DID Flashcards
What are the DSM-IV criteria
- Presence of at least 2 alters which recurrently take control of behaviour
- Inability of at least 1 of the alters to recall important personal information
What’s the word for therapist induced?
iatrogenesis
Gleaves (1996)
- Some people likely to use dissociation to cope with trauma –> DID (children who dissociate more likely to develop psychological symptoms)
- Sociocognitive model ignores the post-traumatic symptomatology (analogy of attention seeking and alter enactment as core being the same as seeing sadness as core pathology of depression whereas it is more a behavioural tendency to underlying symptom)
Lewis et al
150 murderes - 14 with DID followed over 20 years: Confirmed by 3 outsiders that there was symptoms such as differences in hand writing and trances BEFORE crime was committed.
Piper & Merskey (2004)
- iatrogenesis appear consistantly and there’s lack of evidence of child alters
- mention how number of alters rises and impact of Sybil and 3 faces of Eve
Akyuez et al (1999)
Prevalence from 1 in a million to up to 1.3 & in 90s
mention how 66% of diagnoses put by 10% of doctors (Modestin) and link to Gleaves saying that it could be because of expertise
Vermetten et al (2006)
MRI: Hippocampal volume 19.2 % amygdalar 31.6% smaller.
All patients had PTSD - alternative way of approaching DID
Spring ( 2011)
Full disscociation not always possible sometimes multiple functioning selves better. New approach of DID as dissociative symptoms and PTSD
Reinders et al (2006)
Division of DID mind into NIS (neutral identity state) and TIS (traumatic) as it is found that cardiovascular and cerebral activation for the different DID to a trauma script
What is the essay plan?
1) Introduction: sociocognitive and post-traumatic models
2) Gleaves (1996) –> Lewis
3) Piper & Merskey (2004) –> Akyuez/Modestin
4) Vermetten (2006) –> Reinders –> Spring
5) conclusion
