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Strengths and weaknesses of the dsm 5
MAIN FEATURES ASSOCIATED WITH dissociative disorders ESSAY
Strengths and weaknesses of the dsm 5
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Assessing and determining a mental health diagnosis can be difficult because many of the disorders have similar presenting symptoms. In addition, a client may not outwardly present symptoms, therefore, the only way to detect them involves using a scale. Finding a reliable and valid scale that determines whether an individual meets the diagnostic criteria can be very useful. The DSM-5 is important in the diagnosis of dissociative disorder. The application of the tool has advantages and disadvantages depending on the specific individual and environment.
The dissociative experiences scale is a valid and reliable scale that is widely used in the diagnosis of dissociative disorders (American Psychiatric Association, 2013). The questions in the scale are consistent with the DSM-5 diagnosis. An important concern is whether the questions in the scale are culturally sensitive. The issue of cultural sensitivity is a concern but there are different ways of perceiving the questions in the scale. The DSM-5 has an effective way to deal with the issue of culture. There is more inclusion which reduces cultural insensitivity. Cultural
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These mental disorders lead to disconnection in thoughts, memories, identity and actions (American Psychiatric Association, 2013). The symptoms of a dissociative disorder depend on the specific disorder. Dissociative disorders have symptoms such as amnesia, which further make it challenging to conduct assessments. So staying patient when working with clients who suffer from these disorders are very important. The experiences scale in this case measures symptoms which lead to further analysis. It is necessary to use the scale as a social worker when symptoms of dissociative disorders are reported by an individual or by others after observation. This is in alignment with the provisions of
Considering the information provided in the case of Mr. Jock, and after aligning all symptoms and signs to the DSM-5 criteria, the patient should receive the diagnosis of Bipolar I, current episode manic, severe severity, with mood congruent psychotic features, with catatonia.
Dissociative fugue is considered to be more common than previously thought and some estimate it to affect 1% of the population. Dissociation is present in all races but is more common in American children. More males who have been abused may experience pathological dissociation, and George was one of them. Dissociative identity disorder is typically caused by trauma occurring at less than nine years of age. Sadly, George was abused at that young age and was by both parents. Early age of abuse onset predicts a greater degree of dissociation. Another statistic about DID is that dissociative disorders were seen in 17.2% of a large inpatient group seeking treatment for substance abuse. George has a substance abuse because of how much he drinks and how frequently he
Dissociation can occur any time in our life and there is two kinds of dissociation, childhood and adulthood. Child dissociation is different from adult dissociation. Child dissociation occurs when the child is actually experiencing some sort of trauma, like abuse. Adult dissociation happens in situations like stress or family related issues. Another difference is that child dissociation does not last very long (usually a hour), but adult dissociation lasts for a longer period of time. Dissociation occurs when something so painful is happening that the mind leaves the body to go elsewhere. In Martha Stout’s essay “When I Woke up On Tuesday, It Was Friday,” she defines dissociation as the mind leaving the body and transporting our awareness to a place so far away, it feels like the person is watching from outside their body. In her essay, she tells her audience about the dangers of dissociation, such as blackout, unable to relate to others, a sense of not knowing who one is, and the sense of lost time. She also includes some of her patient’s stories and experiences with dissociation, how they struggle for sanity and how she helps them see a new meaning of life. She tells her audience that often when patients or people dissociate they have lack of self-control and self-awareness. Dissociation can happen to anybody in a dire situation, for instance a child getting abused or some other traumatic event. Martha Stout has her audience/reader rethink about dissociation particularly the harmful side of it. She has help me see that although dissociation is helpful, it could lead to suicide thought, accidents, loss of identity and sanity.
The DSM-5 lists approximately 400 mental disorders, each one explains the criteria for diagnosing the disorder and key clinical features, and sometimes describes features that are often times not related to the disorder. The classification is further explained by the background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5
The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: World Health Organization, 1992. Print.
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., & ... Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression & Anxiety (1091-4269), 28(9), 824-852. doi:10.1002/da.20874
Dissociative Identity Disorder, also known as Multiple Personality Disorder, is a psychological disorder that can be caused by many things, but the most common cause is severe childhood trauma which is usually extreme, repetitive physical, sexual, or emotional abuse. A lot of people experience mild dissociation, which includes daydreaming or getting momentarily distracted while completing everyday tasks. Dissociative identity disorder is a severe form of dissociation. Severe Dissociation causes a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity. Dissociative identity disorder is thought to stem from a combination of factors that may include trauma experienced by the person with the disorder.
5) Diagnostic and Statistical Manual of Mental Disorders, an online version of the resource book.
Dissociative identity disorder, a condition that has plagued and altered the minds of those who were diagnosed for many years, represents the condition in which an individual displays multiple personalities that overpower his or her behavior around others and even alone. Such personalities or identities can have staggering differences between them even being characterized by a disparate gender, race, or age. One of the sides of them can even be animal-like and display feral qualities. Also, the disorder severs the connection between the victim’s sense of identity, emotions, actions, and even memories from their own consciousness. The cause for this is known to be a very traumatic experience that the person had gone through previously and fails to cope with it, thus they dissociate themselves from the memory in order to keep their mental state in one piece. All these results from the disorder do not begin to tell of the rest of the horrors that gnaw away at the affected human.
My topic of choice for this research paper is Dissociative Identity Disorder or DID. This appellation is rather new; therefore, most are more familiar with the disorder's older, less technical name: Multiple Personality Disorder or MPD. When first presented with the task of selecting a topic on which to center this paper, I immediately dismissed Dissociative Identity Disorder (which for the sake of brevity will be referred to as DID for the remainder of this paper) as a viable topic due to the sheer scope of the disorder. However after an exhaustive examination of other prospective topics, I found myself back at my original choice. There are several reasons why I chose DID. The foremost of which is the widespread fascination of this disorder by many different types of people; most of whom otherwise have no interest in psychology or its associated fields. One would be hard pressed to find someone who hasn’t been captivated at one time or another by the extraordinary, all too well known symptoms of this disorder. This fascination… dare I say ‘allure’ to this disorder is exemplified by the myriad of motion pictures that have been produced based on cases, real or fictitious, of DID. Another reason for my choice is what I feel is the insufficiency of effective treatments for DID. Despite what is known about this disorder, (which is relatively a lot) there are only two chief treatments for DID; the first and most prevalent is psychotherapy; also known as ”talk therapy”, the second is medication. The third and final reason for my choice is my own enchantment with DID. I must admit that ever since I read about Sue Tinker, a woman who was diagnosed with over 200 different personalities. In writing this paper I hope to discover more about this disorder and perhaps be able to identify a few areas that I feel might require more research on the part of psychologists specializing in DID.
Grohol, J. M. (n.d.). Psych Central: Dissociative Identity Disorder Treatment. Psych Central - Trusted mental health, depression, bipolar, ADHD and psychology information. Retrieved May 24, 2011, from http://psychcentral.com/disorders/sx18t.htm
Further research on Dissociative Identity Disorder led to a separate section for dissociative disorders in the DSM-III, which was published in 1980. In the DSM-III, Dissociative Idendity Disorder was renamed to Multiple Personality Disorder. This version of the DSM was the first version in which this disorder was recognized as a separate diagnosis instead of being recognized as one of a number of dissociative symptoms that were grouped together under one diagnosis (History of Dissociative Identity Disorder). The separation of diagnoses gave legitimacy to dissociation as a condition/disorder (A History). Bliss, Coons, Greaves, Rosenbaum, and many other researchers published landmark articles containing their research on dissociation. These publications initiated a huge increase in the diagnosis of Dissociative Identity Disorder. The increase of diagnoses generated controversy and skepticism. Some professionals that were extremely skeptical of the diagnosis were found to be falsifying clinical data, and deliberately interfering with the clinical care of patients (History of Dissociative Identity Disorder). Skepticism resulted in the recognition that patients with this disorder are often misdiagnosed as suffering from schizophrenia. Today, patients with Dissociative Identity Disorder are still commonly misdiagnosed with Schizophrenia (History of Dissociative Identity Disorder).
Do you ever feel like you just can’t take reality anymore? You just want to escape it and in order to do so, your conscious awareness becomes separated from all the painful things you can’t stand, including your painful memories. Then suddenly you’re a totally different person. Another identity takes your place in suffering all the painful things you want to escape. Today, I’m going to talk to you about dissociative identity disorder (DID). I will be talking about what DID is, what causes DID and how it affects the individual (host/core). I will also mention a famous case in psychology.