CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS
The DSM-5-TR is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5-TR, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.
In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.
· Osmosis. (2017, November 20). [Video]. YouTube. https://youtu.be/XF2zeOdE5GYLinks to an external site.
· Mad Medicine. (2019, August 18). [Video]. YouTube. https://youtu.be/Iz03M9pwhs0Links to an external site.
· Grande, T. (2018, October 22). . [Video]. YouTube.
· Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
· Chapter 12, “Dissociative Disorders”
Use the Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.
· Explain the controversy that surrounds dissociative disorders.
· Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
· Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
· Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.
Rubric
This criterion is linked to a Learning Outcome In 2–3 pages, address the following:• Explain the controversy that surrounds dissociative disorders.
Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
This criterion is linked to a Learning Outcome• Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.
Dissociative disorders are a group of psychiatric conditions involving a disruption in the integration of one or more significant aspects of identity. A person with dissociative disorder may be diagnosed with more than one type of dissociative disorder. Dissociative disorders are often grouped into three categories. Each category has distinctive features, but all share some degree of amnesia, or a memory loss that is not due to an organic brain injury or an effect caused by another medical condition. Most people with dissociative disorders have severe and lasting symptoms that restrict their ability to function independently or in social situations. A person may also be under stress at work or home and experience symptoms similar to those seen in PTSD without actually having PTSD
Dissociative disorders are a group of psychiatric conditions involving a disruption in the integration of one or more significant aspects of identity. They are characterized by a disruption in the normal integration of identity, memory, or consciousness.
Dissociation is an observable mental process that appears when an individual experiences intense stress; it allows people to step outside their own minds and bodies so they can deal with this type of situation more effectively. It can also help you cope with difficult situations if you need time alone (alone time).
A person with dissociative disorder may be diagnosed with more than one type of dissociative disorder. The diagnosis of multiple types is not uncommon and may occur when a patient has symptoms that seem to fit more than one category.
The term “multiple” refers to how many different types of disorders you have; it does not refer to how severe your case is or how long it lasted for.
Dissociative disorders are often grouped into three categories:
Dissociative amnesia is a loss of memory for important personal information or events. In some cases, it can result in a person’s inability to recall their name and identity. Dissociative fugue is a rare disorder in which a person travels away from home and becomes confused about his or her identity.
Most people with dissociative disorders have severe and lasting symptoms that restrict their ability to function independently or in social situations. These symptoms can be severe enough to cause problems at work, in family life, and/or when interacting with other people. They may also create difficulties for a patient’s ability to care for himself or herself by taking medication on a regular basis (for example, by taking pills).
A person may also be under stress at work or home and experience symptoms similar to those seen in PTSD, without actually having PTSD. This is referred to as “non-PTSD” because it does not meet the diagnosis criteria for this disorder.
The symptoms of non-PTSD include:
Dissociative disorders are conditions that involve the experience of alternate identities or personalities. They can be divided into two main categories: those that involve one or more alters, and those in which there is no distinct alter ego.
Dissociative Identity Disorder (DID) is an overarching term for a group of related mental health conditions involving memory loss, identity confusion and amnesia associated with at least two distinct identities that exist within one person’s personality (self). These identities can take on many different forms—some may be part of your daily life like “you,” others may not be as noticeable until they emerge during an intense emotional situation like trauma or stress…
Dissociative disorders can be very challenging to treat and can take a long time to resolve. Because these disorders are so complex, it is important for you to know when symptoms are due to an organic brain injury or an effect caused by another medical condition. If you suspect someone has a dissociative disorder, make sure they get help as soon as possible. The sooner they receive treatment, the more effective it will be.
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