Lecture 5 - Dissociate Disorders and Somatoform Disorders Flashcards
What does dissociation mean?
disruption of the usual functions of conscious, memory, identity or perception
what are the 3 DSM-5 dissociative diagnoses
dissociative amnesia, dissociative identity disorder and depersonalization disorder
What diagnostic criteria for dissociative amnesia?
Inability to recall important autobiographical infromation, usually of traumatic or stressful nature, that is inconsistent with ordinary forgetfulness
what are the subtypes of amnesia
localized
selective
generalized
continous
what is localized amnesia
specific time period
what is selective amnesia
parts of the trauma but not others
what is generalized amnesia
all personal information from past
what is continuous amnesia
all personal information from a certain point in past
what is dissociative fugue specifier
amnesia plus apparently purposeful travel or bewildered wandering
what are the 2 diagnostic criteria for depersonalization disorder
- persistent or recurrent experiences of feeling detached from, and as if one is an outside observer of one’s mental processes or body + during the depersonalization experience, reality testing remains intact
what is the prevalence of depersonalization disorder?
extremely common, up to 50% people will experience an episode at some point, of those 1/3 when exposed to life-threatening danger
What is the trauma model of Dissociative identity disorder (DID)
results from severe childhood trauma, causing the patient to use dissociation as an effective coping strategy (defense mechanism)
What is the socio-cognitive model of DID
DID is essentially role-playing, reinforced by therapists and society due to suggestibility
What is false-memory syndrome?
not a diagnosis. Memories from childhood that are repressed by dissociative amnesia are experienced as being “re-discovered” in therapy in adulthood….. highly controversial
what are somatoform disorders?
physical symptoms that suggest a medical illness, but have no identifiable physical basis