Reflection Essay 13

1. Summarize the textbook and journal readings and video materials and answer the following:

Comment on the treatment for DID. What does the research say about the prevalence of DID and treatment of those with the diagnosis?

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2. APA citations, formatting, reference page.

Dissociative Disorders present as behavioral and physical symptoms also without presence of physical pathology. The most familiar of the Dissociative Disorders is Dissociative Identity Disorder, formerly known as Multiple Personality Disorder. Similar to the Somatic Disorders, the client presents with concerns that are inconsistent with physical illness. The individual also presents with concerns about “missing” period of time in their daily lives. There are purchases that the person doesn’t remember buying, people in their lives they don’t remember knowing, journeys taken that are not remembered being taken. Additionally, as treatment progresses, the skilled clinician “meets” other personalities or selves who are not known to the core person. The goal of treatment is to integrate all the separated selves into the core self. This is a very complex disorder which requires many years of treatment. The origin of the disorder
is always in early, severe, chronic traumas, including sexual, physical, and psychological abuse.

As you read and learn about these disorders, bear in mind what we know about how humans protect against threat. When we are under what we perceive to be danger and threat to our psychological survival, we ALL develop means to survive. We must adapt or we die. Some folks develop anxiety disorders or depressive disorders with their thoughts, feelings and behaviors ( like OCD) which help the person to cope under stress. In the disorders we are currently looking at, the threats are so psychological painful that the mind is not able to develop even reasonable coping strategies, so the psychological pain manifests/presents as worrying about illness or pains that have no physical illness behind them, or, as in the case of Dissociative Identity Disorder, the psychological pain is so traumatizing that the mind fragments into identities that CAN better manage stressful situations rather than the conscious core self.

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