Dissociative Disorders Flashcards
A complex psychobiological process that exists along a continuum from such normal experiences as day dreaming and transient lapses in attention to a pathological failure to integrate thoughts, feelings, and memories into consciousness
Dissociation
A disruption or discontinuity in integration of consciousness, memory, identity, emotion, perception, and behavior
Dissociation
Unbidden intrusions into awareness and behavior with accompanying losses of continuity in subjective experiences
Dissociation
Inability to access information or control normal behavior or mental functions
Dissociation
Caused by dysregulation of NMDA, 5 HT, and endogenous opioids
Dissociation
With dissociation, HPA baseline shows increased tone and blunted reactivity to
Stress
We see decreased hippocampal and amygdala volumes in
Dissociation
With dissociation, there is also PFC, paralimbic, subcortical, and parietal involvement in
Memory Suppression
Inability to recall important autobiographical information, usually of a traumatic nature, that is not usual forgetting
Dissociative Amnesia
The apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or other autobiographical info (memory changes may be more permanent)
Dissociative Fugue
Failure to recall events during a circumscribed time
Localized dissociative amnesia
Recalls some but not all of the events of a circumscribed time
Selective Dissociate Amnesia
A complete loss of memory for one’s personal identity and can occur as semantic loss or procedural loss
Generalized Dissociative Amnesia
Loss of memory for one category of knowledge
Systemized dissociative amnesia
Loss of memories as each new event occurs
Continuous Dissociative Amnesia
Dissociative amnesia is usually related to
Trauma
Generalized amnesia. Usually sudden in onset, but can occur less dramatically
Dissociative amnesia
Most times there is a clear onset and end of
Dissociative amnesia
Lasting or recurring feeling of being detached from one’s body or an observer of one’s thoughts and feelings or sensations
Depersonalization
Experiences of unreality or detachment with respect to the surrounding
Derealization
Characterized by high levels of distress/feel like you’re going crazy
-Sudden onset
Depersonalization/Derealization Disorder
Mean age of onset is 16, and only 5% of onset is after 25
-Can be sudden or gradual
Depersonalization/Derealization Disorder
Disruption of identity characterized by two or more distinct personality states, sometimes described as possession
Dissociative Identity Disorder
There is marked discontinuity in sense of self with alterations in affect, behavior, consciousness, memory, perception, cognition, and motor functioning
Dissociative Identity Disorder
Has recurrent gaps in memory or recall that are not just ordinary forgetting
Dissociative Identity Disorder
If not directly observed, marked by sudden alteration in sense of self (not “my own”, voices, preferences, changes in gender) and agency and recurrent dissociative amnesia
Dissociative Identity Disorder
Self mutilation and suicidal behavior is common with?
-Comorbid with flashbacks
Dissociative Identity Disorder
Dissociative identity disorder is chronic and the most severe. It often involves physical/sexual abuse. Patients are usually
Young Women
Women with Dissociative Identity Disorder (DID) present with Classic dissociative symptoms, while men tend to present with more
Criminal or violent behavior
95% of DID patients have experienced childhood
Trauma
