Chapter 6 Dissociative disorders

Chapter 6 Dissociative disorders - DISSOCIATIVE DISORDERS...

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Unformatted text preview: DISSOCIATIVE DISORDERS DISORDERS DISSOCIATIVE DISORDERS DISSOCIATIVE s DEPERSONALIZATION DISORDER s DISSOCIATIVE AMNESIA s DISSOCIATIVE FUGUE s DISSOCIATIVE TRANCE DISORDER s DISSOCIATIVE IDENTITY DISORDER (MULTIPLE PERSONALITY DISORDER) DISSOCIATIVE DISORDERS DISSOCIATIVE s GENERAL COMMENTS – THESE DISORDERS INVOLVE THESE ALTERATIONS OR Detachment IN CONSCIOUSNESS OR IDENTITY CONSCIOUSNESS – IS LIKELY A CONTINUUM OF SEVERITY » Depersonalization » Derealization DEPERSONALIZATION DEPERSONALIZATION DISORDER s Persistent or recurrent feelings of detachment Persistent from one’s mental processes or body from – Outside observer of Self Outside of s Reality testing intact – But deficits in attention, short term memory, spatial But reasoning reasoning s Distress or impairment DISSOCIATIVE AMNESIA DISSOCIATIVE s Sudden inability to recall personal information s Four types – LOCALIZED AMNESIA- can’t recall from a specific time LOCALIZED – selective AMNESIA- remember most but selected parts They don’t selective remember – GENERALIZED AMNESIA – CONTINUOUS AMNESIACONTINUOUS DISSOCIATIVE FUGUE DISSOCIATIVE s Sudden, unexpected travel with inability to recall Sudden, past, and assumption of new Identity – Travel: Brief trips complex wandering over months Travel: – Typically comes to clinical attention due to amnesia – Most do not involve new identity (When it does, Most identity is often gregarious and outgoing) identity DISSOCIATIVE TRANCE DISORDER DISORDER s Trance – temporary alteration in consciousness – narrowing of awareness – stereotyped behaviors or movements s Possession Trance Possession Trance – Trance characterized by replacement of identity » » » s Attributed to external influence Stereotyped movements “controlled” by possessing agent Full or partial amnesia for event Distress or Impairment DISSOCIATIVE AMNESIA, FUGUE, & TRANCE FUGUE, s CAUSES – Follow severe psychological stress for which Follow psychological there is no apparent solution there – Basically fugue, amnesia, and trance are very Basically extreme ways the mind protects against the stress stress DISSOCIATIVE IDENTITY DISORDER DISSOCIATIVE s Characterized by presence of 2 or more Characterized distinct identities (“alters”) distinct (“alters”) – Each has own history, self-image, and identity, Each including name including – Usually primary personality has given name and is Usually passive, dependent, guilty, and depressed passive, – Others contrast with primary DISSOCIATIVE IDENTITY DISORDER DISSOCIATIVE s Different forms of amnesia among Different identities identities 1. Mutually Cognizant 1. Mutually Amnesic Mutually Amnesic 1. One-way amnesic DISSOCIATIVE IDENTITY DISORDER DISORDER s Characteristic symptoms – – – – – – Severe headaches Depression Dizzy spells Blackouts Blackouts Hallucinations Transitions triggered by heightened stress DISSOCIATIVE IDENTITY DISORDER DISORDER s Demographics/course – More frequent in females (9:1) – Onset almost always in childhood Onset childhood – Lasts a lifetime in absence of treatment s Associated with substance abuse, depression, Associated DISSOCIATIVE IDENTITY DISORDER DISORDER s CAUSE – Escape from unbearable negative situation » Almost always severe child abuse – “Autohypnotic” model s TREATMENT – Reintegration of personality – Exposure to early trauma DISSOCIATIVE IDENTITY DISORDER DISORDER s Fact or Fiction? – Hard to Answer – Heightened Suggestibility » Hillside Strangler » False memories – Psychophysiological Findings ...
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