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Dissociative Identity Disorder
Transcript of Dissociative Identity Disorder
characterized by the existence in an
individual of two or more distinct
personalities, with at least two
of the personalities
controlling the patient's
behavior in turns. Definition: Symptoms History Treatment Controversy Sybil Diagnostic Features Specific Culture and Gender Differences Prevalence Differential Diagnosis -Depression
-Amnesia (Memory Loss)
-Alcohol and Drug Abuse
-Psychotic like Symptoms
*Sleep Walking -Difficult to explain due to secrecy on patient's personalities
-Treatment can take several years (case dependent)
-Patients are reluctant to treatment
-Psychotherapy; encourages communication of conflicts and insight into problems
-Cognitive therapy; focuses on changing dysfunctional thinking patterns
-Medication; none to treat however, anti-depressants or anti-anxiety medicine can control these symptoms
-Creative therapy; allows the patient to explore his thoughts and feelings in a safe and creative way
-Clinical hypnosis; uses intense relaxation concentration and focused attention to achieve an altered state of conciseness (allows patient to explore inner traumatic thoughts and feelings that may have been repressed. - Hard to understand because many people believe that someone may be faking such a disorder.
- Many think it could be borderline personality disorder -Criteria A: Essential feature of DID is the presence of 2 or more personalities
-Criteria B: These personalities recurrently take control of behavior
-Criteria C: There's an inability to recall important personal information, the extent of which is too great to be explained by ordinary forgetfulness
-Criteria D: Disturbance not due to direct physiological effects of a substance or general medical condition -Found in a variety of cultures
-More difficult to diagnose in preadolescents because the characteristics may not be as distinctive.
-Diagnosed 3-9 times more often in adult females than in adult men.
-In male and female children, the ratio may be more even.
-Females tend to have more personalities than do men, averaging 15 compared to the males 8. - There has been a rise in DID, but there are two sides to this:
*Side A: Believe that this is due to previously undiagnosed cases
*Side B: Says that the disorder is being over diagnosed in individuals that are highly suggestible. - Must be distinguished from symptoms that are caused by the direct physiological effects of a general medical condition (e.g., seizure disorder)
- Should be distinguished from dissociative symptoms due to complex partial seizures although these two disorders may co-occur. - Reportedly founded by Eberhardt Gmelin
- A history of sexual and physical abuse in childhood.
- If this was a disorder that one had in the past, they were thought to have been possessed. Jasmine Harshbarger
Elisabeth Good Works Cited American Psychiatric Association. (2000). Dissociative Identity Disorder.
Diagnostic and statistical manual of mental disorders: DSM-IV-TR
(4th ed., pp 484-87).
"Dissociative Identity Disorder (Multiple Personality Disorder): Signs,
Symptoms, Treatment." WebMD. 2010. WebMD, n.d. Web. 03 Dec.
"Dissassociative Identity Disorder (Multiple Personality Disorder)."
Cleveland Clinic. N.p., n.d. Web. 03 Dec. 2012. <http://my.clevelandclinic.org/disorders/dissociative_disorders/hic_dissociative_identity_disorder_multiple_personality_disorder.aspx>.