Module 1 NU620 Flashcards
a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.
Dissociative disorders
clinically significant persistent or recurrent depersonalization (i.e., experiences of unreality or detachment from one’s mind, self, or body) and/or derealization (i.e., experiences of unreality or detachment from one surroundings).
Depersonalization/derealization disorder is characterized by…
an inability to recall autobiographical information. This amnesia may be localized (i.e., an event or period of time), selective (i.e., a specific aspect of an event), or generalized (i.e., identity and life history).
Dissociative amnesia is characterized by….
(a) the presence of two or more distinct personality states or an experience of possession
(b) recurrent episodes of amnesia.
Dissociative identity disorder is characterized by
(a) recurrent, inexplicable intrusions into their conscious functioning and sens of self (e.g., voices; dissociated actions and speech; intrusive thoughts, emotions, and impulses)
(b) alterations of sense of self (e.g.g, attitudes, preferences, and feeling like one’s body or actions are not one’s own)
(c) odd changes of perception (e.g., depersonalization or derealization, such as feeling detached from one’s body while cutting)
(d) intermittent functional neurological symptoms.
Individuals with dissociate identity disorder experience…
A. Disruption of identity 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 sens of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual.
B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting.
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The disturbance is not a normal part of a broadly accepted cultural or religious practice
E. The symptoms are not attributable to the physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or another medical conditions (e.g., complex partial seizures).
Dissociative Identity Disorder DSM V Criteria
(1) gaps in remote memory of personal life events (e.g., periods of childhood or adolescence; some important life events, such as the death of a grandparent, getting married, giving birth)
(2) lapses in dependable memory (e.g., of what happened today, or well-learned skills such as how to do their job, use a computer, read, drive)
(3) discovery of evidence of their everyday actions and tasks that they do not recollect doing (e.g., finding unexplained objects in their shopping bags or among their possessions; finding perplexing writings or drawing that they must have created; discovering injuries; “coming to” in the midst of doing something).
The dissociative amnesia of individuals with dissociative identity disorder manifests in three primary ways:
a failure to recall events during a circumscribed period of time, is the most common form of dissociative amnesia
Localized amnesia define
the individual can recall some, but not all, of the events during a circumscribed period of time. Thus, the individual may remember part of a traumatic event but not other parts.
Selective amnesia define
a complete loss of memory for one’s life history, is rare. Individuals with generalized amnesia may forget personal identity. Lose previous knowledge about the world and can no longer access well learned skills.
Generalized amnesia define
the individual loses memory for a specific category of information (e.g., all memories relating to one’s family, a particular person, or childhood sexual abuse)
systematized amnesia define
an individual forgets each new event as it occurs
continuous amnesia define
A. The presence of persistent or recurrent experiences of depersonalization, derealization, or both:
1. Depersonalization: Experience of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, sensations, body, or actions (e.g., perceptual alterations, distorted sense of time, unreal or absent self, emotional and/or physical numbing).
Derealization: Experiences of unreality or detachment with respect to surroundings (e.g., individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted).
B. During the depersonalization or derealization experiences, reality testing remains intact.
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The disturbance is not attributable to the physiological effects of a substance or another medical condition.
Depersonalization/Derelaization Disorder
The individual may feel detached from his or her entire being (e.g., I am no one, I have no self). He or she may also fee subjectively detached from aspect of the self, including feelings (I know I have feelings but I don’t feel them), thoughts (my thoughts don’t feel like my own, head filled with cotton), whole body or body parts, or sensation (touch proprioception, hunger, thirst, libido).
Depersonalization
a feeling of unreality or detachment from, or unfamiliarity with, the world, be it individuals, inanimate objects, or all surroundings. The individual may feel as if he or she were in a fog, dream, or bubble, or as if there were a veil or a glass wall between the individual and world around.
Derealization
