Chapter 11 pt 1 Flashcards
what is dissociation
disruption in the integrated sense of self
dissociation may involve
lapses in autobiographical information (amnesia)
feelings of detachment from ones self (depersonalization) or ones surroundings (derealization)
dissociative symptoms typically develop when
context or aftermath of SIGNIFICANT TRAUMA, particularly during childhood
may help buffer impact of a trauma but can become pathological and maladaptive
dissociative fugue is a subtype of what
associative amnesia disorder
commonly seen in what identity disorder
what is dissociative amnesia
disruption in the continuity of an individuals memory
gaps in the recollection of particularly events, usually traumatic ones
what memory is PRESERVED in dissociative amnesia and helps distinguish it from other conditions w/ memory loss
PROCEDURAL memory
dissociative amnesia has significant co-morbidity with what
MDD
persistent depressive disorder
dissociative amnesia is associated with higher risk of what
SUICIDE (particularly as amnesia subsidies and memory overwhelm)
what is a dissociative fugue
SUDDEN, unexpected TRAVEL away from home, accompanied by amnesia for identity or other autobiographical information
what is ABREACTION
strong emotional reaction patients may experience when retrieving traumatic memories
in patients with dissociative amnesia, removal of the trauma often does what
brings back memories
Tx for dissociative amnesia
psychotherapy
transient experiences of depersonalizations or derealization commonly occur in many individuals during times of
stress
what must remain intact during depersonalization/derealization disorder
REALITY TESTING
there is increased incidence of what comorbid conditions with depersonalization/derealization disorder
anxiety
MDD
what is dissociative identity disorder
presence of more than one DISTINCT PERSONALITY STATE as a result of a fragmented sense of self
dissociative identity disorder encompasses what features of other dissociative disorders
AMNESIA
DEPERSONALIZATION
DEREALIZATION
dissociative identity disorder develops predominately in whom
victims of SIGNIFICANT and CHRONIC/CHILDHOOD trauma
high incidence of comorbid what with dissociative identity disorder
PTSD MDD eating disorders BORDERLINE personality disorder substance abuse
over 70% of patients with dissociative identity disorder attempt what
suicide
what is criteria for dissociative identity disorder
DISRUPTION of IDENTITY manifested as TWO or MORE distinct personality states dominating at different times
symptoms may be observed by self or others
EXTENSIVE MEMORY LAPSES in autobiographical information, daily occurrences, and/or traumatic events
childhood physical/sexual abuse or neglect is present in what percentage of dissociative identity disorder
90%
what dissociative disorder has worst prognosis
dissociative identity disorder
how is dissociative identity disorder treated
PSYCHOTHERAPY
can use SSRI for cormorbid
PRAZOSIN may help target what in dissociative identity disorder
NIGHTMARES
naltrexone may help reduce what in dissociative identity disorder
self-mutiliation
what can be used to treat hyperarousal in dissociative identity disorder
SSRI
what is a dissociative trance
acute narrowing or loss of awareness of surroundings manifesting as unresponsiveness, potentially with minor stereotyped behaviors
acute dissociative reactions to stressful events occur in what timeframe
hours/days to months
