Dissociative DO Flashcards
_________ is the fragmentation or separation of aspects of consciousness, including memory,
identity, and perception
Dissociation
Presenting complaints and findings of dissociative disorders include _______
amnesia, personality change, erratic behavior, odd inner experiences (e.g., flashbacks, déjà vu), and confusion.
Significant episodes in which the individual is unable to recall important and
often emotionally charged memories
DISSOCIATIVE AMNESIA
_______ also involves purposeful
travel or bewildered wandering.
Dissociative amnesia with fugue
RF for DISSOCIATIVE AMNESIA
Psychological stress. More common in women and younger adults. Onset is
usually detected retrospectively by the discovery of memory gaps of extremely variable duration.
Associated problems with dissociative amnesia
Mood disorders, conversion disorder, and personality disorders are
commonly present.
Mx of dissociative amnesia
Hypnosis, suggestion, and relaxation techniques are helpful. The
patient should be removed from stressful situations when possible. Psychotherapy should be
directed at resolving underlying emotional stress.
Formerly called multiple personality disorder. Presence of multiple, distinct personalities
that recurrently control the individual’s behavior, accompanied by failure to recall
important personal information
DISSOCIATIVE IDENTITY DISORDER
RF for DISSOCIATIVE IDENTITY DISORDER
Childhood sexual abuse has been postulated as a risk factor.
Associated problems for DISSOCIATIVE IDENTITY DISORDER
Chaotic interpersonal relationships, impulsivity and self-destructive
behavior, suicide attempts, substance abuse
Comorbidities of DISSOCIATIVE IDENTITY DISORDER
Borderline personality disorder, PTSD, major depressive disorder and other
mood disorders, substance-related disorders, sexual disorders, and eating disorders
TX of DISSOCIATIVE IDENTITY DISORDER
Psychotherapy to uncover psychologically traumatic memories and to resolve the
associated emotional conflict
Persistent or recurrent feeling of being detached from one’s mental processes or
body, accompanied by intact sense of reality
DEPERSONALIZATION AND DEREALIZATION DISORDER
________ Often described as an “out-of-body experience”
Depersonalization:
Perception of the environment is often distorted or strange during episodes
of depersonalization, accompanied by a feeling of being detached from physical
surroundings
Derealization:
