3725728, 244 Pat Pychiary.org- Expert Q&A: Dissociative Disorders
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Expert Q&A: Dissociative Disorders
Can people actually have “multiple personalities” or a “split a
personality’?
Dissociative identity disorder involves a lack of connection among a person's sense of identity,
memory and consciousness. People with this disorder do not have more than one personality
but rather less than one personality. (The name was changed recently from ‘multiple personality
disorder to ‘dissociative identity disorder’) This disorder usually arises in response to physical
and sexual abuse in childhood as a means of surviving mistreatment by people who should be
nurturing and protecting
Are people with dissociative identity disorder often misdiagnosed? v
What symptoms would family members see if a person had a
dissociative identity disorder? Can friends/family members tell
when a person with dissociative identity disorder “switches”?
You may notice sudden changes in mood and behavior. People with dissociative identity
disorder may forget or deny saying or doing things that family members witnessed. Family
members can usually tell when a person “switches.” The transitions can be sudden and
startling, The person may go from being fearful, dependent and excessively apologetic to being
angry and domineering. He or she may report not remembering something they said or did just
minutes earlier.
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Once a person is being treated for a dissociative disorder, how can a
family members best support and help them?
Be open and accepting in your responses. Do not ‘take sides’ with one or another component of
their identity. Rather view them as portions of the person as a whole. We are all different in
different situations, but we see this as different sides of ourselves. Try to maintain that,
perspective with the person with dissociative disorder. Also, help them to protect themselves.
from any trauma, abuse, or self harm.
Can dissociative disorders go away without treatment? a
They can, but they usually do not. Typically those with dissociative identity disorder experience
symptoms for six years or more before being correctly diagnosed and treated
Is dissociation really a disorder or a coping mechanism? a
Dissociation is a common coping mechanism, especially in the face of trauma, Many rape
victims experience the crime as though they were floating above their bodies, feeling sorry for
the person beneath them. Many of us find ways to detach ourselves from painful or unpleasant
experiences,
However, people typically restore their usual perspective over time. Those with dissociative
disorders experience persistent amnesia, depersonalization, derealization or fragmentation of
identity that actually interferes with the normal process of working through and putting into
perspective traumatic or stressful experiences.
CONTENT AUTHOR
hitps uw. psychiatry ora/pations-familesiaissociatve-isorders/oxper-e-and-a 283725728, 244 Pat Pychiary.org- Expert Q&A: Dissociative Disorders
David Spiegel, M.D.
Professor and Associate Chair of Psychiatry & Behavioral Sciences
Director, Center on Stress and Health
Medical Director, Center for Integrative Medicine
Stanford University School of Medicine
Medical leadership for mind, brain and body.
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