Dissociative disorders Flashcards
dissociative disorders
people with dissociative disorders experience a major disruption of their memory and identity
- part of the memory becomes dissociated or seperated from the rest
Three kinds of dissociative disorders
- dissociative amnesia
- dissociative identity disorder
- Depersonalization
Dissociative amnesia
- forgetting specific parts of extreme event ; personality intact
- more extensive than normal forgetting
- usually triggered by an upsetting event
Maybe be- localized- most common type (loss of all memory of events occurring within a limited period
- Selective- loss of memory for some but not all
- generalized-lose of memory beginning with an event may lose sense of identity; fail to recognize friends and fam
- continuous- forgetting continues into the future; rare
Dissociative fugue
- extreme version of DA
- forget personal identity and details of past
- may flee to a entirely diff location
- may be brief - hours or days
- may be severe- travel far from home, take new name and relationships, new line of work and new personality characteristics
DID (multiple personality disorder)
- two or more distinct personalities (subpersonalities)
- each with own set of memory, behav, thought, emo
- Transition is sudden and dramatic
- most first diagnosed in late adolescence or early childhood (typically before 5)
- 3X more likely in women
DID generally has three diff kinds of relationships
- mutually amnesic relationships
- subpersonalities have no awareness of each other
- mutually cognizant patterns
- each subpersonality is aware of each other
- One way amnesic relationships
- most common; some personalities are aware but awareness is not mutual
How do sub personalities differ
- identity features
- age, sex,race, fam hist
- Abilities and preferences
- able to drive, speak diff lang, play instrument
- Physiological responses
- diff in autonomic nervous system, blood press, allergies
How do theorist explain dissociative disorders?
- psychodynamic view
- caused by repression, most basic ego defense mech
- fight off anxiety by unconsc preventing painful memories, thoughts, and impulses
- DA and DF are single episodes of massive repression
- DID is result from lifetime of excessive repres, motivated traumatic childhood events
- behavior view
- dissoc grows from normal memory processes and is a response learned through operant conditioning:
- momentary forgetting of trauma leads to a drop in anxiety, which increases the likelihood of future forgetting
- dissoc grows from normal memory processes and is a response learned through operant conditioning:
- state dependent learning
- People learn something in a state of mind, are likely to remember it best when in the same state
- study high+test high= high scores
- hypnotic amnesia
How to treat Diss Disorders
DA
- often recover on own
- rarely require treatment
DID
- usually req treatment to regain lost memories and develop integrated personality
- leading treatments are
- psychodynamic, hypnotic, and drug therapy
How do therapist help individuals with DID
- Integrating subpersonalities
- merge diff personalities into single integrated identity
- many patients distrust
- subpersonalities see integration as a form of death
Depersonalization disorder
- categorized as a diss disorder but not characterized bt memory difficulty
- A change in ones experience of self in which ones mental functioning or body feels detached
derealization disorder
- The sense that ones surroundings are unreal or detached
- feels separated from body and observing from outside
- persistent or reoccurring causing distress and interference make a disorder