Dissociative Disorders Overview

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Questions and Answers

What is a requirement for diagnosing personality disorder (PD) in individuals younger than 18?

  • Symptoms must be related to academic performance
  • Symptoms must be present for at least 1 year (correct)
  • Symptoms must appear only during adolescence
  • Symptoms must be present for at least 6 months

Which of the following is NOT one of the symptoms linked to paranoid personality disorder?

  • Persistent doubts about the loyalty of friends
  • Reluctance to confide in others
  • Holding grudges over perceived insults
  • A strong desire for social interactions (correct)

What emotional expression characteristic is associated with schizoid personality disorder?

  • Frequent emotional outbursts
  • Restricted emotional expression (correct)
  • Intense emotional attachment to family
  • Extroverted behavior in social settings

Which symptom is associated with adult interpersonal challenges linked to childhood experiences?

<p>Social detachment and poor peer relationships (A)</p> Signup and view all the answers

What type of therapy is mentioned as a treatment for these personality disorders?

<p>Cognitive-Behavioral Therapy (A)</p> Signup and view all the answers

What percentage of dissociative identity disorder cases are attributed to physical and sexual abuse?

<p>95% (B)</p> Signup and view all the answers

What is the most common gender associated with dissociative identity disorder?

<p>Females (D)</p> Signup and view all the answers

What does misinterpreting benign remarks as threatening signify?

<p>Paranoid personality disorder (C)</p> Signup and view all the answers

Which of the following best describes individuals with schizoid personality disorder?

<p>Emotionally detached and inward-turning (B)</p> Signup and view all the answers

What is the average number of alters that a person with dissociative identity disorder may have?

<p>15 (A)</p> Signup and view all the answers

Which symptom is NOT typically associated with paranoid personality disorder?

<p>Trust in close relationships (D)</p> Signup and view all the answers

What is a primary characteristic of the alters in dissociative identity disorder?

<p>They possess distinct personality states. (D)</p> Signup and view all the answers

Which therapy approaches are commonly used in the treatment of dissociative identity disorder?

<p>Trauma-Focused Cognitive Behavioral Therapy and EMDR (B)</p> Signup and view all the answers

What describes the 'Host Identity' in individuals with dissociative identity disorder?

<p>The first personality to seek treatment (B)</p> Signup and view all the answers

How can dissociative identity disorder symptoms be observed?

<p>Symptoms may be reported by others (C)</p> Signup and view all the answers

What are recurrent gaps in recall primarily associated with?

<p>Memories of trauma (C)</p> Signup and view all the answers

What is required for a diagnosis of erectile dysfunction in terms of symptom persistence?

<p>Symptoms must persist for at least 6 months. (B)</p> Signup and view all the answers

Which term refers to erectile dysfunction that is not limited to specific situations or partners?

<p>Generalized (B)</p> Signup and view all the answers

What characterizes mild severity of erectile dysfunction?

<p>Mild distress over symptoms. (B)</p> Signup and view all the answers

What onset type indicates that erectile dysfunction is present since the individual became sexually active?

<p>Lifelong (A)</p> Signup and view all the answers

What is the primary symptom of female orgasmic disorder?

<p>Marked delay in orgasm. (C)</p> Signup and view all the answers

Which characteristic applies to 'situational' erectile dysfunction?

<p>Symptoms occur only with certain types of stimulation. (D)</p> Signup and view all the answers

What does 'acquired' refer to in the context of erectile dysfunction?

<p>Symptoms began after a period of normal sexual function. (B)</p> Signup and view all the answers

What generally characterizes the severity of female orgasmic disorder when classified as moderate?

<p>Moderate distress over symptoms. (D)</p> Signup and view all the answers

What defines negative symptoms in a mental health context?

<p>The inability to initiate actions or express pleasure (A)</p> Signup and view all the answers

How long must symptoms persist in order to meet the criteria for schizoaffective disorder?

<p>At least 6 months (B)</p> Signup and view all the answers

What is a distinguishing feature between schizoaffective disorder and major depressive disorder with psychotic features?

<p>Persistence of psychotic symptoms for at least two weeks (A)</p> Signup and view all the answers

What duration must a delusion last for it to be categorized under delusional disorder?

<p>Between 1 day and 1 month (D)</p> Signup and view all the answers

In the context of schizoaffective disorder, what is critical to note about the calling for prior functioning?

<p>Return to premorbid functioning is required (C)</p> Signup and view all the answers

Which of the following statements is true regarding psychotic symptoms in schizoaffective disorder?

<p>They can manifest without any mood disorder present (A)</p> Signup and view all the answers

What type of delusion is characterized by a belief that someone is in love with the individual?

<p>Erotomanic delusion (C)</p> Signup and view all the answers

What is the minimum functional decline duration required for diagnosing schizophrenia?

<p>6 months (D)</p> Signup and view all the answers

What is the primary focus of transvestism?

<p>Dressing in clothing of the opposite sex (D)</p> Signup and view all the answers

Which of the following disorders is characterized by sexual attraction to the same sex?

<p>Transvestic disorder (B)</p> Signup and view all the answers

What additional factor can accompany fetishistic disorder?

<p>Masturbation (D)</p> Signup and view all the answers

In what circumstances are personality disorders typically recognized?

<p>They originate in childhood and persist through life (D)</p> Signup and view all the answers

Which treatment option is often prescribed to reduce sexual urges in various disorders?

<p>Selective serotonin reuptake inhibitors (SSRIs) (D)</p> Signup and view all the answers

Which of the following statements about autogynephilia is true?

<p>It is characterized by arousal from thoughts or images of oneself as a woman (D)</p> Signup and view all the answers

Which of the following is NOT considered a type of fetishistic disorder?

<p>Engaging primarily in incestuous relationships (A)</p> Signup and view all the answers

Which statement best describes 'rare paraphilias'?

<p>They are unusual sexual interests that are less frequently observed (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of schizotypal personality disorder?

<p>Indifference towards financial success (D)</p> Signup and view all the answers

What is a common effect of social detachment in individuals with schizoid personality disorder?

<p>Limited enjoyment in activities (C)</p> Signup and view all the answers

Which of the following behaviors is indicative of eccentricity in individuals with schizotypal personality disorder?

<p>Presenting an unconventional appearance (D)</p> Signup and view all the answers

Which of the following emotional responses is often observed in individuals with schizoid personality disorder?

<p>Emotional coldness or flat affect (D)</p> Signup and view all the answers

What leads to the belief in personal significance in unrelated events among individuals with schizotypal personality disorder?

<p>Ideas of reference (C)</p> Signup and view all the answers

Which of the following aspects is essential for diagnosing schizoid personality disorder?

<p>Indifference towards criticism (A)</p> Signup and view all the answers

What type of beliefs may individuals with schizotypal personality disorder exhibit?

<p>Odd beliefs or magical thinking (B)</p> Signup and view all the answers

Which of the following best describes the social relationships of individuals with schizoid personality disorder?

<p>Absence of close relationships (A)</p> Signup and view all the answers

Flashcards

Dissociative Identity Disorder (DID)

A mental health disorder where a person has two or more distinct identities that take control of their behavior. Each identity has its own thoughts, feelings, memories, and behaviors.

Alters

Distinct personalities within a person with DID, each with unique characteristics.

Host Identity

The main identity of a person with DID, who usually seeks treatment.

Traumatic Response

The primary way DID develops, involving stressful situations that the person can't cope with, leading to the creation of alters.

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Dissociative Episode

The period of time during which a person with DID experiences amnesia, unaware of their actions or surroundings.

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Abuse

The most common cause of DID, involving physical or sexual abuse.

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Trauma-Focused Therapy

Treatment for DID that focuses on addressing and processing traumatic experiences.

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EMDR (Eye Movement Desensitization and Reprocessing)

A therapy technique that uses eye movements to help people process traumatic memories.

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Negative Symptoms

A mental disorder characterized by the inability or decreased ability to initiate actions, speech, express emotion, or feel pleasure.

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Affective Flattening

A reduction in emotional expression, resulting in a flat or monotonous affect.

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Schizophreniform Disorder

A mental disorder with symptoms similar to schizophrenia, but lasting less than six months.

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Delusional Disorder

A mental disorder characterized by delusions lasting at least one month. Individuals have a belief that is not based in reality, but they are otherwise functioning normally.

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Erotomanic Delusion

A type of delusion where a person believes that another person is in love with them.

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Schizoaffective Disorder

A mental disorder with both psychotic and mood symptoms.

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Brief Psychotic Disorder

A mental disorder where psychotic symptoms occur only with specific stimuli or situations.

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Situational Psychotic Disorder

A mental disorder where psychotic symptoms occur only with specific partners or relationships.

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Lifelong Generalized Erectile Disorder

Difficulty getting an erection that occurs in most sexual situations, present since becoming sexually active.

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Acquired Generalized Erectile Disorder

Difficulty getting an erection that occurs in most sexual situations, began after a period of normal sexual function.

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Lifelong Situational Erectile Disorder

Difficulty getting an erection that occurs only with certain types of stimulation, situations, or partners, present since becoming sexually active.

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Acquired Situational Erectile Disorder

Difficulty getting an erection that occurs only with certain types of stimulation, situations, or partners, began after a period of normal sexual function.

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Lifelong Female Orgasmic Disorder

Delay, infrequency, or absence of orgasm, occurring in most sexual occasions, present since becoming sexually active.

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Acquired Female Orgasmic Disorder

Delay, infrequency, or absence of orgasm, occurring in most sexual occasions, began after a period of normal sexual function.

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Lifelong Situational Female Orgasmic Disorder

Delay, infrequency, or absence of orgasm that occurs only with certain types of stimulation, situations, or partners, present since becoming sexually active.

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Acquired Situational Female Orgasmic Disorder

Delay, infrequency, or absence of orgasm that occurs only with certain types of stimulation, situations, or partners, began after a period of normal sexual function.

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Fetishistic Disorder

A mental health disorder marked by a strong and persistent sexual interest in non-living objects. This interest often leads to sexual arousal, fantasies, and urges.

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Transvestism

A sexual interest in wearing clothing of the opposite sex.

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Sexual Masochism

A type of paraphilia characterized by sexual arousal from fantasies, urges, or behaviors involving the act of being humiliated, beaten, bound, or otherwise made to suffer.

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Sexual Sadism

A type of paraphilia characterized by sexual arousal from fantasies, urges, or behaviors involving the act of inflicting pain or suffering on others.

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Pedophilia

A type of paraphilia involving sexual attraction to children.

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Exhibitionistic Disorder

A type of paraphilia characterized by sexual arousal from fantasies, urges, or behaviors involving exposing one's genitals to unsuspecting strangers.

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Voyeuristic Disorder

A type of paraphilia characterized by sexual arousal from fantasies, urges, or behaviors involving observing unsuspecting people who are naked or in the process of undressing.

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Frotteuristic Disorder

A type of paraphilia characterized by sexual arousal from fantasies, urges, or behaviors involving the act of rubbing one's genitals against a non-consenting person.

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Paranoid Personality Disorder

A personality disorder characterized by distrust and suspicion of others, interpreting their motives as malevolent.

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Schizoid Personality Disorder

A personality disorder characterized by detachment from social relationships and restricted emotional expression.

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Schizotypal Personality Disorder

A personality disorder involving discomfort and difficulty with close relationships, cognitive or perceptual distortions, and eccentric behavior.

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Premorbid Personality Disorders

Pre-existing personality disorders that precede the onset of another mental disorder, potentially influencing its development or course.

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Cluster A Personality Disorders

A cluster of personality disorders characterized by odd and eccentric behaviors, including paranoid, schizoid, and schizotypal personality disorders.

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Paranoid Personality Disorder Diagnostic Criteria

A personality disorder characterized by unfounded suspicions of others betraying, harming, or exploiting them, leading to mistrust and social isolation.

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Paranoid Personality Disorder Impact on Relationships

A personality disorder characterized by difficulty forming close relationships due to distrust and suspicion of others' intentions, potentially leading to social isolation.

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Schizoid Personality Disorder Characteristics

A personality disorder characterized by detachment from relationships, restricted emotional expression, and lack of interest in social activities.

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Ideas of Reference

A belief that unrelated events have personal significance.

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Odd Beliefs or Magical Thinking

Holding beliefs inconsistent with cultural norms, such as superstitions or psychic abilities.

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Lack of Close Relationships

Having few, if any, close friends outside of immediate family members.

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Odd Behavior or Appearance

Engaging in eccentric or peculiar behaviors or presenting an unconventional appearance.

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Inappropriate or Constricted Affect

Displaying emotions that are out of context or limited in range.

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Suspiciousness or Paranoid Ideation

Feeling mistrustful or having paranoid thoughts about others.

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Social Skills Training

A type of therapy that focuses on helping individuals with schizoid personality disorder improve their social skills.

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Study Notes

Dissociative Disorders

  • Individuals feel detached from themselves or their surroundings
  • Similar to dreaming or living in slow motion
  • Reactions to these experiences vary
  • Not due to drugs (like hallucinogens) or psychosis
  • Depersonalization
    • Perception alters; temporary loss of one's own reality
    • Similar to an astral projection
    • Observing oneself in dream-like state
  • Derealization
    • External reality is lost
    • Surroundings may appear distorted
    • Changes in shape or size; lifeless, mechanical appearance of individuals
  • Depersonalization/Derealization Disorder
    • Experiences of depersonalization, derealization (either or both)
    • Feeling detached from thoughts or actions
    • Feeling detached from surroundings or experiencing them as unreal
    • Reality testing remains intact
    • Clinically significant distress or impairment
  • Dissociative Amnesia
    • Inability to recall significant autobiographical information
    • Not due to neurobiological damage or toxicity that affects memory storage or retrieval
    • Types of dissociative amnesia
      • Localized; inability to recall specific events or periods of time, often centered around traumatic incidents.
      • Selective; recall some aspects of a traumatic event or period
      • Generalized; broader memory loss that encompasses significant portions of one's life history & personal identity.
      • Systematized; memory loss affecting specific categories of information or related to a particular theme.
      • Continuous; inability to form new memories or recall recent events
  • Dissociative Fugue
    • Sudden unexpected travel with memory loss (identity and past life)
  • Dissociative Identity Disorder
    • People can have multiple alters (2-100), with complete sets of physical characteristics,
    • Senses of fashion, gestures
    • Different genders, and personalities
    • Alters start as voices then develop into full-fledged personality
    • Host: the primary person who seeks treatment; not necessarily the primary personality
  • Other dissociative disorders
    • Childhood trauma is common

Other Psychotic Disorders

  • Psychosis: Loss of contact with reality
  • Delusions
    • Grandiose: Exceptional abilities, wealth, or fame
    • Control: Belief that others control their thoughts, feelings, or actions
    • Thought Broadcasting: Belief that one's thoughts are transparent
    • Persecution: Belief that one is being harmed, harassed, plotted against, or discriminated against
    • Reference: Belief that specific gestures, comments, or environmental cues are directed toward them
  • Hallucinations
    • Sensory experiences that seem real in the absence of external stimuli
    • Occur in any of the five senses: hearing, seeing, smelling, touching, tasting
  • Disorganized thinking (speech)
    • Circumstantial or tangential: Excessive details before arriving at the answer
    • Derailment (loss of train of thoughts); illogical connection
    • Retarded speech; slow/delayed speech
  • Disorganized behavior
    • Psychomotor symptoms
  • Negative symptoms
    • Reduced emotional expression
    • Poverty of speech and content (alogia)
    • Lack of interest, anhedonia
    • Lack of motivation (avolition)
    • Lack of interest in social relationships (asociality).

Other Disorders (General)

  • Schizophreniform disorder
    • Similar to schizophrenia, but symptoms last one month to six months
    • Symptoms are not longer than six months
  • Schizoaffective disorder
    • Psychotic symptoms and a mood episode (depressive or manic, uninterrupted).
  • Delusional disorder
    • At least one delusion that lasts for a month.
    • Erotomaniac: belief that another person is in love with them.
    • Grandiose delusion: belief that they are exceptional in some way.
    • Jealous delusion: belief that one's partner is unfaithful.
    • Persecutory delusion: belief that they are being conspired against or plotted against
  • Depressive disorder with psychotic features
  • Schizophrenia
  • Persistent depressive disorder
  • Premenstrual dysphoric disorder
  • Genito-pelvic pain/penetration disorder
    • Persistent difficulties with one or more of the following, vaginal intercourse, vulvovaginal pain, fear of vulvovaginal or pelvic pain in anticipation of, or as a result of vaginal penetration, or pelvic floor muscle tensing
  • Hypoactive sexual desire disorder
  • Female orgasmic disorder
  • Premature ejaculation
  • Erectile disorder
  • Sexual masochism disorder
  • Sexual sadism disorder
  • Pedophilic disorder
  • Voyeuristic disorder
  • Exhibitionistic disorder
  • Frotteuristic disorder

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