Exam 3 - Dissociative disorders Flashcards

1
Q

What are dissociative disorders?

A
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2
Q

What are some behaviors associatd with low self-esteem?

A
  1. Self-criticism
  2. Self-diminution
  3. Guilt & worry
  4. Physical manifestations
  5. Postponing decisions
  6. Denying oneself pleasure
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3
Q

What are some behaviors associated with identity diffusion?

A

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
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4
Q

What is contrasting problem?

A
  • }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.
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5
Q

What are some behaviors associated with identity diffusion?

A
  • }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
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6
Q
A
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7
Q

What is dissociation?

A

acute mental decompensation when certain thoughts, emotions, sensations, and memories are compartmentalized

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8
Q

What is depersonalization?

A
  • 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
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9
Q

What are some behaviors associated with dissociation & depersonalization?

A

}Cognitive:

  1. Confusion
  2. Distorted thinking
  3. Disturbance of memory
  4. Impaired judgment
  5. Presence of separate personalities within the same person
  6. Time disorientation
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10
Q

What are some affective behaviors associated with depersonalization disorders?

A
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11
Q

What are some perceptual behaviors associated with depersonalization disorders?

A

}Perceptual

  1. Auditory & visual hallucinations
  2. Confusion regarding one’s sexuality
  3. Difficulty distinguishing self from others
  4. Disturbed body image
  5. Dreamlike view of the world
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12
Q

What are some behavioral behaviors associated with depersonalization disorders?

A
  1. Blunted affect
  2. Emotional passivity & nonresponsiveness
  3. Incongruent communication
  4. Lack of spontaneity & animation
  5. Loss of impulse control
  6. Loss of initiative & decision-making ability
  7. Social withdrawal
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13
Q

What are the 3 types of dissociative disorders?

A

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.
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14
Q

What are some characteristics of dissociative disorders?

A
  • }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
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15
Q

What are the 2 treatment options for dissociative disorders?

A
  1. Sodium pentobarbital, sodium amobarbital, and hypnosis are useful in facilitating the recovery of “repressed” and dissociated memories.
  2. Psychotherapy helps patients work through and ultimately control access to traumatic memories.
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16
Q

What are some outcomes for patients with dissociative disorders?

A
  • }Verbalizations of self-acceptance
  • }Acceptance of self-limitations
  • }Increased confidence level
  • }Acceptance of constructive criticism
  • }Fulfillment of personally significant roles
  • }Description of success in work, school, or social groups
  • }Other examples cited on p. 277