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17 Cards in this Set
- Front
- Back
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Dissociation:
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1. Is a process of removing chunks of memory from conscious awareness in order to cope with the traumas
2. Some children who have experienced repeated & prolonged traumas cope by using the defense mechanism of dissociation |
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Psychogenic amnesia:
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1. Occurs with some psychological trauma
2. Memories are stored in fragments 3. Loss of memory/missing pieces is known to patient 4. Memory is triggered by associations & is restored in short period of time |
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Braun’s BASK Model of Dissociation:
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Implies that parts of memory are out of conscious awareness while others are in conscious awareness
4 parts of a whole memory are Behaviors, Affect, Sensations & Knowledge (BASK) |
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Dissociation Identity Disorder
(DSM criteria): |
-2 or more distinct identities
-2 of these identities recurrently take control of the person’s behavior -Inability to recall important personal information |
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Dissociative Symptoms Reported by Children & Adolescents
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Sense of passive influence upon them
3rd person self reference Amnesia for traumas Time loss Changes in personality Alter personalities Rapid age regression Trance states |
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Behavioral Manifestations of DID
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-Lying
-Running away -Truancy -Stealing -Toileting problems -Variability in behavior & reference to “somebody else did that…..the other one” |
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Affective Symptoms of DID
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-Sleep Disturbance
-Depression, Self-Blame & Hopelessness -Irritability & Agitation -Phobias -Anxiety |
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DID Psychotic Sx's
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Command hallucinations coming from the family inside; visual hallucinations much less common
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DID Learning Problems
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-Inattention
-Reading Problems -Concentration Problems -Great Variations in knowledge from -day to day or within the same day |
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DID Diagnostic Evaluations
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-Neurological Evaluation to r/o organic causation
-Structured Interview (DICA-D- Diag. Interview for Children & Adolescents, Dissociative Module) -Psych Testing (IQ, Achievement, Child Dissociative Problem Checklist, Child Dissociative Checklist, Adolescent Dissociative Experiences Scale |
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Behavioral Manifestations of DID
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-Lying
-Running away -Truancy -Stealing -Toileting problems -Variability in behavior & reference to “somebody else did that…..the other one” |
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Affective Symptoms of DID
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-Sleep Disturbance
-Depression, Self-Blame & Hopelessness -Irritability & Agitation -Phobias -Anxiety |
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DID Psychotic Sx's
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Command hallucinations coming from the family inside; visual hallucinations much less common
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DID Learning Problems
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-Inattention
-Reading Problems -Concentration Problems -Great Variations in knowledge from -day to day or within the same day |
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DID Diagnostic Evaluations
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-Neurological Evaluation to r/o organic causation
-Structured Interview (DICA-D- Diag. Interview for Children & Adolescents, Dissociative Module) -Psych Testing (IQ, Achievement, Child Dissociative Problem Checklist, Child Dissociative Checklist, Adolescent Dissociative Experiences Scale |
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Observational Data : Keys to DID
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-Ingestive behaviors –observe changes in intake/preferences, binging, purging or hoarding
-Eliminative behaviors – enuresis/encopresis, preoccupations or rituals around elimination or avoidance of elimination , constipation -Restorative Behaviors –bedtime activity, anxiety at night, sleepwalking, nightmares -Sexual Behaviors- advanced knowledge & actions, identification with the abuser -Achievement Behaviors – variability in mastery of tasks, fluctuations, inconsistencies -Affiliative behaviors –shifts in preferences for people, mannerisms, clothing, voice, age -Aggressive/protective behaviors –aggressive alters common -Dependency Behaviors-seeking help that isn’t needed, difficulty tolerating attention given to others, unable to be alone, comfort with negative attention |
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Interviewing about Dissociative Sxs
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-Interview sequence should be friends, school, experiences of him/herself, family and then problem behaviors. Abuse questions later
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