- perception of self is altered - triggered by stress / trauma - no memory disturbance - no psychosis / memory loss - comorbid w anxiety - onset @ adolescence - chronic course
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depersonalization
- loss of sense of self - unusual sensory experiences: limbs feel deformed / enlarged, voice sounds different / distant - feelings of detachment / disconnection: ass if watching self from outside the body
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derealization
- feeling as if the world has become unreal: disconnect w the world around, world feels dream-like / peculiar / foreign - incapable of experiencing emotions - feeling as if they were dead / automatons
- behaving mechanically - behaving w/o initiative or self-control
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dissociative identity disorder (did)
dissociation of personality in which several new identities are adopted
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alters
different identities / personalities
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host
the identity that keeps other identities together (not always the "original" personality)
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switch
quick transition from one personality to another (few can do this on command / can control it)
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did causes
post traumatic stress model:severe psychological / sexual abuse in childhood
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treatment
- focus on reintegration of identities - identify + neutralize triggers - behavioral treatment: talk therapy w ONLY ONE alter -> then using traditional therapy once a consistent response is formed