Derealization
One’s sense of reality of the outside world is temporarily lost
Depersonalization
- One’s sense of own self is temporarily lost
- Presisten or recurrent experiences of feeling detached from their own bodies and mental processes
What trait do the 2 dissiative disorders have in common?
Feeling puzzled, the changed condidtion is perceived as unreal and as discontinuous with previous ego states. THey feel isolate, lifeless, strange and unfamiliar
depersonalization/derealization disorders are sometimes reported by people with…
schizophrenia, BPD, panic and acute stress & PTSD
What is the onset age?
16
Dissosiate amneisia
- Can’t recall previously stored personal information when that failure cannot be accounted for by ordinary forgetting
- Gap in memory usually following a stressful event
- The forgetten information is still there just beneath a level of conciousness
- Can last between a few days and a few years
- Basic habit remain intact (read, skilled work, talk)
What may a person retreat to when having dissociative amnesia
dissciative fugue: departs from home surroundings and and assumes a new identity; unaware of memory loss
What is DID?
- Host/alter identities
- Usually begins in childhood, most diagnosed in teens, 20s, 30s,
What is DID criteria?
- 2+ personality states, disruption in identity involves marked discontinuity in sense of self, sense of agency and alterations of behaviour, conciousness, memory, perception
- Gaps in recall of everyday events, important personal info, & traumatic events
- Not related to substance use
Real or fake? Kenneth Bianchi
Thought to only develop after therapy
How does DID develop?
- A child attempts to cope with overwhelming sense of hopelessness & powerlessness after repeated traumatic abuse
What is the sociocognitive theory for how DID develops?
Develops when a highly suggestible person learns to adopt the roles of multiple identities since clinicians have inadvertantly suggested and reinforced them
What are 2 cultural factors that can explain DID?
Spirit possession and dissociative trace
Pathological possession - by god or spirit
What is Amok?
aggressive, violent behaviour following dissocitive episode
What is the treatment for dissociative amnesia?
Person should be in safe environment away from threatening stimuli that initially brought them into that state
What is treatment for DID?
psychodynamic & insight oriented apprach: uncovering and working through the trauma
