|pages=818-20|doi=10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms}}</ref><ref name="ICD-11-depersonalization-derealization-disorder">{{cite journal|title=Depersonalization-derealization disorder|journal=International statistical classification of diseases and related health problems (11th ed.)|year=2022|url=https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/253124068 | access-date=20 May 2022}}</ref> This effect is characterized by the individual feeling as if they are in a fog, dream, bubble, or something watched through a screen,<ref name="Espiard2005">{{cite journal | vauthors=((Espiard, M.-L.)), ((Lecardeur, L.)), ((Abadie, P.)), ((Halbecq, I.)), ((Dollfus, S.)) | journal=European Psychiatry | title=Hallucinogen persisting perception disorder after psilocybin consumption: a case study | volume=20 | issue=5–6 | pages=458–460 | date= August 2005 | url=https://www.cambridge.org/core/product/identifier/S092493380024145X/type/journal_article | issn=0924-9338 | doi=10.1016/j.eurpsy.2005.04.008}}</ref> like a film or video game.<ref name=":0">{{cite book | title=Dissociative Disorders|journal=Diagnostic and statistical manual of mental disorders (5th ed.) | date=22 May 2013 | publisher=American Psychiatric Association | edition=Fifth Edition | url=https://doi.org/10.1176/appi.books.9780890425596.dsm08 | doi=10.1176/appi.books.9780890425596.dsm08 | isbn=9780890425558}}</ref> These feelings instill the person with a sensation of alienation and distance from those around them.   


Derealization can be distressing to the user, who may become disoriented by the loss of the innate sense that their external environment is genuinely real. The loss of the sense that the external world is real can make it feel inherently artificial and lifeless.<ref name=":0" />  
Derealization can be distressing to the user, who may become disoriented by the loss of the innate sense that their external environment is genuinely real. The loss of the sense that the external world is real can make it feel inherently artificial and lifeless.<ref name=":0" />  
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This state of mind is commonly associated with and often coincides with [[depersonalization]]. While derealization is a perception of the unreality of the outside world, depersonalization is a subjective experience of unreality in one's sense of self.  
This state of mind is commonly associated with and often coincides with [[depersonalization]]. While derealization is a perception of the unreality of the outside world, depersonalization is a subjective experience of unreality in one's sense of self.  


Derealization is often accompanied by various perceptual distortions such as [[acuity suppression]], [[acuity enhancement]], and [[Perspective distortion|perspective distortions]].<ref name=":0" /> Other coinciding effects include [[Auditory distortion|auditory distortions]] and [[depersonalization]].<ref name="Espiard2005" /><ref name=":0" /> This effect is most commonly induced under the influence of [[dosage#common|moderate]] [[dosage|dosages]] of [[dissociative]] compounds, such as [[ketamine]], [[PCP]], and [[DXM]]. However, it can also occur to a lesser extent during the [[withdrawal]] symptoms of [[stimulant|stimulants]] and [[depressant|depressants]].</onlyinclude>
Derealization is often accompanied by various perceptual distortions such as [[Visual acuity suppression|visual acuity suppression]], [[Visual acuity enhancement|visual acuity enhancement]], and [[Perspective distortion|perspective distortions]].<ref name=":0" /> Other coinciding effects include [[Auditory distortion|auditory distortions]] and [[depersonalization]].<ref name="Espiard2005" /><ref name=":0" /> This effect is most commonly induced under the influence of [[dosage#common|moderate]] [[dosage|dosages]] of [[dissociative]] compounds, such as [[ketamine]], [[PCP]], and [[DXM]]. However, it can also occur to a lesser extent during the [[withdrawal]] symptoms of [[stimulant|stimulants]] and [[depressant|depressants]].
</onlyinclude>
 
===Analysis===
===Analysis===
In psychiatry, chronic derealization that arises during sobriety is identified as "Depersonalization/Derealization Disorder" and is classified by the DSM5 as a dissociative disorder.<ref name=":0" />
In psychiatry, chronic derealization that arises during sobriety is identified as "Depersonalization/Derealization Disorder" and is classified by both the DSM5 and ICD-11 as a single dissociative disorder.<ref name="ICD-11-depersonalization-derealization-disorder" /><ref name=":0" />


Temporary derealization symptoms lasting hours to days are common in the general population. Approximately one-half of all adults have experienced at least one episode of depersonalization/derealization within their lifetime, and the gender ratio for the disorder is 1:1.<ref name=":0" /> Chronic derealization is more common within individuals who have experienced a severe trauma or prolonged stress and anxiety. The symptoms of both chronic derealization and depersonalization are common within the general population, with a lifetime prevalence of up to 26-74% and 31–66% at the time of a traumatic event.<ref>Hunter, E. C., Sierra, M., & David, A. S. (2004). The epidemiology of depersonalisation and derealisation. Social psychiatry and psychiatric epidemiology, 39(1), 9-18. https://dx.doi.org/10.1007/s00127-004-0701-4</ref>  
Temporary derealization symptoms lasting hours to days are common in the general population. Approximately one-half of all adults have experienced at least one episode of depersonalization/derealization within their lifetime, and the gender ratio for the disorder is 1:1.<ref name=":0" /> Chronic derealization is more common within individuals who have experienced a severe trauma or prolonged stress and anxiety. The symptoms of both chronic derealization and depersonalization are common within the general population, with a lifetime prevalence of up to 26-74% and 31–66% at the time of a traumatic event.<ref>{{cite journal | vauthors=((Hunter, E. C. M.)), ((Sierra, M.)), ((David, A. S.)) | journal=Social Psychiatry and Psychiatric Epidemiology | title=The epidemiology of depersonalisation and derealisation | volume=39 | issue=1 | pages=9–18 | date=1 January 2004 | url=https://doi.org/10.1007/s00127-004-0701-4 | issn=1433-9285 | doi=10.1007/s00127-004-0701-4}}</ref>  


This effect is a type of cognitive and perceptual dysregulation.<ref name="DSM5Glossary" /> It has been demonstrated that derealization may be caused by a dysfunction within the brains visual processing center (occipital lobe) or the temporal lobe, which is used for processing the meaning of sensory input, language comprehension, and emotion association.<ref>Sierra, M., Lopera, F., Lambert, M. V., Phillips, M. L., & David, A. S. (2002). Separating depersonalisation and derealisation: the relevance of the “lesion method”. Journal of Neurology, Neurosurgery & Psychiatry, 72(4), 530-532. http://dx.doi.org/10.1136/jnnp.72.4.530</ref>  
This effect is a type of cognitive and perceptual dysregulation.<ref name="DSM5Glossary" /> It has been demonstrated that derealization may be caused by a dysfunction within the brains visual processing center (occipital lobe) or the temporal lobe, which is used for processing the meaning of sensory input, language comprehension, and emotion association.<ref>{{cite journal | vauthors=((Sierra, M.)), ((Lopera, F.)), ((Lambert, M. V.)), ((Phillips, M. L.)), ((David, A. S.)) | journal=Journal of Neurology, Neurosurgery & Psychiatry | title=Separating depersonalisation and derealisation: the relevance of the “lesion method” | volume=72 | issue=4 | pages=530–532 | date=1 April 2002 | url=https://jnnp.bmj.com/content/72/4/530 | issn=0022-3050 | doi=10.1136/jnnp.72.4.530}}</ref>  
===Psychoactive substances===
===Psychoactive substances===
Compounds within our [[psychoactive substance index]] which may cause this effect include:
Compounds within our [[psychoactive substance index]] which may cause this effect include:
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{{#ask:[[Category:Experience]][[Effect::Derealization]]|format=ul|Columns=2}}
{{#ask:[[Category:Experience]][[Effect::Derealization]]|format=ul|Columns=2}}
===See also===
===See also===
*[[Responsible use]]
*[[Responsible use]]
*[[Depersonalization]]
*[[Depersonalization]]
*[[Dissociative]]
*[[Dissociative]]
*[[Subjective effects index]]
*[[Subjective effects index]]
===External links===
===External links===
*[http://en.wikipedia.org/wiki/Derealization Derealization (Wikipedia)]
*[http://en.wikipedia.org/wiki/Derealization Derealization (Wikipedia)]
===References===
===References===
<references />
<references />

Latest revision as of 05:41, 4 October 2022

An artistic replication of what it feels like to experience watching the world through a screen.

Derealization or derealisation (sometimes abbreviated as DR) is medically recognized as the experience of feeling detached from, and as if one is an outside observer of, one's surroundings.[1][2] This effect is characterized by the individual feeling as if they are in a fog, dream, bubble, or something watched through a screen,[3] like a film or video game.[4] These feelings instill the person with a sensation of alienation and distance from those around them.

Derealization can be distressing to the user, who may become disoriented by the loss of the innate sense that their external environment is genuinely real. The loss of the sense that the external world is real can make it feel inherently artificial and lifeless.[4]

This state of mind is commonly associated with and often coincides with depersonalization. While derealization is a perception of the unreality of the outside world, depersonalization is a subjective experience of unreality in one's sense of self.

Derealization is often accompanied by various perceptual distortions such as visual acuity suppression, visual acuity enhancement, and perspective distortions.[4] Other coinciding effects include auditory distortions and depersonalization.[3][4] This effect is most commonly induced under the influence of moderate dosages of dissociative compounds, such as ketamine, PCP, and DXM. However, it can also occur to a lesser extent during the withdrawal symptoms of stimulants and depressants.


Analysis

In psychiatry, chronic derealization that arises during sobriety is identified as "Depersonalization/Derealization Disorder" and is classified by both the DSM5 and ICD-11 as a single dissociative disorder.[2][4]

Temporary derealization symptoms lasting hours to days are common in the general population. Approximately one-half of all adults have experienced at least one episode of depersonalization/derealization within their lifetime, and the gender ratio for the disorder is 1:1.[4] Chronic derealization is more common within individuals who have experienced a severe trauma or prolonged stress and anxiety. The symptoms of both chronic derealization and depersonalization are common within the general population, with a lifetime prevalence of up to 26-74% and 31–66% at the time of a traumatic event.[5]

This effect is a type of cognitive and perceptual dysregulation.[1] It has been demonstrated that derealization may be caused by a dysfunction within the brains visual processing center (occipital lobe) or the temporal lobe, which is used for processing the meaning of sensory input, language comprehension, and emotion association.[6]

Psychoactive substances

Compounds within our psychoactive substance index which may cause this effect include:

Experience reports

Annectdotal reports which describe this effect with our experience index include:

See also

References

  1. ↑ 1.0 1.1 "Glossary of Technical Terms". Diagnostic and statistical manual of mental disorders (5th ed.): 818–20. 2013. doi:10.1176/appi.books.9780890425596.GlossaryofTechnicalTerms. 
  2. ↑ 2.0 2.1 "Depersonalization-derealization disorder". International statistical classification of diseases and related health problems (11th ed.). 2022. Retrieved 20 May 2022. 
  3. ↑ 3.0 3.1 Espiard, M.-L., Lecardeur, L., Abadie, P., Halbecq, I., Dollfus, S. (August 2005). "Hallucinogen persisting perception disorder after psilocybin consumption: a case study". European Psychiatry. 20 (5–6): 458–460. doi:10.1016/j.eurpsy.2005.04.008. ISSN 0924-9338. 
  4. ↑ 4.0 4.1 4.2 4.3 4.4 4.5 Dissociative Disorders. Diagnostic and statistical manual of mental disorders (5th ed.) (Fifth Edition ed.). American Psychiatric Association. 22 May 2013. doi:10.1176/appi.books.9780890425596.dsm08. ISBN 9780890425558. 
  5. ↑ Hunter, E. C. M., Sierra, M., David, A. S. (1 January 2004). "The epidemiology of depersonalisation and derealisation". Social Psychiatry and Psychiatric Epidemiology. 39 (1): 9–18. doi:10.1007/s00127-004-0701-4. ISSN 1433-9285. 
  6. ↑ Sierra, M., Lopera, F., Lambert, M. V., Phillips, M. L., David, A. S. (1 April 2002). "Separating depersonalisation and derealisation: the relevance of the "lesion method"". Journal of Neurology, Neurosurgery & Psychiatry. 72 (4): 530–532. doi:10.1136/jnnp.72.4.530. ISSN 0022-3050. 
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