Dissociated Identity Disorder (formerly known as Multiple Personality disorder)

Question 1

What are some case examples of DID?

Answer 1

- Wendy from the article
SYMPTOMS:
- over 20 personalities
- Amnesia
- Denationalization
- Derealization
- Cybil from the movie shown in class
- Joe from the casebook

Question 2

What symptoms must be present in DID?

Answer 2

(ADD + 2)
Amnesia: cannot recall significant events, alter leaves host with responsibility

Depersonalization: unsure of who they are. (i.e: cybil being unsure of who she is)

Derealization: Surreal, dream: dream like reality.

2 distinct alters of personality (or rudofossi’s identity mode)

Question 3

Splitting

Answer 3

• Occurs internally
• defense against trauma
• Identity mode/shift

Question 4

Dissociating

Answer 4

Disruption in a person’s consciousness, memory, identity or perception of the enviornment

Question 5

What is a different goal from treating PTSD & DID?

Answer 5

In DID one of the goals is to uncover all of the personalities formed as a result from the trauma & to understand the purposes the alters served.

Question 6

What is Judith Herman’s, Complex Trauma Syndrome & Recovery in Dissociative Processes (3 stages)

Answer 6

1. Safety, making sure that the patient feels safe.
2. Remembrance & mourning, using pyschodynamic, psychotherapy & existential analysis.
3. Re-connection with life and self as a whole human being

Question 7

What is Dr. James Chu’s Complex Trauma & Dissociate Disorder: Treatment plan (HINT: SAFER + 2 steps)

Answer 7

1. Early stage:
Self-care & symptom control
Acknowledgement of traumatic abuse
Functioning (able to do things)
Expression of affect (feeling)
Relationships that are supportive -- Therapeutic alliance is crucial 

Then, building ego functioning, basic relational coping skills & positive self-identity.

2. Middle stage - Exploring and abreacting traumatic experiences
3. Late stage - stabilizing gains & increasing potential growth in relation to the external world.

Question 8

What is Dr. Rudofossi’s Complex Trauma, Grief & Dissociated Syndromes HYPOTHESIS?

Answer 8

The higher the emotional, crystallized intelligence & Intuition of the survivor the more severe the impact of dissociation & adaptive functional dissociation (Standard Operating Procedure, i.e I’m Cybil & anger is expressed towards her mother.)