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2-21 - APsych Dissociative and Somatoform Disorders...

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APsych 2-21-08   Dissociative and Somatoform Disorders   Psychological distress that impacts physical function, or identity something is emotionally impacting them at either a cognitive, emotional, or behavioral level...and  the distress impacts the persons identity or physical functioning   Dissociative Disorders      defense mechanism of dissociation (defense mech - mech. we use to help deal with stress) - a  person psychologically leaves or dissociates himself from something that is traumatic      role that trauma plays - children who are physically/sexually abused, or see family harmed/hurt      to decrease the trauma from what is occurring   people with DD are people that have been traumatized, have significant psychological problems    DId disorder does not happen very often <1%      more in women? women are 'victimized' earlier than men   DId used to be Multiple Personality Disorder, now Dissociative Identity Disorder?   our id, conscious, memory is supposed to be 1 together, in DID, the memory isn't?   DID - people develop Alters (personalities) DID Must:      have 2 distinct personalities that exist in the same person      these personalities will take control of the persons behavior (inability to recall info from the  other personality)          not caused by drug/alcohol use      will see EEG changes/eye glass prescription changes with different personalities      personalities can be conflicting with each other   DID is a controversial disorder, and a majority of a DID are identified by those that study it      are there really people with PDs who are in some way being reinforced by the therapist for  eliciting these personalities      people with these PDs are suggest-able...easily talked into things, easily hypnotized      critics: these people are acting successful treatment is integration - take the personalities and blend the 2 memories together   DID is a splitting off of personality - diff from schizo, where their thought processes become 
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