Exam 3 - Dissociative disorders Flashcards
What are dissociative disorders?
What are some behaviors associatd with low self-esteem?
- Self-criticism
- Self-diminution
- Guilt & worry
- Physical manifestations
- Postponing decisions
- Denying oneself pleasure
What are some behaviors associated with identity diffusion?
Identity diffusion – failure to integrate various childhood identifications into a harmonious adult psychosocial identity (e.g., problems of intimacy)
Related behaviors:
- Isolation
- Denial
- Withdrawal from others
- Lack of empathy
What is contrasting problem?
- }Person’s attempt to establish a sense of self by fusing with, attaching to, or belonging to someone else.
- }Personality fusion: leads to further loss of identity.
What are some behaviors associated with identity diffusion?
- }Absence of moral code
- }Contradictory personality traits
- }Exploitive interpersonal relationships
- }Feelings of emptiness
- }Fluctuating feelings about self
- }Gender confusion
- }High degree of anxiety
- }Inability to empathize with others
- Lack of authenticity
- Problems with intimacy
What is dissociation?
acute mental decompensation when certain thoughts, emotions, sensations, and memories are compartmentalized
What is depersonalization?
- experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions
- May experience panic level of anxiety
- Leads to blocking off of awareness
What are some behaviors associated with dissociation & depersonalization?
}Cognitive:
- Confusion
- Distorted thinking
- Disturbance of memory
- Impaired judgment
- Presence of separate personalities within the same person
- Time disorientation
What are some affective behaviors associated with depersonalization disorders?
What are some perceptual behaviors associated with depersonalization disorders?
}Perceptual
- Auditory & visual hallucinations
- Confusion regarding one’s sexuality
- Difficulty distinguishing self from others
- Disturbed body image
- Dreamlike view of the world
What are some behavioral behaviors associated with depersonalization disorders?
- Blunted affect
- Emotional passivity & nonresponsiveness
- Incongruent communication
- Lack of spontaneity & animation
- Loss of impulse control
- Loss of initiative & decision-making ability
- Social withdrawal
What are the 3 types of dissociative disorders?
1.Depersonalization/Derealization disorder – the presence of persistent or recurrent experiences of depersonalization, derealization, or both
2.Dissociative amnesia – an inability to recall important information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting.
3. Dissociative identity disorder
- Characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession.
- The disruption in identity involves marked discontinuity in sense of self and sense of agency.
- Is accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.
What are some characteristics of dissociative disorders?
- }Prevalence: Rates vary & remain controversial
- }Risk & Contributing Factors:
- 1.Female gender
- 2.Having experienced childhood physical or sexual abuse
- 3.Family history of similar disorders
- 4.Problems with self-concept
What are the 2 treatment options for dissociative disorders?
- Sodium pentobarbital, sodium amobarbital, and hypnosis are useful in facilitating the recovery of “repressed” and dissociated memories.
- Psychotherapy helps patients work through and ultimately control access to traumatic memories.