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1Controversy Regarding Dissociative DisordersHolly BowlingWalden UniversityNRNP 6665: PMHNP Care Across the Lifespan IDr. Pamela MokokoMay 3, 2021
2Controversy Regarding Dissociative DisordersDissociative disorders (DD) are mental health disorders, such as dissociative identitydisorder (DID), dissociative amnesia, or depolarization/derealization disorder that involve thedisruption of one or more mental functions, such as memory, identity, perception, consciousness,or motor behavior (Sadock, Sadock, & Ruiz, 2015). DD comes with many controversies, myths,and ethical issues that the advanced practitioner must take into account when treating individualswith such disorders. The following paper will discuss specific controversies and professionalbeliefs associated with DD, as well as strategies for maintaining therapeutic alliance and legaland ethical considerations when treating clients with DD.Controversy Surrounding Dissociative DisordersThere is much evidence to support the relationship between dissociation disorders (DD)and psychological trauma, especially cumulative and/or early life trauma. Some might endorsethat dissociation produces fantasies of trauma and that DD is artefactual conditions produced byiatrogenesis and/or socio-cultural factors (Loewenstein, 2018). Other controversies are stemmedfromthe anxiety evoked by unsettling clinical presentation seen with DD, which may be similarto some clinicians’ emotional reactions to psychiatric emergency patients.There is also a disputeover the meaning of observed symptoms of DD, and whether they are a unique and subtle set ofcore symptoms and behaviors that some clinicians do not see when it is before their eyes,or as awillful malingering cause of symptoms created by the other clinicians who think something isthere that is not (Loewenstein, 2018).A final controversy is a fear that criminals will “get off”without being punished by a gullible justice system, which attributes behavior to anotherpersonalityand does not hold the perpetrator responsible (Loewenstein, 2018).Professional Beliefs About Dissociative Disorders
3There are many myths and misconceptions about dissociative disorders that remain to besettled, including that they are a fad that is dying, that they are rare, that they are iatrogenic other