4.28.2010

dissociative identity disorder outline

Discovery


• Eberhardt Gmelin is sometimes credited as the first to report MPD in 1791

o This involved a 20 year old woman spoke, behaved like a French aristocrat, they keyed her named “French Woman.” She then said she remembered everything she did not has a French woman, but as a German woman and denied never having known the French woman.

Multiple Personality Disorder – What is it?

• Severe from of dissociation, which produces a lack of connection in a person’s thoughts, memories, actions, feelings, and sense of identity.

• It’s believed to have been stemmed from trauma experienced in a younger age.

• This disorder is considered sometimes as a “coping mechanism” and disassociates their selves from a situation to traumatic – causing the multiple personality.

Diagnosis

• Usually begin in childhood.

• Diagnosis should be made after complete…

o Psychiatric assessments

o Psychological assessments

o Medical assessments

Causes

• Vicious abuse in childhood.

• MPD isn’t hereditary but seeing (Learning theory) them act so, they person has a potential vulnerability to developing the disorder.

• Being severely traumatized.

Symptoms

• Two or more distinct personalities inhibit a single person.

• Each one of these personalities have its own way of relating to things and thinking.

• At least take two of the identities take control of the persons behavior at different times.

• The person is unable to recall important personal information due to the personalities.

• People with this disorder also experience…

o Depression.

o Suicidal tendencies.

o Sleep disorders.

o Mood swings.

o Alcohol and drug abuse.

o Compulsions.

o Eating disorders.

• Not recognizing their selves in the mirror.

• Feeling unreal.

• Meeting people who know them, but not know them.

• Being called a different name unusual from their original name or nickname.

Treatments

• It takes many years of intense therapy to slowly recover the childhood memories (sexual abuse, physical abuse, etc)

• Abusive memories are uncovered and are all altered and put into a single personality.

• The patient can undergo many questions to recover, such as…

o Where and when the patient was at the time the memory occurred.

o What events caused the memory.

o How often it becomes dominant

o How it fits into the diarchy of alters

• Psychotherapy

o Psychologists and therapists tried to improve relationships with others.

o Making one feel open, comfortable, and in touch with their past.

o This kind of therapy can help one “kill” parts of them.

• Hypnosis

o Increase information that the person has about their identity/symptoms.

o Increasing their control over their personalities.

o Enhancing communication between the multiple personalities.

• Electroconvulsive therapy

o Combination of psychotherapy and medication

o Inadequately relieves symptoms

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