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Dissociative Disorders

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Dissociative Amnesia. Dissociative Fugue. Dissociative Trace Disorder ... Dissociative Amnesia & Fugue. Usually Improve on Their Own. Stress Reduction and Coping ... – PowerPoint PPT presentation

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Title: Dissociative Disorders


1
Dissociative Disorders
2
An Overview of Dissociative Disorders
  • Dissociative Phenomena
  • Depersonalization
  • Altered Perception of Self
  • Derealization
  • Altered Perception of World
  • Common Experience

3
A Self-Test
Some people have the experience of driving a car
and suddenly realizing that they dont remember
what happened during all or part of the trip.
0
100
4
A Self-Test
Some people find that sometimes they are
listening to someone talk and they suddenly
realize that they did not hear part or all of
what was just said.
0
100
5
A Self-Test
Some people find that they have no memory for
some important events in their lives (e.g. a
wedding or graduation).
0
100
6
A Self-Test
Some people have the experience of finding
themselves dressed in clothes that they dont
remember putting on.
0
100
7
A Self-Test
Some people sometimes have the experience of
feeling that other people, objects, and the world
around them are not real.
0
100
8
Dissociation as a Spectrum Disorder
Complex DID
Fugue
Poly-Fragmented DID
Normal Dissociation
Amnesia
Partial DID
9
An Overview of Dissociative Disorders
  • Depersonalization Disorder
  • Dissociative Amnesia
  • Dissociative Fugue
  • Dissociative Trace Disorder
  • Dissociative Identity Disorder

10
The Nature of Depersonalization Disorder
  • Clinical Description
  • Primary Features
  • Depersonalization
  • Derealization
  • Impairs Functioning
  • Causes Significant Distress
  • Runs a Chronic Course

11
An Overview of Dissociative Disorders
  • Depersonalization Disorder
  • Dissociative Amnesia
  • Dissociative Fugue
  • Dissociative Trace Disorder
  • Dissociative Identity Disorder

12
The Nature of Dissociative Amnesia
  • Clinical Description
  • Several Patterns
  • Generalized
  • Unable to Remember Anything
  • Localized or Selective
  • Failure to Recall Specific Events

13
An Overview of Dissociative Disorders
  • Depersonalization Disorder
  • Dissociative Amnesia
  • Dissociative Fugue
  • Dissociative Trace Disorder
  • Dissociative Identity Disorder

14
The Nature of Dissociative Fugue
  • Clinical Description
  • Memory Loss
  • Specific Incident
  • Go to Another Location
  • Unaware How They Arrived
  • May Assume New Identity
  • Fugue Usually Ends Abruptly

15
An Overview of Dissociative Disorders
  • Depersonalization Disorder
  • Dissociative Amnesia
  • Dissociative Fugue
  • Dissociative Trace Disorder
  • Dissociative Identity Disorder

16
The Nature of Dissociative Trance Disorder
  • Clinical Description
  • Differ Across Cultures
  • Sudden Changes in Personality
  • Possession by Spirits
  • Females gt Males
  • Often Related to Trauma

17
An Overview of Dissociative Disorders
  • Depersonalization Disorder
  • Dissociative Amnesia
  • Dissociative Fugue
  • Dissociative Trace Disorder
  • Dissociative Identity Disorder

18
The Nature of Dissociative Identity Disorder
  • Clinical Description
  • Formally
  • Multiple Personality Disorder
  • May Adopt 100 Identities
  • Alters
  • The Nature of Alters
  • Persons Identity is Dissociated

19
The Nature of Dissociative Identity Disorder
  • Central Features
  • Host Identity
  • One Who Asks for Treatment
  • Attempt to Hold Alters Together
  • A Switch
  • Abrupt Change in Personalities
  • Usually Instantaneous

20
The Nature of Dissociative Identity Disorder
  • Facts and Statistics
  • Average Number of Alters?
  • 15
  • Females gt Males (91)
  • Onset in Childhood
  • Linked to Extreme Abuse
  • Runs a Chronic Course

21
The Nature of Dissociative Identity Disorder
  • Causes
  • Unspeakable Childhood Abuse
  • 97 of Cases
  • Escape Into Fantasy World
  • Become Someone Else
  • Do What It Takes to Survive
  • DID as a Means of Coping?

22
The Nature of Dissociative Identity Disorder
  • Other Related Features
  • Suggestibility
  • Hypnotizability
  • Similar to Dissociation
  • Are These Related to DID?

23
The Nature of Dissociative Identity Disorder
  • Abuse Controversial Issues
  • False vs. Real Memories
  • Do Therapists Plant Memories?
  • Can False Memories be Created?
  • Elizabeth Loftus
  • Other Related Research
  • Consequences of the Debate?

24
Treatment of Dissociative Disorders
  • Treatment
  • Dissociative Amnesia Fugue
  • Usually Improve on Their Own
  • Stress Reduction and Coping
  • Dissociative Identity Disoder
  • No Controlled Research
  • Treatments are Similar to PTSD
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