An introduction to the dissociative identity disorder
At this point the dissociation and dissociative identity disorder may manifest in a much more obvious way, so that life becomes intolerable, and help or treatment is sought.
That's just how we act in different situations. On average according to research it takes 7 years within the Mental Health system to gain a correct diagnosis. This can lead to problems both in managing emotions and dealing with relationships.
Under normal conditions people are able to recall most everything they experience. Comorbid disorders can include substance abuseeating disordersanxietypost traumatic stress disorder PTSDand personality disorders.
There is very little experimental evidence supporting the trauma-dissociation hypothesis, and no research showing that dissociation consistently links to long-term memory disruption. The traumatic events therefore remain sealed off — dissociated and unprocessed — from the main conscious awareness and developing identity of the child.
How often do we see it in the population? The authors concluded from their findings: "The model is supportive of the current phase-oriented treatment model, emphasizing the strengthening of the therapeutic relationship and the patient's resources in the initial stabilization phase. The criteria also clarify that the symptoms cause significant distress, are not part of a broadly accepted cultural or religious practice, and are not due to alcohol or drugs.
Researchers constructed a two-stage survey and factor analyses performed on the survey elements found 51 factors common to complex PTSD and DID.
Multiple personality disorder cases
It described the possible occurrence of alterations in the patient's state of consciousness or identity, and included the symptoms of "amnesia, somnambulism, fugue, and multiple personality". Reviews of DID patients and their medical records concluded that the majority of those diagnosed with DID would also meet the criteria for either borderline personality disorder or more generally borderline personality. They might ask something like, "Does this part have a name? While some patients may initially present with a large number of alters, this number may reduce during treatment—though it is considered important for the therapist to become familiar with at least the more prominent personality states as the "host" personality may not be the "true" identity of the patient. Although auditory hallucinations are common in DID, complex visual hallucinations may also occur. Someone who has dissociative identity disorder may have distinct, coherent identities within themselves that are able to assume control of their behaviour and thought. And there are a lot of different theories as to how this could happen, but they all seem to center on a central idea, which is that under cases of extreme stress, a person's conscious awareness disassociates, or separates from, certain painful memories, or thoughts, or feelings. The ISSTD therefore recommend accepting and validating the different parts of the personality and their contribution to the person as a whole, whilst understanding why the dissociative splits are present and how to resolve those conflicts and move towards resolution. Medications can be used for comorbid disorders or targeted symptom relief. Medication can assist with associated symptoms, such as sleep disturbance, anxiety and depression, but there is no pharmacological cure for DID. They do recommend talking to and engaging with all of the different parts, whilst not focusing on and even elaborating their differences.
Similarly, in settings where normative possession is common e. The iatrogenic model also sometimes states that treatment for DID is harmful.
based on 78 review