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Dissociative Personality Disorder
Terms in this set (25)
Interruption in the normally well-integrated continuum of a person's consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.
What type of mechanism is DD?
A coping mechanism - an unconscious defense mechanism against trauma
What causes DD?
USUALLY severe trauma experienced over a period of time
What parts of the brain does it affect?
Serotonin, limbic system, hippocampus
The trauma inhibits a person's ability to process information, and a disturbance in the cortical system
Substance abuse + a mental disorder=
a dual diagnosis
is often comorbid with conversion disorder or personality disorder (2-7%)
DID) may co-occur with PTSD, borderline personality disorder, or sexual, eating, or sleep disorders (1.5-1.6%). More common in females.
Dissociative Identity disorder
often co-occurs with Illness Anxiety Disorder (hypochondriasis), anxiety disorder, and personality disorder (1-3%)
Inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting
May occur in any age group from children to adults. It is often related to trauma, memory may return spontaneously after the individual is removed from the stressful situation.
failure to recall events during a circumscribed period of time, is the most common form of dissociative amnesia
Individual can recall some, but not all, of the events during a circumscribed period of time.
Complete loss of memory for one's life history. This is very rare.
loss of memory for a specific category of information
Individual forgets each new event as it occurs
Apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or for other important autobiographical information. Sometimes a new identity is assumed (though this is rare)
Experiences of unreality, detachment , or being an outside doserver with respect to one's thoughts, feelings, sensations, body, or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotion and/or physical numbing).
Experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted).
How many personalities does there need to be for it to be diagnosed as DID?
2 or more
What are the 3 parts of psychotherapy?
Initial: Mapping and uncovering mental alterations/personalities
Phase 2: Treat traumatic memories to fuse alterations/personalities
Phase 3: Consolidating the person's Newly integrated personality
May help recover repressed memories
May help control behaviors in this patient population such as self-mutilation
Anxiolytics & Anti-depressants
Minimize medications b/c patient population is at risk for abuse
What is KEY in treating this?
Intervention in abusive families
Treat children with dissociative symptoms early
group of disorders in which there is the presence of physical symptoms _without _ any apparent medical condition.
Complex body-mind interactions that cause real distress to the patient
Symptoms cannot be accounted for by a physical disease, by another psychiatric disorder, or by the effects of drugs or medicine
The patient truly believes_ they are physically ill
the intentional fabrication or production of symptoms to avoid a duty
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