1. DISSOCIATIVE DISORDERS 2-Day
Mr. Pustay
AP PSYCHOLOGY
West Shore Jr. Sr. High School

2. DISSOCIATION

3. Dissociation Theory of Hypnosis
Ernest Hilgard
Hypnosis involves dissociation, a split in consciousness in which one part of the mind operates independently of the rest of consciousness.
While one part of the mind is subject to hypnotic suggestion, one part is a hidden observer.

4. Dissociative Disorder or Multiple Personality Disorder

6. Dissociative Disorders
DSM-5 describes three specific dissociative disorders—dissociative identity disorder, dissociative amnesia, and depersonalization/ derealization disorder—as well as two more general categories of dissociative disorder—other specified and unspecified.

7. Dissociative Disorders
DSM-5 describes three specific dissociative disorders—dissociative identity disorder, dissociative amnesia, and depersonalization/ derealization disorder—as well as two more general categories of dissociative disorder—other specified and unspecified.

8. Dissociative Disorders
Mental disorders that involve experiencing a disconnection and lack of continuity between thoughts, memories, surroundings, actions and identity.
People escape reality in ways that are involuntary and unhealthy and cause problems with functioning in everyday life.

10. Lewis R. Goldberg
is an internationally acclaimed American personality psychologist and a professor emeritus at the University of Oregon. 
Education: University of Michigan & Harvard University

11. Dissociative Symptoms
Handout 12–13 represents the shortened version of Lewis R. Goldberg’s The
Curious Experiences Survey, which measures self-reported dissociative experiences.
The CES is made up of 17 items, each formed from a verbal phrase, expressed in first-person format.
It was established that this approach could play a valuable role as a measure of self-reported dissociative experiences.

12. DEMONSTRATION
Demonstration for how individuals worried or confused about their recent experiences can narrow what is wrong
Complete the 17-statements using the provided Likert Scale

13. Dissociative Symptoms
Total score is simply the sum of the numbers placed before the 17 items.
Thus, scores can range from 17 to 85, with higher scores (51 or higher) reflecting more experience with dissociation from time-to-time.

15. Dissociative Disorders
Usually develop as a reaction to trauma and help keep difficult memories at bay. Symptoms — ranging from amnesia to alternate identities — depend in part on the type of dissociative disorder you have.
Times of stress can temporarily worsen symptoms, making them more obvious.

16. Defenses.. Frequently used in all dissociative disorders Repression:
Disturbing impulses are blocked from consciousness
Denial: external reality is ignored
Dissociation (itself):
Separation & independent functioning of 1 group of mental processes from others-(mental contents exist in parallel consciousness)

17. Symptoms
DSM-5
Signs and symptoms depend on the type of dissociative disorders you have, but may include:
Memory loss (amnesia) of certain time periods, events, people and personal information
A sense of being detached from yourself and your emotions
A perception of the people and things around you as distorted and unreal
A blurred sense of identity

18. Symptoms
Significant stress or problems in your relationships, work or other important areas of your life
Inability to cope well with emotional or professional stress
Mental health problems, such as depression, anxiety, and suicidal thoughts and behaviors

20. Dissociative Amnesia

21. Dissociative Amnesia
The main symptom is memory loss that's more severe than normal forgetfulness and that can't be explained by a medical condition.
You can't recall information about yourself or events and people in your life, especially from a traumatic time.
Dissociative amnesia can be specific to events in a certain time, such as intense combat, or more rarely, can involve complete loss of memory about yourself.

24. Dissociative Amnesia
Guy Pearce stars as a man who, as a result of a past trauma, suffers from anterograde amnesia, the inability to form new memories and suffers short-term memory loss approximately every five minutes.

25. 50 First Dates

26. Jenny Gisby
Jenny Gisby, a 20-year-old from Nottingham, England, suffers from the same condition as the 20-something single woman portrayed by Drew Barrymore — a condition where she deals with short-term memory loss to the point where she wakes up each morning without a clue what took place the day before.

27. Dissociative Amnesia
It may sometimes involve travel or confused wandering away from your life (dissociative fugue).
An episode of amnesia usually occurs suddenly and may last minutes, hours, or rarely, months or years.

28. Dissociative Fuque
Forty-six-year-old Jeff Ingram has a rare type of amnesia called dissociative fugue. When he has an attack, his memory is wiped clean and he doesn't remember who he is or where he's from.
Whenever he has an attack, his wife, Penny, fears he won't regain his love for her.

30. DISSOCIATIVE DISORDERS Day 2
Mr. Pustay
AP PSYCHOLOGY
West Shore Jr. Sr. High School

31. Dissociative Disorders
DSM-5 describes three specific dissociative disorders—dissociative identity disorder, dissociative amnesia, and depersonalization/ derealization disorder—as well as two more general categories of dissociative disorder—other specified and unspecified.

32. Dissociative Disorders
Usually develop as a reaction to trauma and help keep difficult memories at bay. Symptoms — ranging from amnesia to alternate identities — depend in part on the type of dissociative disorder you have.
Times of stress can temporarily worsen symptoms, making them more obvious.

33. Psychological Disorder
Edna B. Foa
Why some victims of traumatic experiences develop disorders
Report thoughts after experiencing traumatic stress or respond in terms of your most upsetting life experience you can remember
Theorists argue you can become impacted
Believing the world or your environment is a safe place, an/or have difficulty in assimilating the experience and therefore over-accommodate their schemas about self and world

34. Psychological Disorder
One believes the world is unsafe and there really isn’t anything you can do to change that fact
Complete the survey of 29 items
These will include:
Negative cognitions about self
Negative cognitions about the world
Self-blame

35. Psychological Disorder
One believes the world is unsafe and there really isn’t anything you can do to change that fact
Complete the survey of 33 items
These will include:
Negative cognitions about self
Negative cognitions about the world
Self-blame

36. TOTAL SCORE
The inventory also yields three subscales – negative cognitions about the self (statements 2, 3, 4, 5, 6, 9, 12, 14, 16, 17, 20, 21, 24, 25, 26, 28, 29, 30, 33, 35 & 36),
negative cognitions about the world (statements 7, 8, 10, 11, 18, 23 & 27) and
self-blame (1, 15, 19, 22 & 31).

37. TOTAL SCORE

39. Dissociative Identity Disorder

40. Dissociative Identity Disorder
Formerly known as multiple personality disorder, this disorder is characterized by "switching" to alternate identities.
You may feel the presence of two or more people talking or living inside your head, and you may feel as though you're possessed by other identities.
Each identity may have a unique name, personal history and characteristics, including obvious differences in voice, gender, mannerisms and even such physical qualities as the need for eyeglasses.

41. Dissociative Identity Disorder
There also are differences in how familiar each identity is with the others.
People with dissociative identity disorder typically also have dissociative amnesia and often have dissociative fugue.

42. Most Famous Book/Movie
The story of Sybil (a pseudonym) was published in 1973 by Flora Rheta Schreiber, who worked closely for a decade with Sybil and her New York psychiatrist Dr. Cornelia B. Wilbur.
Sybil's sixteen distinct personalities emerged over a period of 40 years.

43. Dissociative Disorders
Britney Spears. ...
Adam Duritz. ...
Nicki Minaj. ...
Marilyn Monroe. ...
Lady Gaga. ...
Mel Gibson…
Herschel Walker

44. Kim Noble
There's Judy the teenage bulimic, devout Catholic, gay Ken and over 100 more.
Artist Kim Noble talks about living with multiple personality disorder in an interview by Oprah

45. Dissociative Disorder or Multiple Personality Disorder

47. Depresonalization/ Derealization Disorder

48. Depersonalization-Derealization Disorder
This involves an ongoing or episodic sense of detachment or being outside yourself — observing your actions, feelings, thoughts and self from a distance as though watching a movie (depersonalization)
Other people and things around you may feel detached and foggy or dreamlike, time may be slowed down or sped up, and the world may seem unreal (derealization)
You may experience depersonalization, derealization or both.

49. Derealization
Derealization is associated with depersonalization and it is where a person feels like the objects in his or her environment are changing shape or size, like their surroundings aren't real or that people are inhuman or automated.
Derealization is not a diagnosis in its own right but, rather, is considered part of depersonalization.

51. No “Cure” for Dissociative Disorder
While there's no "cure" for dissociative identity disorder, long-term treatment is very successful, if the patient stays committed.
Effective treatment includes talk therapy or psychotherapy, medications, hypnotherapy, and adjunctive therapies such as art or movement therapy.

52. When to See a Doctor
Some people with dissociative disorders present in a crisis with traumatic flashbacks that are overwhelming or associated with unsafe behavior.
People with these symptoms should be seen in an emergency room.
Less urgent symptoms that may indicate a dissociative disorder should start with the medical model
Primary Care Physician
Primary Care Clinic
Ongoing Psychiatrist/Psychologist

53. Treatment Spontaneous recovery Hypnosis
Treat comorbidity symptoms first
Drug assisted interview
Thiopental (pentothal) / sodium amobarbital (Amytal) or IV benzos
Psychotherapy

54. END