Chapter 6 (Exam 2) Flashcards

1
Q

dissociative disorders

A
  • part of the person’s memory seems to be dissociated/separated from the rest
  • triggered by traumatic events
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2
Q

twin studies for dissociative amnesia, dissociative amnesia with fugue, and DID

A
  • variability is 50-55% for nonshared environmental factors (traumatic/stressful)
  • 45-50% variability in dissociative symptoms (genetics)
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3
Q

types of dissociative disorders

A
  1. dissociative amnesia
  2. dissociative amnesia with fugue
  3. DID (dissociative identity disorder)
  4. depersonalization-derealization disorder
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4
Q

dissociative amnesia

A
  • unable to recall important information about their lives
  • loss of memory is more extensive than normal forgetting
  • episode of amnesia is directly triggered by a specific upsetting event
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5
Q

dissociative amnesia (dx checklist), prevalence rate

A

prevalence rate: 1.8%

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6
Q

types of dissociative amnesia

A

MOST COMMON - LEAST COMMON

localized
selective
generalized
continuous

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7
Q

LOCALIZED dissociative amnesia

A

most common
loss of all memory of events occurring within a limited period

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8
Q

SELECTIVE dissociative amnesia

A

loss of memory for some, but not all, events occurring within a period

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9
Q

GENERALIZED dissociative amnesia

A

loss of memory beginning with an event, but extending back in time (may lose sense of identity or fail to recognize family and friends)

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10
Q

CONTINUOUS dissociative amnesia

A

least common
forgetting continues into the future

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11
Q

dissociative amnesia with fugue

A
  • forget their identities and details of their past AND flee to a different location
  • fugue can last from hours/days to starting a whole new life
  • fugues tend to end abruptly
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12
Q

dissociative amnesia with fugue (prevalence rate)

A

2%

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13
Q

dissociative identity disorder (DID)

A
  • a person develops two or more personalities (subpersonalities), each with a unique set of memories, emotions, thoughts, and behaviors
  • at any time, one subpersonality dominates the person’s functioning
  • usually one of the subpersonalities (called the host) appears more often than others
  • transition from one to the other (switching) is sudden and triggered by stress
  • symptoms generally begin in childhood after episodes of abuse
  • can be diagnosed at any age
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14
Q

for DID, women receive the diagnoses ___ times as often as men

A

three times as often

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15
Q

how do subpersonalities interact (DID)?

A
  • mutually amnesic relationships
  • mutually cognizant patterns
  • one-way amnesic relationships (MOST COMMON)
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16
Q

one-way amnesic relationships (DID)
how do subpersonalities interact (DID)?

A
  • most common
    some personalities are aware of others, but the awareness is not mutual (those who are aware (co-conscious subpersonalities) are quiet observers)
17
Q

mutually amnesic relationships (DID)
how do subpersonalities interact (DID)?

A

subpersonalities have no awareness of one another

18
Q

mutually cognizant patterns (DID)
how do subpersonalities interact (DID)?

A

each subpersonality is aware of the rest

19
Q

how many subpersonalities do people usually have?

A

avg- 5 to 10
women- 15
men- 8

20
Q

how do subpersonalities differ (DID)?

A

-dramatically different characteristics
- identifying features
- abilities and preferences
- physiological responses

21
Q

DID (dx checklist and prevalence rate)

A

prevalence rate: 1.5%

22
Q

what causes dissociative disorders?

A

repression

23
Q

theoretical explanations
psychodynamic view

A

most support is drawn from case histories, which report brutal ACEs in 70% of cases but…
- some individuals did not have traumatic experiences
- why might only a small fraction of abused children develop these disorders?

24
Q

theoretical explanations
state-dependent learning

A
  • if people learn something in a particular state of mind, they are likely to remember it best when in the same condition (this link between STATE and RECALL is state-dependent learning)
  • this model is demonstrated with substances and mood, may be linked to arousal levels
  • people prone to dissociative disorders may have state-to-memory links that are UNUSUALLY RIGID AND NARROW (each thought, memory, and skill is tied exclusively to a particular state of arousal, so they recall a given event ONLY when they experience an arousal state nearly identical to the original state when memory was acquired)
25
self-hypnosis
- people may hypnotize themselves to forget unpleasant events - explains dissociative disorders
26
how is dissociative amnesia treated?
they usually recover on their own, only a few have lingering memory problems that require treatment
27
how is DID treated?
they usually require treatment to regain lost memories and develop an integrated personality
28
is treatment for dissociative amnesia or DID more successful?
dissociative amnesia
29
dissociative amnesia treatments
- psychodynamic therapy (guide pt to search their unconscious and bring forgotten experiences into consciousness) - hypnotic therapy (pt is hypnotized and guided to recall forgotten events) - drug therapy (IV injections of barbiturates, which calms people and can help them regain lost memories use caution with hypnosis and barbiturates- questionable accuracy of memories
30
how do therapists help treat DID?
they help the pt... - recognize the nature of their disorder - recover gaps in memory - integrate subpersonalities into one (fusion)
31
central symptom of depersonalization-derealization disorder
central symptom is persistent and recurrent episodes of depersonalization and derealization
32
depersonalization
the sense that one's own mental functioning or body are unreal or detached
33
derealization
the sense that one's surroundings are unreal or detached
34
depersonalization-derealization disorder
- people feel as though they are separated from their body and observe themselves from outside (can extend to other sensory experiences and behavior) - occurs frequently in adolescents (avg age of onset is 16) and young adults - few theories offer explanations of disorder - triggered by extreme fatigue, physical pain, intense stress, substance use disorder recovery, survivors of life-threatening situations
35
Bill Green Documentary- case study
has DID, jailed for assaulting his therapist (later diagnosed with antisocial personality disorder, which likely why this happened)
36
what percent of individuals with DID have attempted suicide?
70%