dissociative

Question 1

In my Amnesia girl, toni cannot remember John LLoyd, what type of dissociative amnesia is this ?

Answer 1

Systematized- inability to recall certain categories ex: particular person

Localized- … events in a circumscribed period of time
Selective- ability to recall but not all events in a circumsc period of time
Generalized - inability to recall, one’s entire lifetime
Continous- inability to recall successive events as they occur

Question 2

most severe and chronic of all the dissociative d/o

Answer 2

DID
poor prognosis if early onset

imapirement is determined by the number, type band chronivity of personalities

each personality can have their own mental d.o

some of the personalities can function well

Question 3

when a perosn believes he is present at two places at the same time. double orientation

Answer 3

Reduplicative paramnesia

Question 4

culture bound syndromes with fugue states

Answer 4

amok- Indo malaysian
latah- southeast asian
grisi siknis- Nicaragua and Honduras
Piblokto- Arctic hysteria- eskimos

Question 5

Distinguishing factors for organic amnesia vs dissociative amnesia

amnesia in dissociative states- memory is displaced from the awareness

Answer 5

does not involve identity alteration
does not come after an traumatic event 
it is not selectively limited to personal information
often anterograde rather than retrograde 
permanent  except ( TGA, metabolic, subs abuse)

Question 6

how long does TGA would usually last ?

Answer 6

6 -24hrs

affects recent memories
recovery is complete
cause: TIA , limbic midline brain structures

Question 7

Diff of dissociative fugue vs DID

Answer 7

does not alternate with new personalities

0.2%

Question 8

most common vcause of organic fugue is

Answer 8

epilepsy

Question 9

Mainstay of treatment of dissociative fugue

Answer 9

Psychodynamic psychotherapy

Question 10

purpose of SCID-D R

Answer 10

distinguish genuine vs fake DID

fake- cannot describetypical comornids of DID- amnesia, identity cinfusion/ alteration
cannot also expand on subjective experiences
- “ I’m swtiching/ dissociating”

Question 11

differentiate the ff :

Answer 11

dissociative amnesia- inability to recall oimportant personal info to extensivive tio be ewxplained by normal forgetfulness .

depersonalization- recurrent feeling of detachment with one’s own mental state.

DID- 2 or more distinct personality states. that control ones’ behavior, with inability to recall important personal info.

Dissociative trance - altered state of consciousness, NO altered sense of identity. Focus is on the immediate envi, individual could have behaviors or movt beyond his control.