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18 Cards in this Set
- Front
- Back
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What are the types of dissociative disorder? -occurs naturally in young children -associative feature:disturbance in the normally integrated function of memory identity and consciousness |
1. Dissociative amnesia/fugue 2. Depersonalization 3. Derealization 4. Dissociative Identity Disorder 5. Unspecified |
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What is dissociative amnesia? |
-Inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by ordinary forgetfulness -trauma involved that makes the mind forget -any time and any age group -amnesia can last minutes or years -ex: car accident |
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What is dissociative amnesia with dissociative fungus state? |
-Characterized by sudden, unexpected travel away from home or ones customary place of work, accompanied by an inability to recall ones past -ex: when one is stressed and travels, but forget they have traveled |
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What is depersonalization disorder? |
persistent or recurrent feeling of being detached from ones mental processes or body -sexual abuse survivor telling stories |
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Derealization Disorder |
-dsm-5 dissociative disorder -slowing down of time in the mind -numbness is a symptom |
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Dissociative spectrum |
-Normal dislocation: space out, watching a movie -ptsd is on the spectrum -ddnos=unspecified |
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What is dissociative identity disorder? -20 or more personalities=complex -5 or more= -polyfragmented disorder=100 or more personalities |
- Presence of two or more distinctidentities or personality states (eachwith its own relatively enduringpattern of perceiving, relating to, andthinking about the environment andthe self) - At least two of these identitiesrecurrently take control of theindividual’s behavior -Inability to recall important personalinformation that is too extensive to beexplained by ordinary forgetfulness. |
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How does a dissociative identity disorder develop? |
- We all have multiple personality states, which in the absence of trauma, we consolidate -children normally have a propensity to enter into dissociative states of consciousness -capacity of children to fantasize and to "project" their personality into objects an situations |
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Epidemiology and demographics |
-women are twice as likely 9:1, 5:1,2:1=we don't see the men as much -6-7 years for accurate diagnosis -mean age 28.5-34.5 to get diagnosed -SES doesn't matter |
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presenting problems with dissociative disorder |
-depression -substance abuse -childhood abuse -chronic illness -hallucinations -social history |
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symptoms with depression |
-mood swings -history of suicide -self destructive behavior=cutting -sleep disturbance |
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symptoms with substance abuse |
-high sedatives and hypnotics -high alcohol and stimulants -low hallucinations -high analgesics |
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symptoms with child abuse |
-sexual abuse -physical abuse -confinement -emotional abuse watching abuse of others |
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chronic illness |
-headaches=biggest illness with someone with DID -numbness/tingling -visual disturbance -gynecological problem -nausea/abdominal pain |
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symptoms of auditory hallucinations |
-belittle/berate -command destruction -internal argument -cry/scream/laugh -solace/support/advice |
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switching from one personality to another |
-change in nonverbal -anxiety symptoms -intra-interview amnesia -we/she -diagnostic psychomtrics |
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Making the diagnosis |
-do they loose things a lot? -do they forget things they did the day before? |
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What DID patients keep silent |
-amnesia -fear -emotional abuse |
