Dissociative Identity Disorder Analysis

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Dissociative identity disorder, also formerly known as multiple personality disorder is a mental disorder in which a person’s conscious, memory, and identity are fractured. Alternate personalities emerge from an individual with this disorder usually without that person (the host) even knowing. The etiology behind this disorder is understood to be derived from psychological, physical, and/or sexual trauma that has occurred to a patient. The development of dissociative identity disorder is a way of coping for individuals who have experienced trauma in their past, which is affecting them currently and in this disorderly way (Boysen, 2011).

Some common nursing diagnosis’ for dissociative identity disorder include: Anxiety and/or fear; in which
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One evidence based article addresses how communication is essential to helping victims of dissociative identity disorder. Communication is important for the nursing diagnosis of ineffective coping as well and impaired social relationships. There is communication needed not only with the host person to deal with the trauma, but to also have communication among the alter personalities in order to come to a “fusion” of the personalities to help treat the individual suffering of the disorder (Slack, 2014). Having a fusion or a unification of the alter identities can result in a reduction of confusion, amnesia, and separateness that an individual suffering from dissociative identity disorder often has to deal with from a day to day basis. (Slack, 2014). With a fusion there is also an easier ability for a person with dissociative identity disorder to end up being able to form bonds with others and friendships that once did not exist or were damaged due to the …show more content…
There is a three step approach that is typically used and recommended. Firstly, stability needs to be established for the patient. Secondly, is working and addressing the trauma that is associated with and causing the disorder. Looking at and addressing the consequences that are occurring from it (self -harm, destructive towards others, etc.). Third and lastly, working towards integration with the individual (Leonard, Tiller, 2016). This three step process helps to combat the nursing diagnosis of anxiety and fear that a person with dissociative identity disorder feels. Addressing the past issues of trauma with this person can have a healing aspect in which the person can face their past and not be a victim of the memories and experience, but overcome

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