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Dissociative Identity Disorder

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s elhelow

on 14 January 2013

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Transcript of Dissociative Identity Disorder

Dissociative
Identity
a presentation
by sara el helow What is Dissociative Identity Disorder? Existing Problems Social Issues Effects • Results from extreme + repeated trauma that occurs during important periods of development during childhood suicide attempts • Crimes could be committed without person ever knowing they did them Imagine that... Describe it Multiple personalities within one person Imagine the Imagine the chaos confusion • Characterized by at least to obvious personality states, also known as ALTERS Signs & Symptoms Lapses in memory of significant events that happened in the individuals life, such as birthdays, weddings, or birth of a child • Lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity • Thought to be a coping mechanism (dissociates self from situation/experience too violent, traumatic, painful) Dissociative Identity Disorder (Multiple Personality Disorder). (n.d.). Mental Health Center. Retrieved December 14, 2012, from http://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder History • Before 19th century, people w/ symptoms believed to be possessed • Evidence said to exist in images of shamans changing into animal forms/embodying spirits in Paleolithic cave paintings • Became popular diagnosis
in 1970's, 80's, 90's • Reached peak of approx. 40,000 cases by end of 20th century (up from less than 200 before 1970) A History of Dissociative Identity Disorder. (n.d.). Specialized catholic web about possession and exorcism. Retrieved December 15, 2012, from http://www.fortea.us/english/psiquiatria/history.htm History of severe sexual abuse, and/or physical abuse in early childhood Not recognizing themselves in mirror Finding items the individual has written but in other handwriting than their own Company, A. W. (n.d.). Signs - Symptoms of Dissociative Identity Disorder, DID - HealthyPlace. HealthyPlace.com - Trusted Mental Health Information and Support - HealthyPlace. Retrieved December 17, 2012, from http://www.healthyplace.com/abuse/dissociative-identity-disorder/signs-symptoms-of-dissociative-identity-disorder-did/ Being frequently accused of lying Meeting people who address them as someone else; being called names that are completely unlike their own names Hearing voices inside their head • Often involves severe emotional/physical/sexual abuse (also may be linked to natural disaster/war) • Can lead to problems w/ functioning + even disability •CHRONIC Multiple Personality Disorder: Fact or Fiction?. (n.d.). Great Ideas in Personality--Theory and Research. Retrieved December 13, 2012, from http://www.personalityresearch.org/papers/cherry2 self-injury violence substance abuse repeated victimization by others broken relationships/job loss insomnia sexual problems severe depression anxiety disorders anorexia/bulimia The Effects of Dissociative Identity Disorder. (n.d.). Diseases & Health Conditions. Retrieved December 19, 2012, from http://www.livestrong.com/article/207907-the-effects-of-dissociative-identity-disorder/ • Find selves in strange places without knowing how they got there • Forget important personal information • Become unsure of boundaries between selves + others What Is a Dissociative Disorder. (n.d.). Sidran Institute. Retrieved December 5, 2012, from www.sidran.org/sub.cfm?contentID=75§ionid=4 Government • Disability benefits (referred to as Social Security Insurance) Actions • If government disability was granted based on one or more diagnoses that included DID, participants could be included in government disability group • Psychiatric facilities give therapeutic treatments Illnesses and Disabilities . (n.d.). Government in Action. Retrieved December 12, 2012, from http://www.womenshealth.gov/illnesses-disabilities/government-in-action/ Challenges for the Future • Give up dissociation as coping tool • Interacting with world as “singleton” instead of “multiple” • Relationships change after integration • Healing is about changing internal reaction to initial trauma The Effects of Dissociative Identity Disorder. (n.d.). Diseases & Health Conditions. Retrieved December 19, 2012, from http://www.livestrong.com/article/207907-the-effects-of-dissociative-identity-disorder/ Disorder Stats & Facts • Ivan Leudar argues it is a valid condition
• Wes Sharrock argues it was a discovered condition Sides to the Issue • Debate: should DID be removed from the DSM? (Diagnostic and Statistical
Manual of Mental Disorders) • Question validity because of changing diagnosis process influence, t. m., “Thighpen, p. a., (p.64), C. (., North., Ryall., Ricci., et al. (n.d.). Does Multiple Personality Disorder/Dissociative Identity Disorder Really Exist? - AS/PSYC1010 Wiki. Learning Technology Services | Home. Retrieved December 27, 2012, from http://www.fsc.yorku.ca/york/rsheese/psyc 0.01% to 1% of the general population 9x more women than men receive therapy most cases before age 35; unusual in elderly 97% physically and/or sexually abused One person can have
as many as 100 alters Case Study Mike is a fifty-five year old who gave the following history:

• Born female with famous mother (show person)
• Father died shortly after her birth
• Mother gave her to another very well known family to raise
• Now relates that she (as a female child) was severely sexually abused throughout childhood
• Says adopted father would rape her + step-mother gave her enemas (liquid/gas injected into the rectum) for punishment
• When nine years old, confided in a teacher whom she says "got fired for trying to help her."
• Knew that she lost time + sometimes found herself in the boys' line instead of the girls' line at school • There were 7 or 8 personalities then, 32 or 33 now.
• Two male alters, John + Mike, began to dominate
• There were simultaneously existing female alters, one who designed jewelry
• Went to a gender dysphoria clinic in Jacksonville, Florida, where she withheld information about dissociating
• Mike and John passed all the tests
• Surgeries were done in 1975, 1976 and 1977. In 1986 the patient married a Swiss woman
• During a hospitalization, patient was finally diagnosed DID with psychological testing
• Now keeps a calendar of time, tries to be more aware and co-conscious with other alters.
• Two of the 32 male alters are Mike and John and two female alters are Michelle and Jackie
• Michelle has a very feminine voice and is mildly suicidal
• Jackie is eight years old, has a childlike voice, and likes to play with Barbie Dolls A Case Study. (n.d.). Dissociative Identity Disorder. Retrieved January 2, 2013, from http://www.wpath.org/journal/www.iiav.nl/ezines/web/IJT/97-03/numbers/symposion/ijtc0404.htm#Case Study Discussion Questions 5. If someone diagnosed with DID committed a crime through one of their alters, should they be punished? 1. What are some symptoms of DID? 2. What are some of the main causes of DID? Clip from "Identity" (film) http://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder?page=3 Bibliography http://www.healthyplace.com/abuse/dissociative-identity-disorder/signs-symptoms-of-dissociative-identity-disorder-did/

Multiple Personality Disorder: Fact or Fiction?. (n.d.). Great Ideas in Personality--Theory and Research. Retrieved December 13, 2012, from http://www.personalityresearch.org/papers/cherry2

The Effects of Dissociative Identity Disorder. (n.d.). Diseases & Health Conditions. Retrieved December 19, 2012, from http://www.livestrong.com/article/207907-the-effects-of-dissociative-identity-disorder/

The Effects of Dissociative Identity Disorder. (n.d.). Diseases & Health Conditions. Retrieved December 19, 2012, from http://www.livestrong.com/article/207907-the-effects-of-dissociative-identity-disorder/

What Is a Dissociative Disorder. (n.d.). Sidran Institute. Retrieved December 5, 2012, from www.sidran.org/sub.cfm?contentID=75§ionid=4

Illnesses and Disabilities . (n.d.). Government in Action. Retrieved December 12, 2012, from http://www.womenshealth.gov/illnesses-disabilities/government-in-action/

influence, t. m., “Thighpen, p. a., (p.64), C. (., North., Ryall., Ricci., et al. (n.d.). Does Multiple Personality Disorder/Dissociative Identity Disorder Really Exist? - AS/PSYC1010 Wiki. Learning Technology Services | Home. Retrieved December 27, 2012, from http://www.fsc.yorku.ca/york/rsheese/psyc

A Case Study. (n.d.). Dissociative Identity Disorder. Retrieved January 2, 2013, from http://www.wpath.org/journal/www.iiav.nl/ezines/web/IJT/97-03/numbers/symposion/ijtc0404.htm#Case Study 3. One person can have up to ____ alters. 4. Of the general population, what is the percentage of DID?
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