Lecture 22

Question 1

Theories of Dissociative Identity disorder shifted from __________ model to the ____________ model

Answer 1

Disease Model to the

Socio-cognitive model

Question 2

Explain the disease model of Dissociative Identity Disorder

Answer 2

Childhood trauma (that was repressed) -> Compartmentalization of experience (through the respression) -> Dissociated Identities

Question 3

Explain the socio-cognitive model of Dissociative Identity Disorder

Answer 3

Premorbid Personality Characteristics (highly suggestible)

• > iatrogenic and sociocultural factors
• > Legitimized and Socially Reinforced
• > Dissociated Identities

Question 4

What is the word for “caused by a physician”

Answer 4

iatrogenic

Question 5

What did Rind et al’s meta-analysis of child sexual abuse using college samples show?

Answer 5

showed that those who were sexually abused as children were only slightly less well adjusted than controls.

and family variance could explain most of that variance

Question 6

how does childhood maltreatment alter neuro development? what is the result?

Answer 6

1. Altered limbic development (smaller hippocampus, amygdala and corpus callosum)
2. Decreased blood flow in cerebellar vermis
3. Less development in Left cortices than right

Unable to cope with emotionality

Question 7

What does Hysteria mean?

Answer 7

Wondering Womb

Question 8

What are the first 4 historical theories of conversion disorder (hysteria)

Answer 8

1. Egyptians (2000 BC)) Displacement of uterus
2. Hippocrates (400 BC) Drying of the uterus “wondering womb”
3. Romans (Galen) Due to sexual abstinence and could also develop in men
4. Middle ages: Witches and sexuality

Question 9

What are the last 3 historical theories of conversion disorder (hysteria)

Answer 9

5. Renaissance: Sexual needs underlie symptoms. treatment: ovariectomies
6. Mesmer (1734-1825) Father of hypnosis. Benjamin Franklin and the Commission found Mesmer to be a fraud
7. Jean Charcot believed it to be neurological, used hypnosis, Freud was his student.

Question 10

what kind of person might be susceptible to Hysteria?

Answer 10

someone with Histrionic Personality Disorder

Question 11

What are the characteristics of Histrionic personality disorder?

Answer 11

A pervasive pattern of excessive emotionality and attention seeking (5 of the following)

1. Uncomfortable unless the center of attention
2. Inappropriate sexually seductive
3. Shifting shallow emotions
4. Use physical appearance to draw attention
5. speak impressionistic (vague)
6. theatricality
7. Suggestible
8. Sees relationships as more intimate than they are

Question 12

What is the Law of optimal arousal

Answer 12

The Yerkes Dodson Law