W7: Dissociative Identity Disorder Quiz
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Questions and Answers

What characterizes Dissociative Identity Disorder (DID)?

  • Complete lack of any personality traits
  • A single personality with varying moods
  • Presence of two or more distinct identities taking control (correct)
  • Severe anxiety manifesting in physical symptoms
  • What is the prevalence of Dissociative Identity Disorder?

  • 1.5% annually (correct)
  • 0.5% annually
  • 2.5% annually
  • 1% annually
  • What distinguishes 'alters' in Dissociative Identity Disorder?

  • They are always aware of each other’s actions
  • They can take on varying roles and characteristics (correct)
  • They share the same identities but differ in emotional responses
  • They always exhibit severe physical symptoms
  • What is a common co-occurring diagnosis with Dissociative Identity Disorder?

    <p>Major Depression</p> Signup and view all the answers

    What differentiates personality fragments from alters in DID?

    <p>Fragments are temporary and lack a full range of emotions</p> Signup and view all the answers

    What is a characteristic feature of dissociative amnesia?

    <p>Gaps in memory for salient life events</p> Signup and view all the answers

    Which personality did Sybil develop in response to childhood abuse?

    <p>16 personalities</p> Signup and view all the answers

    What physiological evidence has been noted in people with DID compared to healthy individuals?

    <p>Lower hippocampal volumes</p> Signup and view all the answers

    Which of the following was a finding from a study on handwritten differences among alters?

    <p>Significant variability in handwriting styles</p> Signup and view all the answers

    What theory suggests that DID arises from complex trauma experiences?

    <p>Trauma model</p> Signup and view all the answers

    Which of the following statements is true regarding neuroanatomy in individuals with DID?

    <p>Lower parietal structures</p> Signup and view all the answers

    According to the sociocognitive model, what factors contribute to the development of DID?

    <p>Sociocultural influences and therapist intervention</p> Signup and view all the answers

    What physiological change was observed in DID patients when recalling traumatic experiences?

    <p>Stark increases in physiological responses</p> Signup and view all the answers

    Which type of traumatic experience is most commonly associated with DID?

    <p>Incest or brutal sexual abuse</p> Signup and view all the answers

    What change in the perception of DID has occurred over time according to research?

    <p>Increase in the number of distinct alters</p> Signup and view all the answers

    In non-Western cultures, how is DID typically manifested?

    <p>Pathological possession by spiritual entities</p> Signup and view all the answers

    What is the criticism regarding using possession states as evidence for DID?

    <p>Evidence of varied possession rates across cultures</p> Signup and view all the answers

    How have the clinical features of DID been perceived in modern contexts?

    <p>More varied and complex in presentation</p> Signup and view all the answers

    What has research suggested about the prevalence of DID cases worldwide?

    <p>Primarily found in developed nations</p> Signup and view all the answers

    Which model describes DID as a disorder of self-understanding influenced by cultural factors?

    <p>Sociocognitive/Fantasy model</p> Signup and view all the answers

    What factor plays a crucial role in shaping the expression of Dissociative Identity Disorder (DID)?

    <p>Cultural context</p> Signup and view all the answers

    Which of the following is identified as an essential component in understanding the aetiology of DID?

    <p>Family dynamics</p> Signup and view all the answers

    How might trauma influence manifestations of DID in different cultures?

    <p>Trauma can lead to culturally specific possession states.</p> Signup and view all the answers

    In the context of DID, how are 'alternate selves' described?

    <p>They are constructed representations embodying memories of trauma.</p> Signup and view all the answers

    What is a significant misunderstanding regarding possession states in individuals with DID?

    <p>Possession states can exist independently of DID.</p> Signup and view all the answers

    What role does cultural context play in the understanding of Dissociative Identity Disorder (DID)?

    <p>It helps differentiate internal and external identities.</p> Signup and view all the answers

    What is a potential criticism of using possession states as evidence for DID?

    <p>Different cultural contexts show varying rates and displays of possession.</p> Signup and view all the answers

    In trauma-related contexts, which aspect is often a significant factor in the development of DID?

    <p>Exposure to severe and ongoing childhood trauma.</p> Signup and view all the answers

    What aspect of brain imaging studies has been noted in individuals with DID?

    <p>Distinct and varied brain activity linked to different identities.</p> Signup and view all the answers

    Which of the following reflects a legal implication of DID?

    <p>DID can complicate issues of accountability in criminal cases.</p> Signup and view all the answers

    What is a significant consideration in symptom provocation studies involving DID?

    <p>Symptoms can vary greatly based on the individual’s identity state.</p> Signup and view all the answers

    What does the current research indicate about optical differences in individuals with DID?

    <p>Differences in optical responses correlate with identity changes.</p> Signup and view all the answers

    What indicates a complication in diagnosing DID regarding cultural beliefs?

    <p>Possession states may confuse the diagnostic criteria for DID.</p> Signup and view all the answers

    What has been observed about the cultural manifestations of Dissociative Identity Disorder (DID) outside of North America?

    <p>They often align with pathological possession experiences.</p> Signup and view all the answers

    What is a significant criticism regarding the interpretation of possession states in relation to DID?

    <p>They can be confused with psychotic disorders.</p> Signup and view all the answers

    Which factor has been highlighted as a potential influence on the development of Dissociative Identity Disorder?

    <p>Cultural beliefs regarding identity.</p> Signup and view all the answers

    Which flaw is most commonly pointed out by researchers concerning the legal implications of DID?

    <p>Individuals with DID cannot be held responsible for their actions.</p> Signup and view all the answers

    How might trauma influence the symptoms observed in individuals with Dissociative Identity Disorder (DID)?

    <p>Trauma can provoke dissociative episodes reflecting emotional distress.</p> Signup and view all the answers

    What role does brain imaging play in understanding individuals with DID?

    <p>It has consistently shown significant abnormalities compared to healthy individuals.</p> Signup and view all the answers

    What trend has been noted regarding the perception of Dissociative Identity Disorder over time?

    <p>Awareness and understanding of its complexities have increased.</p> Signup and view all the answers

    What is a common finding in symptom provocation studies involving individuals with DID?

    <p>Specific triggers are able to induce alternate identities.</p> Signup and view all the answers

    Select all that are types of dissociative phenomena:

    <p>Depersonalisation</p> Signup and view all the answers

    What is the experience of having no memory of how you got to a place called?

    <p>Dissociative Fugue</p> Signup and view all the answers

    What changed in the diagnostic criteria of Dissociative Identity Disorder (DID) from the DSM-III to the DSM-IV?

    <p>Multiple Personality Disorder turned into Dissociative Identity Disorder</p> Signup and view all the answers

    What did the DSM-5 add to the diagnostic criteria of Dissociative Identity Disorder (DID)?

    <p>May be experienced as possession in some cultures</p> Signup and view all the answers

    What is the annual prevalence of DID?

    <p>1.5%</p> Signup and view all the answers

    What is the prevalence of suicide attempts in those with DID?

    <blockquote> <p>70%</p> </blockquote> Signup and view all the answers

    What is DID commonly misdiagnosed as?

    <p>Bipolar Disorder</p> Signup and view all the answers

    How many alters does a typical DID person have?

    <p>2-15</p> Signup and view all the answers

    Criterion B of Dissociative Amnesia includes which of the following? (Select all that apply)

    <p>Gaps in any aspect of autobiographical memory</p> Signup and view all the answers

    Criterion B of Dissociative Amnesia includes which of the following? (Select all that apply)

    <p>Gaps in any aspect of autobiographical memory</p> Signup and view all the answers

    Why was the Billy Milligan case significant?

    <p>1st successful use of MPD for insanity defense</p> Signup and view all the answers

    What preliminary evidence was there for Dissociative Identity Disorder (DID)? (Select all that apply)

    <p>Different Handedness</p> Signup and view all the answers

    What did Miller find concerning vision and Multiple Personality Disorder (MPD)?

    <p>MPD people had eye balance changes when they switched identity states</p> Signup and view all the answers

    What did brain imaging show about Dissociative Identity Disorder (DID)?

    <p>Healthy controls could not fake their way to experience the same brain changes as DID patients.</p> Signup and view all the answers

    Which is not a neuroanatomy characteristic of those with DID?

    <p>Increased prefrontal cortex</p> Signup and view all the answers

    What is the relationship between Dissociative Identity Disorder (DID) and abuse?

    <p>Majority of DID cases report incest or brutal sexual abuse often by a psychotic adult</p> Signup and view all the answers

    What does neurobiological evidence suggest about Dissociative Identity Disorder (DID) and Post-Traumatic Stress Disorder (PTSD)?

    <p>DID is a severe form of PTSD</p> Signup and view all the answers

    The theory of DID involving trauma-avoidance and trauma-fixated personalities is called:

    <p>Structural theory of dissociation</p> Signup and view all the answers

    The Sociocognitive/Fantasy Model of Dissociative Identity Disorder (DID) theorizes that people develop DID due to:

    <p>Iatrogenic factors</p> Signup and view all the answers

    What is the evidence for the Sociocognitive/Fantasy Model of Dissociative Identity Disorder (DID)?

    <p>Individuals tend to overreport commonly known symptoms, while underreporting less publicized symptoms</p> Signup and view all the answers

    Which is not a change in DID over time?

    <p>Faster switches between personalities</p> Signup and view all the answers

    What is Piper and Merskey's view on the plausibility of Dissociative Identity Disorder (DID)?

    <p>It used to be plausible in its original conceptualisations, but now is not</p> Signup and view all the answers

    How is Dissociative Identity Disorder (DID) and possession explained?

    <p>The combination of a predisposition to personality fragmentation and extreme trauma</p> Signup and view all the answers

    Study Notes

    Dissociative Identity Disorder (DID) & Culture

    • DID is characterized by a fragmentation of internal identities in mainstream Western Cultures.
    • In non-Western Cultures, DID may be expressed as a possession by external spiritual entities.
    • Traditional cultures widely hold possession beliefs.
    • Diverse rates of possession states are observed across diverse societies.
    • The manifestation of possession states in diverse cultures suggests a socio-cultural influence on how multiple identities are expressed.
    • Spanos (1994) proposes that possession phenomena highlight the socially constructed aspects of multiple identity displays.
    • DID cases are primarily concentrated in North America and a handful of other countries, with limited documentation outside these regions.
    • The limited global representation of DID cases may point to a western bias in research and clinical practices.
    • In African, Asian, and non-Western cultures, DID commonly manifests as pathological possession experiences.
    • Cultural norms shape the way DID is expressed, rather than dismissing it entirely.
    • The socio-historical development of DID does not negate the existence of genuine trauma-based cases.
    • Trauma and culture interplay in the shaping of DID.
    • Traumatic experiences, family dynamics, child development, attachment, and cultural influences collectively contribute to the development of DID.
    • Culture plays a role in constructing alternate selves, which can be embodied representations of "a different person" or spiritual entity.
    • While not all possession states indicate DID, trauma can lead to the expression of DID through possession experiences.

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    Test your knowledge about Dissociative Identity Disorder (DID), including its characteristics, symptoms, and prevalence. This quiz covers the role of 'alters', the 'host' personality, co-occurring disorders, and theories related to DID. Explore various aspects of this complex mental health condition.

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