Exam 3 - Dissociative disorders Flashcards Preview

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Flashcards in Exam 3 - Dissociative disorders Deck (16):
1

What are dissociative disorders?

2

What are some behaviors associatd with low self-esteem?

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

3

What are some behaviors associated with identity diffusion?

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

4

What is contrasting problem?

  • }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.

5

What are some behaviors associated with identity diffusion?

  • }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

6

7

What is dissociation?

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

8

What is depersonalization?

  • 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

9

What are some behaviors associated with dissociation & depersonalization?

}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

10

What are some affective behaviors associated with depersonalization disorders?

11

What are some perceptual behaviors associated with depersonalization disorders?

}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

12

What are some behavioral behaviors associated with depersonalization disorders?

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

13

What are the 3 types of dissociative disorders?

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.

14

What are some characteristics of dissociative disorders?

  • }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

15

What are the 2 treatment options for dissociative disorders?

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.

16

What are some outcomes for patients with dissociative disorders?

  • }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