depersonalization - derealization disorder dissociative amnesia dissociative fugue dissociative...
DESCRIPTION
Normal Dissociation Normal Dissociation Amnesia Fugue Partial DID Partial DID Complex DID Complex DID Poly-Fragmented DID Poly-Fragmented DIDTRANSCRIPT
Depersonalization - Derealization Disorder
Dissociative Amnesia
Dissociative Fugue
Dissociative Identity Disorder
Nor
mal
Dis
soci
atio
n
Amnesia
Fugue
PartialDID
ComplexDID
Poly-Fragmented
DID
Primary Features– Depersonalization– Derealization
Impairs Functioning Causes Significant Distress Runs a Chronic Course
Clinical Description
Clinical Description
Localized or Selective– Failure to Recall Specific Events– more common form
Generalized– Unable to Remember Anything
Clinical Description
Go to Another Location– Unaware “How They Arrived”
Memory Loss – Specific Incident
May Assume New Identity;partial disintegration of identity
Fugue Usually Ends Abruptly
Clinical Description Differs Across Cultures – Sudden Changes in Personality often attributed to Possession by Spirit– may not be abnormal
Often Related to Trauma Females > Males
Clinical Description Formerly calledMultiple Personality Disorder
Person’s Identity is Dissociated
May Adopt 100 Identities – “Alters”– The Nature of Alters
Central Features Host Identity – One Who Asks for Treatment– Attempt to Hold Alters Together
A Switch – Abrupt Change in Personalities– Usually Instantaneous
Facts and Statistics Average Number of Alters? – 15
Females > Males (9:1) Onset in Childhood– Linked to Extreme Abuse
Runs a Chronic Course
Causes Unspeakable Childhood Abuse– 97% of Cases – Escape Into Fantasy World– Become Someone Else– Do What It Takes to Survive
DID as a Means of Coping?
Other Related Features Suggestibility Hypnotizability– Similar to Dissociation
Are These Related to DID?
Abuse: Controversial Issues False vs. Real Memories
Do Therapists Plant Memories?
Can False Memories be Created?– Elizabeth Loftus – associative memory illusion
Treatment Dissociative Amnesia & Fugue– Usually Improve on Their Own– Stress Reduction and Coping
Dissociative Identity Disoder– No Controlled Research– Treatments are Similar to PTSD