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Psych > Chapter 11 pt 1 > Flashcards

Chapter 11 pt 1 Flashcards

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1
Q

what is dissociation

A

disruption in the integrated sense of self

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2
Q

dissociation may involve

A

lapses in autobiographical information (amnesia)

feelings of detachment from ones self (depersonalization) or ones surroundings (derealization)

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3
Q

dissociative symptoms typically develop when

A

context or aftermath of SIGNIFICANT TRAUMA, particularly during childhood

may help buffer impact of a trauma but can become pathological and maladaptive

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4
Q

dissociative fugue is a subtype of what

A

associative amnesia disorder

commonly seen in what identity disorder

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5
Q

what is dissociative amnesia

A

disruption in the continuity of an individuals memory

gaps in the recollection of particularly events, usually traumatic ones

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6
Q

what memory is PRESERVED in dissociative amnesia and helps distinguish it from other conditions w/ memory loss

A

PROCEDURAL memory

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7
Q

dissociative amnesia has significant co-morbidity with what

A

MDD

persistent depressive disorder

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8
Q

dissociative amnesia is associated with higher risk of what

A

SUICIDE (particularly as amnesia subsidies and memory overwhelm)

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9
Q

what is a dissociative fugue

A

SUDDEN, unexpected TRAVEL away from home, accompanied by amnesia for identity or other autobiographical information

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10
Q

what is ABREACTION

A

strong emotional reaction patients may experience when retrieving traumatic memories

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11
Q

in patients with dissociative amnesia, removal of the trauma often does what

A

brings back memories

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12
Q

Tx for dissociative amnesia

A

psychotherapy

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13
Q

transient experiences of depersonalizations or derealization commonly occur in many individuals during times of

A

stress

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14
Q

what must remain intact during depersonalization/derealization disorder

A

REALITY TESTING

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15
Q

there is increased incidence of what comorbid conditions with depersonalization/derealization disorder

A

anxiety

MDD

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16
Q

what is dissociative identity disorder

A

presence of more than one DISTINCT PERSONALITY STATE as a result of a fragmented sense of self

17
Q

dissociative identity disorder encompasses what features of other dissociative disorders

A

AMNESIA
DEPERSONALIZATION
DEREALIZATION

18
Q

dissociative identity disorder develops predominately in whom

A

victims of SIGNIFICANT and CHRONIC/CHILDHOOD trauma

19
Q

high incidence of comorbid what with dissociative identity disorder

A 
PTSD
MDD
eating disorders
BORDERLINE personality disorder
substance abuse
20
Q

over 70% of patients with dissociative identity disorder attempt what

A

suicide

21
Q

what is criteria for dissociative identity disorder

A

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

22
Q

childhood physical/sexual abuse or neglect is present in what percentage of dissociative identity disorder

A

90%

23
Q

what dissociative disorder has worst prognosis

A

dissociative identity disorder

24
Q

how is dissociative identity disorder treated

A

PSYCHOTHERAPY

can use SSRI for cormorbid

25
Q

PRAZOSIN may help target what in dissociative identity disorder

A

NIGHTMARES

26
Q

naltrexone may help reduce what in dissociative identity disorder

A

self-mutiliation

27
Q

what can be used to treat hyperarousal in dissociative identity disorder

A

SSRI

28
Q

what is a dissociative trance

A

acute narrowing or loss of awareness of surroundings manifesting as unresponsiveness, potentially with minor stereotyped behaviors

29
Q

acute dissociative reactions to stressful events occur in what timeframe

A

hours/days to months

Psych (35 decks)

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