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Dissociative Disorders

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Changes in the sense of identity, memory or consciousness. Relatively ... Some purposeful travel. Other Dissociative Disorders. Dissociative Identity Disorder ... – PowerPoint PPT presentation

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Title: Dissociative Disorders


1
Dissociative Disorders
  • Thomas G. Bowers, Ph.D.
  • Penn State Harrisburg

2
Characteristics
  • Changes in the sense of identity, memory or
    consciousness
  • Relatively rare disorders

3
Types of Dissociative Disorders
  • Dissociative Amnesia
  • Unable to recall important information
  • Often after stressful episode
  • Limited time period
  • Traumatic event
  • Dissociative fugue state
  • More extensive memory loss
  • May assume a new identity
  • Some purposeful travel

4
Other Dissociative Disorders
  • Dissociative Identity Disorder
  • At least two separate states of identity
  • Different modes of thinking and feeling
  • Long lasting
  • Also called Multiple Personality
  • Possible Malingering
  • Conscious attempt to avoid punishment or make
    other gains
  • Ken Bianchi Case

5
Simulation of Psychopathology
  • Ken Bianchi - Hillside Strangler
  • Several articles in the International Journal of
    Clinical Hypnosis
  • Initial evaluation by Watkins indicated MPD
  • Later evaluation by Orne indicated simulation of
    hypnotic trance state

6
Etiology of Dissociative Disorder
  • Thought to result from massive repression
  • Parts of the self are split off from awareness
  • Behavioral analysis emphases an extreme avoidance
    response
  • Individuals with MPD may be highly suggestible

7
Etiology of Dissociative Disorder
  • There is a link to childhood physical and sexual
    abuse
  • Severe trauma appears to be associated with the
    disorder

8
Treatment of DID
  • Psychoanalytical treatment tends to be the
    treatment of choice
  • Problems in retrospective memory
  • Often inaccurate
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