Dissociative and Somatoform Disorders Flashcards
What are dissociative disorders
SPLITTING of functions of personality, memory, or consciousness
What did dissociative identity disorder used to be called
Multiple personality disorder
What is DID
Pweson’s body is occupied by two or more distinct personalities
How do the alters tend act
Extreme drama
What did they try to do with EVE
integration
What is the DSM of DID
Distruption of identity characterized by two or more distinct personality states
What else on the DSM of DID
Discontinuity, recurrent gaps, distress
What are some nonspecific diagnostic criteria of DID
History of childhood sexual abuse, female, voices, nearly BORDERLINE PD
What was DID in the DSM II
Hyterical dissociative
What was DID in DSM III
Multiple personality
What are some characteristics of DID
Dominant host, contest for control
Can the personalities interact in different ways
Yes
What is mutually amnesic
Don’t know each other
What is mutually congizant
Do know each other
What is one-way amnesic/ co-conscious subpersonalities
One is aware of the other but not the other way around
How can alters represent as
Cultural types, sex, age, abilities, preferences, physiology
What is malingering
Faking DID
What happened after Sybil
The number of diagnosis increased ALOT
What did Sybil do
Sadi DID was from severe childhood sexual abuse
Did Sybil have the disorder
Maybe but the symptoms didn’t start until she started therapy
What is the primary perspective of DID
Psychodynamic
What does the psychodynamic perspective say about DID
Supressed childhood expresses, DEFENSE mechanisms to isolate trauma to one identity and protect the others
What is the disthesis-stress model in DID
Traumatic events trigger culnerability
What is state-dependent learning
When you learn things in a context
Whay symtpms of DID are tied with state-dependent learning
arousal and response levels
What is social reinfocement
Because people with DID are treated special they are reinforce ROLE-playing
What is social learning
When in groups other people see that people with DID are getting attention so the fake it
What is self-hypnosis
Translike state where you are not in the physical world, DEFENSE mechanism
What is treatment hypnosis
When the therapist helps develop the hypnosis
What is the sociocognitive model in DID
Its IATRONGENIC, so it gives influenced by society and they are more sustptable to the reality people give them
How do therapist elicit an alter
Indirect questioning, can i talk to this person
What are the treatments of DID
intensive talk therapy, goal of integration, hypnosis to elicit alters (may just CREATE them)
What is dissociative amnesia
Psychological forgeting
What memory is effected by dissociative amnesia
Episodic not procedural
What is localized
Specific event
What is selective
Select disturbing details
What is generalized
Entire life history
What is continuous
From an event until the present
What is systematized
Specific domains such as family
What is dissociative fugue
New locations and not knowing anything
What is the main controversy with dissociative amnesia
People malinger to escape responsibility. Will purposly do wrong on tests
Why can freudian therapy of dissociative amnesia be really bad
They can create new memories that are really truamatic
What is depersonalization/derealization
Detatch from self and enviroment like you are living in a DREAM
What are somatoform disorders
Physical symptoms that cannot be explained by physical causes
What are the two somatoform disorders
Simple and complex
What is simple somatic symtom disorder
Symptoms with excessive thoughts, greater than 1 month
What is complex somatic symptom
Two issues, longer
What is conversion disorder
A loss of impairment of physical function in absence of physical cause, young females during conflict, mass hysteria
What is the example of conversion disorder
New York students, symptoms stoped on break
Why may doctors dignosis conversion disorder
Don’t knjow how to treat