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Chapter 6
Dissociative Disorders
18
Psychology
Undergraduate 2
03/02/2011

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Term
dissociative disorders
Definition
experience “dissociations”
severe alterations or detachments
significant impairments in identity, memory, and consciousness
depersonalization and derealization
Term
depersonalization
Definition
lose your sense of your own reality
Term
derealization
Definition
reality of external world
Term
types of dissociative disorders
Definition
depersonalization disorder
dissociative amnesia
dissociative fugue
dissociative trance disorder
dissociative identity disorder
Term
depersonalization disorder
Definition
feelings of unreality and detachment
like being outside oneself, or being in a dream
severe/frightening
depersonalization
derealization
significant impairment
Term
depersonalization disorder causes
Definition
neuropsychology tests show cognitive deficits
attention
short-term memory
spatial resoning
easily distracted
decreased emotional response
Term
depersonalization disorder treatment
Definition
psychological treatments are unstudied
prozac appears ineffective
Term
dissociative amnesia
Definition
episodes of psychogenic memory loss
generalized type: people who can't remember anything
localized/selective type: failure to recall specific events
memory loss: retrograde vs. anterograde
Term
dissociative fugue
Definition
"flight" or travel
inability to remember how/why they arrive somewhere
assumption and disintegration of new identity
running "amok"
Term
dissociative amnesia and fugue
Definition
causes and treatments: trauma and life stress
treatment: resolution without treatment - memory returns
Term
dissociative identity disorder (DID)
Definition
old name: "multiple personalities"
amnesia
dissociation of personality
adopt several new identities or "alters"
average personalities: 15 with unique characteristics
Term
host
Definition
the personality that seeks treatment
Term
switch
Definition
transition from one personality to the next
Term
faking DID
Definition
real vs. false memories
suggestibility
simulated amnesia
demand characteristics
psysiological measures such as eye movement and EEG brain wave differences
Term
DID statistics
Definition
1.5% year are diagnosed
female to male 9:1
onset in childhood
high comorbidity rates in axis I and II
lifelong chronic course
Term
DID causes
Definition
difficult to isolate because little is known
biological vulnerability
severe abuse/trauma history
highly suggestible - auto hypnotic model
Term
DID treatment
Definition
reintegration of identities - long term therapy
identify and neutralize cues/triggers that provoke dissociation
visualization and reliving aspects of trauma
coping
Term
future directions for dissociative disorders
Definition
possible changes to the DSM-V in reorganization and physical/psychological origins
rename to "health anxiety disorder"
connected to BDD and OCD
axis I or II classification
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