Study Notes on Dissociative Disorders

Dissociative Disorders

Overview of Dissociative Disorders

  • Definition: Dissociative disorders involve a sudden loss of memory or identity. They are characterized by a complete loss of personal identity.
  • Cultural Representation: These disorders often gain attention in movies, contributing to public misconceptions and dialogue.

Link to Psychodynamic Perspective

  • Theoretical Basis: Dissociative disorders are mostly associated with the psychodynamic perspective in psychology. They are thought to be connected to the repression of traumatic experiences.
  • Mechanism: Individuals with dissociative disorders believe that horrific trauma has occurred, leading them to repress these memories, resulting in the loss of identity.

Types of Dissociative Disorders

1. Dissociative Amnesia

  • Definition: A form of amnesia specifically caused by psychological trauma rather than physical injury.
  • Symptoms:
    • Forgetting personal information (e.g., who you are, who people around you are, what your profession is).
    • This amnesia is not due to a physical head injury.
  • Purpose of Amnesia: The forgetting is often a protective mechanism in response to significant distress or trauma.
  • Example: Waking up and questioning one's identity, asking "Who am I?"

2. Dissociative Fugue

  • Definition: Considered a subtype of dissociative amnesia, but with the additional element of travel.
  • Symptoms:
    • Complete forgetfulness of personal history and identity.
    • Involves traveling to a new location without recollecting how one arrived there.
  • Example: An individual might live in one state (e.g., Kansas) and end up in another (e.g., Southern California) without knowing how they got there or recognizing their true identity.

3. Dissociative Identity Disorder (DID)

  • Common Misnomer: Often referred to as multiple personality disorder in mainstream media.
  • Definition: Involves the existence of two or more distinct identities or personality states within a single individual, formed as a means to cope with severe trauma.
  • Mechanism:
    • The individual creates these alternate personalities as a defense mechanism against profound trauma.
    • Each identity may have its own individual traits or characteristics.
  • Historical Context: Through psychoanalysis, it was revealed that one patient had created separate identities as a response to severe childhood abuse. This illustrates how DID serves as a means of psychological protection from trauma.

Summary of Main Types of Dissociative Disorders

  • Key Types:
    • Dissociative Amnesia
    • Dissociative Fugue
    • Dissociative Identity Disorder
  • Common Themes: All these disorders involve some degree of forgetting or loss of identity, usually resulting from traumatic experiences.