By: Ariél Hovland, Bryan Tatleman, Conor Stanley, and Matt Velasquez What are Dissociative Disorders? • Dissociative Disorders are mental disorders that disrupt a persons normal, functioning consciousness, identity, memory, or perception of the world. • Dissociative Disorders: – Dissociative Amnesia – Dissociative Identity Disorder – Depersonalization – Fugue Disorder People with dissociative amnesia have sudden inabilities to remember autobiographical information. They will forget past experiences and personal information about themselves. However, they usually have full memories of other experiences and information. Overwhelming Stress (from experiences such as war, major accidents, disasters, or abuse) Some psychologists think that dissociative amnesia is genetic because most people with this disorder are related to someone who also has dissociative amnesia. A drug called pentothal is used to help patients remember their forgotten memories. Psychotherapy is used sometimes to help deal with the trauma associated with the amnesia. In general, treatment is aimed at helping the patient restore lost memories as quickly as possible. About two to three percent of the population has dissociative amnesia. It is more common in women than in men. Dissociative Identity Disorder • Formerly called “Multiple Personality Disorder” • Severe form of dissociation • Alteration of normally integrated functions of identity and consciousness • Lack of connection in thoughts, memories, feelings, and sense of identity Symptoms • Two or more distinct personalities have control over one person’s behavior • Each personality exhibits separate self-image, behaviors, physical characteristics, posture, and gestures • Each may have its own name, race, age, and sex • Personalities may deny knowledge of one another, or be critical of one another in open conflict • “Switching” between personalities may take anywhere from seconds to minutes to days Symptoms (Cont’d) People with DID may also experience: • Depression • Mood swings • Suicidal tendencies • Sleep disorders • Anxiety • Compulsions and rituals • Auditory or visual hallucinations • Eating disorders • Amnesia Causes • Causes are not completely understood, but they are thought to stem from traumatic experiences • Childhood physical abuse, sexual abuse, emotional abuse, neglect • Recurring or life-threatening disturbances at childhood developmental stage (before age 9) • Coping mechanism to deal with life’s dilemmas. Makes patients reluctant to integrate separate identities Causes (Cont’d) • Symptoms partially prompted by therapists’ probing • Biological component- family histories of the disorder • Brain imaging changes during “switching” or “transitions” • Traumatic events stored in right hemisphere of brain- vivid recall of emotional and visual components of event • Whole identity is stored with the stunted traumatic memory Treatment • Talk therapy, psychotherapy, and hypnotherapy have proved helpful for patients with DID • Art therapy- expressive therapy through art. Stimulates right side of brain, where vivid traumatic memories stored • Goals are to recognize abused thoughts, change negative self-images, and unite all personalities into one • No specific medication for DID, but anti-depressants and anti-anxiety medication may help symptoms Commonality • Estimated 1% to 2% of the population has Dissociative Identity Disorder • Up to 7% of population may have undiagnosed DID • Immediately following traumatic experience, 73% of individuals will experience dissociative states for a short period of time (a few hours to a few weeks) Depersonalization Symptoms • Distorted perception of the body • Can occur in panic disorder, borderline personality disorder, post-traumatic stress disorder, acute stress disorder Causes • • • • • • • • Severe abuse in childhood Physical Emotional Sexual nature Childhood trauma Intense stress Biological disorder Traumatic Event: War, extreme disasters Treatment • • • • • Psychotherapy Cognitive-behavioral therapy Tranquilizers Antidepressants Goal is to address stresses associated with the on set of the disorder. Is it common? • • • • • • Very common in dangerous situations Assaults Accidents Serious illnesses Occurs commonly with other disorders Very rare as a disorder by itself Symptoms People cannot remember all or some of their past events. Unplanned and sudden travel away from home. People assume the role of a completely new identity forgetting their usual common routine. People often wander away from their surroundings. Can go on journeys thousands of miles away over the span of months. Appears normal to other people but after a fugue state, cannot recall what has happened. Causes of Dissociative Fugue Causes of this disorder is from stress. And very high levels of stress. Either from work, family troubles, financial problems, or just stress from the world. EX. An unexpected death to a loved one may cause a person to travel and run away from home and completely blanking out their past. Treatment of Dissociative Fugue Fugue is a very interesting disorder. There is treatment in where people go to therapy and they make the patient face the stress and anger and other feelings he feels causing these episode. On the other side many times it goes unknown. Since the person doesn’t remember his life, he doesn’t remember who he really is. And since they cannot normally recall their episodes, they have no idea. Many people don’t even realize that they are living a false life. Many go undiagnosed. How Common is it? Since some people don’t even know they have it, many cases go unrecorded. But about 2in 1,000 people in America suffer from this disorder. The disease is more common among people who have been in wars, accidents, or natural disasters that cause stress. Bibliography "Dissociative Identity Disorder." Psychology Today. Ed. Laura Stephens. 10 Oct. 2008. 22 May 2009. <http://www.psychologytoday.com/conditions/did.html> • Kaplan, Rachel. "Dissociative Identity Disorder." Serendip. 2009. 22 May 2009. <http://serendip.brynmawr.edu/exchange/node/1780> • Smith, Michael W. "Dissociative Identity Disorder." Web MD. 17 Apr. 2008. 22 May 2009. <http://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personalitydisorder> • Simeon, Daphne. "Dissociative Fugue." Merck Manuals. June 2008. 28 May 2009. <http://www.merck.com/mmhe/sec07/ch106/ch106d.html> • "Depression Guide." Clinical Anxiety Depression. 4 Mar. 2004. 28 May 2009. <www.depression-guide.com?dissociative-fugue.com> • International Society for the Study of Trauma and Dissociation “Frequently Asked Questions: Dissociation and Dissociative Disorders” ISSTD.com, 2009 <http://www.isstd.org/education/faq-dissociation.htm> • Frey, Rebecca J. Ph.D. “Depersonalization Disorder” Mind Disorders.com, 2007 <http://www.minddisorders.com/Del-Fi/Depersonalization-disorder.html> • Maser, Jack D. Ph.D. “Dissociative Disorders” National Alliance on Mental Disorders, 2000 <http://www.nami.org/Content/ContentGroups/Helpline1/Dissociative_Disorders.htm> • "Depersonalization Disorder." Cleveland Clinic. The Cleveland Clinic. <http://my.clevelandclinic.org/disorders/Dissociative_Disorders/hic_Depersonalization_Disor der.aspx> •