If identity alteration is suspected, it may be confirmed by observation of amnesia for behavior and distinct changes in affect, speech patterns, demeanor and body language, and relationship to the therapist. The therapist can gently help the patient become aware of these changes (e.g., Fine, 1999; Maldonado et al., 2002; Spiegel & Cardea, 1991; Steinberg, 1995). Go to Trauma FAQs Dissociation is a word that is used to describe the disconnection or lack of connection between things usually associated with each other. It is this sense of an alteration of identity that provided some of the impetus for a name change to Dissociative Identity Disorder, in the last Diagnostic and Statistical Manual of the American Psychiatric Association, DSM-IV-TRSome people are frightened of the word dissociative.
What is the cause of dissociation and dissociative disorders? What are the different types of dissociative disorders? What are treatments specific to the type of dissociative disorder? Clinically, this is termed emotional numbing, one of the hallmarks of post-traumatic stress disorder. Using the SCID-D to assess Dissociative Identity Disorder in adolescents: Three case studies. If available, we would be glad to provide you with the name of a consultant, at that time. Disorganization of attachment as a model forunderstanding dissociative psychopathology. Some studies have suggested that growing up in a family where a parent is frightened, frightening, or severely grieving/depressed during a childs first years may be enough to generate the organization of mind that relies more heavily on dissociative adaptations to get through the day.
What are identity confusion and identity alteration? For example, someone may think about an event that was tremendously upsetting yet have no feelings about it. If they are not in treatment, or if that fails to bring closure, then we would recommend you seek consultation for yourself, in your local area. A person can develop a dissociative disorder just from lifes circumstances.
Derealization is the sense of the world not being real. Also listed are some resources from the internet, which you may find useful.
Some people say the world looks phony, foggy, far away, or as if seen through a veil.
Identity alteration is the sense of being markedly different from another part of oneself. A person may shift into an alternate personality, become confused, and demand of the clinician, Who the dickens are you, and what am I doing here?
In addition to these observable changes, the person may experience distortions in time, place, and situation.
Or someone may find himself or herself doing something that they would not normally do but unable to stop themselves, almost as if they are being compelled to do it. The detection and measurement of depersonalization disorder. Disintegrated experience: The dissociative disorders revisited. Therapists have a duty to warn others, if their patient is felt by them to be dangerous.
This is sometimes described as the experience of being a passenger in ones body, rather than the driver. The Journal of Nervous and Mental Disease, 186(9), 536-542. Lack of integration is not an indication of dangerousness.
This is what is often referred to as an out-of-body experience. On the other hand, if lack of integration precludes real mental health, then more treatment may be useful. To help you in the task of gathering information, the following materials are recommended to you.