Chapter: Dissociative Disorder
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Psychogenic and Organic Amnesia. a Multidimensional Assessment of Clinical, Neuroradiological, Neuropsychological and Psychopathological Features
Behavioural Neurology 18 (2007) 53–64 53 IOS Press Psychogenic and organic amnesia. A multidimensional assessment of clinical, neuroradiological, neuropsychological and psychopathological features Laura Serraa,∗, Lucia Faddaa,b, Ivana Buccionea, Carlo Caltagironea,b and Giovanni A. Carlesimoa,b aFondazione IRCCS Santa Lucia, Roma, Italy bClinica Neurologica, Universita` Tor Vergata, Roma, Italy Abstract. Psychogenic amnesia is a complex disorder characterised by a wide variety of symptoms. Consequently, in a number of cases it is difficult distinguish it from organic memory impairment. The present study reports a new case of global psychogenic amnesia compared with two patients with amnesia underlain by organic brain damage. Our aim was to identify features useful for distinguishing between psychogenic and organic forms of memory impairment. The findings show the usefulness of a multidimensional evaluation of clinical, neuroradiological, neuropsychological and psychopathological aspects, to provide convergent findings useful for differentiating the two forms of memory disorder. Keywords: Amnesia, psychogenic origin, organic origin 1. Introduction ness of the self – and a period of wandering. According to Kopelman [33], there are three main predisposing Psychogenic or dissociative amnesia (DSM-IV- factors for global psychogenic amnesia: i) a history of TR) [1] is a clinical syndrome characterised by a mem- transient, organic amnesia due to epilepsy [52], head ory disorder of nonorganic origin. Following Kopel- injury [4] or alcoholic blackouts [20]; ii) a history of man [31,33], psychogenic amnesia can either be sit- psychiatric disorders such as depressed mood, and iii) uation specific or global. Situation specific amnesia a severe precipitating stress, such as marital or emo- refers to memory loss for a particular incident or part tional discord [23], bereavement [49], financial prob- of an incident and can arise in a variety of circum- lems [23] or war [21,48]. -
Guidelines for Treating Dissociative Identity Disorder in Adults, Third
This article was downloaded by: [208.78.151.82] On: 21 October 2011, At: 09:20 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office: Mortimer House, 37-41 Mortimer Street, London W1T 3JH, UK Journal of Trauma & Dissociation Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/wjtd20 Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision International Society for the Study of Trauma and Dissociation Available online: 03 Mar 2011 To cite this article: International Society for the Study of Trauma and Dissociation (2011): Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, Journal of Trauma & Dissociation, 12:2, 115-187 To link to this article: http://dx.doi.org/10.1080/15299732.2011.537247 PLEASE SCROLL DOWN FOR ARTICLE Full terms and conditions of use: http://www.tandfonline.com/page/terms-and-conditions This article may be used for research, teaching, and private study purposes. Any substantial or systematic reproduction, redistribution, reselling, loan, sub-licensing, systematic supply, or distribution in any form to anyone is expressly forbidden. The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae, and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand, or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material. -
Dissociative Identity Disorder: Adaptive Deception of Self and Others
Dissociative Identity Disorder: Adaptive Deception of Self and Others John 0. Beahrs, MD Dissociative identity disorder (multiple personality) is increasingly diagnosed, often follows childhood trauma. and is characterized bv riqidification of phenomena that resemble hypnosis. To inteipret dissociated aspeck of selfhood as autonomous entities is a useful heuristic; but when taken too literally, it leads to three kinds of anomaly: (1) legal: dissociators remain culpable for misdeeds carried out beyond apparent awareness or control; (2) clinical: legitimization sometimes leads not to relief, but to escalating cycles of regressive dependency; and (3) scientific: the form of dissociated entities varies with how they are defined, in ways that are intrinsically motivated and clinically manipulable. These anomalies yield to an evolutionary perspective that views dissociative identity disorder as an evolved strategy of adaptive deception of self and others; e.g., a beaten subordinate avoids further retribution by "pleading illness." Such a deceit best avoids detection when fully experienced; through its intensity and persistence, it becomes real at a new level. One's basic competencies remain intact, however, and are the source of the anomalies described. They can be clinically accessed and empowered, providing the key to therapeutic change when dissociative processes are problematic. Overall, despite clear impairment in subjective awareness and volition, dissociative-disor- dered individuals are best held fully accountable for the consequences of their actions. When deviant behavior becomes unac- ately excused and "treated."' To be held ceptable, society classifies the offending liable for retribution, transgressors must agents in two groups. Those defined as (1) know what they are doing and why, "bad" (culpable, blameworthy) are sub- and (2) be able to choose otherwise. -
PAVOL JOZEF ŠAFARIK UNIVERSITY in KOŠICE Dissociative Amnesia: a Clinical and Theoretical Reconsideration DEGREE THESIS
PAVOL JOZEF ŠAFARIK UNIVERSITY IN KOŠICE FACULTY OF MEDICINE Dissociative amnesia: a clinical and theoretical reconsideration Paulo Alexandre Rocha Simão DEGREE THESIS Košice 2017 PAVOL JOZEF ŠAFARIK UNIVERSITY IN KOŠICE FACULTY OF MEDICINE FIRST DEPARTMENT OF PSYCHIATRY Dissociative amnesia: a clinical and theoretical reconsideration Paulo Alexandre Rocha Simão DEGREE THESIS Thesis supervisor: Mgr. MUDr. Jozef Dragašek, PhD., MHA Košice 2017 Analytical sheet Author Paulo Alexandre Rocha Simão Thesis title Dissociative amnesia: a clinical and theoretical reconsideration Language of the thesis English Type of thesis Degree thesis Number of pages 89 Academic degree M.D. University Pavol Jozef Šafárik University in Košice Faculty Faculty of Medicine Department/Institute Department of Psychiatry Study branch General Medicine Study programme General Medicine City Košice Thesis supervisor Mgr. MUDr. Jozef Dragašek, PhD., MHA Date of submission 06/2017 Date of defence 09/2017 Key words Dissociative amnesia, dissociative fugue, dissociative identity disorder Thesis title in the Disociatívna amnézia: klinické a teoretické prehodnotenie Slovak language Key words in the Disociatívna amnézia, disociatívna fuga, disociatívna porucha identity Slovak language Abstract in the English language Dissociative amnesia is a one of the most intriguing, misdiagnosed conditions in the psychiatric world. Dissociative amnesia is related to other dissociative disorders, such as dissociative identity disorder and dissociative fugue. Its clinical features are known -
The Diagnosis of Ganser Syndrome in the Practice of Forensic Psychology
Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. The Diagnosis of Ganser Syndrome in the Practice of Forensic Psychology Sanford L. Drob, Ph.D. and Kevin Meehan Forensic Psychiatry Service, New York University—Bellevue Medical Center The authors gratefully acknowledge the contributions of Robert H. Berger, M.D., Alexander Bardey, M.D., David Trachtenberg, M.D., Ruth Jonas, Ph.D. and Arthur Zitrin, M.D. for their assistance in helping to formulate the case example presented herein. 1 Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. Abstract Ganser syndrome, which is briefly described as a Dissociative Disorder NOS in the DSM-IV is a poorly understood and often overlooked clinical phenomenon. The authors review the literature on Ganser syndrome, offer proposed screening criteria, and propose a model for distinguishing Ganser syndrome from malingering. The “SHAM LIDO” model urges clinicians to pay close attention to Subtle symptoms, History of dissociation, Abuse in childhood, Motivation to malinger, Lying and manipulation, Injury to the brain, Diagnostic testing, and longitudinal Observations, in the assessment of forensic cases that present with approximate answers, pseudo-dementia, and absurd psychiatric symptoms. A case example illustrating the application of this model is provided. 2 Drob, S., & Meehan, K. (2000). The diagnosis of Ganser Syndrome in the practice of forensic psychology. American Journal of Forensic Psychology, 18(3), 37-62. In this paper we propose a model for diagnosing the Ganser syndrome and related dissociative/hysterical presentations and evaluating this syndrome in connection with forensic assessments. -
The Effect of Depersonalization and Derealization Symptoms
THE EFFECT OF DEPERSONALIZATION AND DEREALIZATION SYMPTOMS ON OLFACTION AND OLFACTORY HEDONICS Thesis Submitted to The College of Arts and Sciences of the UNIVERSITY OF DAYTON In Partial Fulfillment of the Requirements for The Degree of Master of Arts in Psychology By Rhiannon A. Gibbs UNIVERSITY OF DAYTON Dayton, Ohio May 2018 THE EFFECT OF DEPERSONALIZATION AND DEREALIZATION SYMPTOMS ON OLFACTION AND OLFACTORY HEDONICS Name: Gibbs, Rhiannon A. APPROVED BY: _______________________________________ Julie Walsh-Messinger, Ph.D. Faculty Advisor ______________________________________ Roger R. Reeb, Ph.D. Committee Member ______________________________________ Jackson A. Goodnight, Ph.D. Committee Member Concurrence: _______________________________________ Lee Dixon, Ph.D. Chair, Department of Psychology ii © Copyright by Rhiannon A. Gibbs All rights reserved 2018 ABSTRACT THE EFFECT OF DEPERSONALIZATION AND DEREALIZATION SYMPTOMS ON OLFACTION AND OLFACTORY HEDONICS Name: Gibbs, Rhiannon A. University of Dayton Advisor: Dr. Julie Walsh-Messinger. Depersonalization and derealization symptoms affect sensation, perception, and emotion, producing subjective experiences of unreality and affective numbing (Simeon, 2004). Abnormalities in the amygdala, which is associated with emotional reactions such as anxiety and fear (LeDoux, 1993), have been observed in depersonalization and derealization and other psychiatric disorders, such as anxiety and depression (Sierra & Berrios, 1998). Olfactory deficits have been posited as a potential marker for psychiatric -
The ICD-10 Classification of Mental and Behavioural Disorders Diagnostic Criteria for Research
The ICD-10 Classification of Mental and Behavioural Disorders Diagnostic criteria for research World Health Organization Geneva The World Health Organization is a specialized agency of the United Nations with primary responsibility for international health matters and public health. Through this organization, which was created in 1948, the health professions of some 180 countries exchange their knowledge and experience with the aim of making possible the attainment by all citizens of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life. By means of direct technical cooperation with its Member States, and by stimulating such cooperation among them, WHO promotes the development of comprehensive health services, the prevention and control of diseases, the improvement of environmental conditions, the development of human resources for health, the coordination and development of biomedical and health services research, and the planning and implementation of health programmes. These broad fields of endeavour encompass a wide variety of activities, such as developing systems of primary health care that reach the whole population of Member countries; promoting the health of mothers and children; combating malnutrition; controlling malaria and other communicable diseases including tuberculosis and leprosy; coordinating the global strategy for the prevention and control of AIDS; having achieved the eradication of smallpox, promoting mass immunization against a number of other -
Dissociative Identity Disorder: a Literature Review
Undergraduate Journal of Psychology Dissociative Identity Disorder: A Literature Review Albana Reategui Brigham Young University Abstract Dissociative Identity Disorder (DID) is a disorder that has a big burden in the everyday life of the patient, and it’s not well-known because of the often-wrong idea portrayed by the media. To better understand this disorder, in this review we looked at four important questions. First, we looked at the prevalence of DID to have an idea of how many people have it, and we found it is not as rare as it is believed. Second, we looked at how it develops and we found three possibilities: Trauma Model, Fantasy Model, and a severe symptom of Borderline Personality Disorder. Third, we looked at the existent treatments and found that the trauma-focused psychotherapy is the preferred way of treatment, but we also found that quetiapine helps, as well as the use of relational psychoanalytic treatment. Lastly, we concluded that there is not a lot of research done in any area of DID and that is where we should focus on doing more research so we can know more about a forgotten disorder that affects the lives of so many people. Key Words: Dissociative identity disorder, trauma, prevalence, development, treatment Dissociative Identity Disorder (DID) is the society. The outcomes may include comorbid disruption of the identity by the presence of two or depression, anxiety, substance abuse, self-injury, more identities, or personality states, which are and non-epileptic seizures; not to mention that 70% present and may take control of the individual. -
Dissociative Disorders
16 Feb 2005 17:41 AR AR240-CP01-09.tex XMLPublishSM(2004/02/24) P1: JRX 10.1146/annurev.clinpsy.1.102803.143925 Annu. Rev. Clin. Psychol. 2005. 1:227–53 doi: 10.1146/annurev.clinpsy.1.102803.143925 Copyright c 2005 by Annual Reviews. All rights reserved First published online as a Review in Advance on November 29, 2004 DISSOCIATIVE DISORDERS John F. Kihlstrom Department of Psychology, University of California, Berkeley, California 94720-1650; email: [email protected] KeyWords amnesia, fugue, multiple personality, trauma, memory, identity ■ Abstract The dissociative disorders, including “psychogenic” or “functional” amnesia, fugue, dissociative identity disorder (DID, also known as multiple personality disorder), and depersonalization disorder, were once classified, along with conversion disorder, as forms of hysteria. The 1970s witnessed an “epidemic” of dissociative disorder, particularly DID, which may have reflected enthusiasm for the diagnosis more than its actual prevalence. Traditionally, the dissociative disorders have been attributed to trauma and other psychological stress, but the existing evidence favoring this hypothesis is plagued by poor methodology. Prospective studies of traumatized individuals reveal no convincing cases of amnesia not attributable to brain insult, injury, or disease. Treatment generally involves recovering and working through ostensibly repressed or dissociated memories of trauma; at present, there are few quantitative or controlled outcome studies. Experimental studies are few in number and -
Underwriting Considerations for Dissociative Disorders Polly M
JOURNAL OF INSURANCE MEDICINE Copyright ᮊ 2000 Journal of Insurance Medicine J Insur Med 2000;32:71–78 ORIGINAL ARTICLE Underwriting Considerations for Dissociative Disorders Polly M. Galbraith, MD; Patricia J. Neubauer, PhD Objective.—Dissociative identity disorder (DID) has been diag- Address: Fortis Benefits Insurance nosed more frequently and is under greater scrutiny. Because of the Company, 2323 Grand Blvd, 7th number of comorbid conditions, the underwriting risks must be floor, Kansas City, MO 64108-2670. evaluated to determine morbidity and mortality implications. Correspondent: Polly M. Galbraith, Background.—The number of diagnosed cases of DID has in- MD, Medical Director; e-mail creased in recent years. The diagnosis often coexists with other di- [email protected]. agnoses such as bipolar disorder, major depression, post-traumatic stress disorder, anxiety disorder, somatization, personality disor- Key words: Underwriting, dissocia- ders, and psychotic disorder. A high incidence of substance abuse tive disorder, multiple personality and eating disorders is found in the population diagnosed with DID. disorder, psychiatric disorders, mor- Methods and Results.—A query of disability claim experience bidity, mortality, disability. with DID indicated that these claims tended to reach the maximum Received: December 1, 1999. duration for mental/nervous benefits despite case management and return to work activities. Accepted: January 16, 2000. Conclusions.—The DID psychiatric population is a complex group with mental disorders that place them in a group likely to use maximum disability benefits and who would pose increased life underwriting risk. In addition, the literature indicates a high excess risk for early mortality and excess health care expenses compared to the normal population. -
Sample Psychiatry Questions & Critiques
Sample Psychiatry Questions & Critiques Sample Psychiatry Questions & Critiques The sample NCCPA items and item critiques are provided to help PAs better understand how exam questions are developed and should be answered for NCCPA’s Psychiatry CAQ exam. Question #1 A 50-year-old woman who has been treated with sertraline for major depressive disorder for more than two years comes to the office because she has had weakness, cold intolerance, constipation, and weight gain during the past six months. Physical examination shows dry, coarse skin as well as bradycardia, hypothermia, andswelling of the hands and feet. Which of the following laboratory studies is the most appropriate to determine the diagnosis? (A) Liver function testing (B) Measurement of serum electrolyte levels (C) Measurement of serum estrogen level (D) Measurement of serum sertraline level (E) Measurement of serum thyroid-stimulating hormone level Content Area: Depressive Disorders (14%) Critique This question tests the examinee’s ability to determine the laboratory study that is most likely to specify the diagnosis. The correct answer is Option (E), measurement of serum thyroid- stimulating hormone level. Hypothyroidism is suspected on the basis of the patient’s symptoms of depression, weakness, constipation, and weight gain as well as the physical findings of bradycardia, hypothermia, swelling of the hands and feet, and dry, coarse skin. Measurement of serum thyroid-stimulating hormone level is the study that will either confirm or refute this suspected diagnosis. ©NCCPA. 2021. All rights reserved. Sample Psychiatry Questions & Critiques Option (A), liver function testing, is a plausible choice based on the patient’s signs and symptoms of weakness, weight gain, and swelling of the hands and feet. -
Movies and Mental Illness Using Films to Understand Psychopathology 3Rd Revised and Expanded Edition 2010, Xii + 340 Pages ISBN: 978-0-88937-371-6, US $49.00
New Resources for Clinicians Visit www.hogrefe.com for • Free sample chapters • Full tables of contents • Secure online ordering • Examination copies for teachers • Many other titles available Danny Wedding, Mary Ann Boyd, Ryan M. Niemiec NEW EDITION! Movies and Mental Illness Using Films to Understand Psychopathology 3rd revised and expanded edition 2010, xii + 340 pages ISBN: 978-0-88937-371-6, US $49.00 The popular and critically acclaimed teaching tool - movies as an aid to learning about mental illness - has just got even better! Now with even more practical features and expanded contents: full film index, “Authors’ Picks”, sample syllabus, more international films. Films are a powerful medium for teaching students of psychology, social work, medicine, nursing, counseling, and even literature or media studies about mental illness and psychopathology. Movies and Mental Illness, now available in an updated edition, has established a great reputation as an enjoyable and highly memorable supplementary teaching tool for abnormal psychology classes. Written by experienced clinicians and teachers, who are themselves movie aficionados, this book is superb not just for psychology or media studies classes, but also for anyone interested in the portrayal of mental health issues in movies. The core clinical chapters each use a fabricated case history and Mini-Mental State Examination along with synopses and scenes from one or two specific, often well-known “A classic resource and an authoritative guide… Like the very movies it films to explain, teach, and encourage discussion recommends, [this book] is a powerful medium for teaching students, about the most important disorders encountered in engaging patients, and educating the public.