_personality disorder northern kentucky university多重人格障碍北肯塔基大学课件

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1、MultiplePersonalityDisorderSomeBackgroundMultiplepersonalitydisorderismoreformallyknownas“dissociativeidentitydisorder”MPDisoneofagroupofdisordersinDSM-IV-TRcalledthe“dissociativedisorders”DissociationAlterationsordetachmentsinconsciousnessoridentityMayincludederealizationfeelingdetachedfromone’

2、ssurroundingsMayincludedepersonalizationfeelingdetachedfromoneselfDissociation(continued)Mostlikelytohappenafteranextremelystressfulevent,whenverytired,orwhenundersignificantphysicalormentalpressurestudentswhostayupallnightcrammingforexamsjournalistswhowitnessedexecutionPeopleprobablydifferinabi

3、litytodissociateWhendissociationresultsindistressorimpairment,weconsiderittobepathologicalOtherDissociativeDisordersDissociativeAmnesiaOneormoreepisodesofinabilitytorecallimportantpersonalinformation,usuallyofatraumaticnature,thatistooextensivetobeexplainedbyordinaryforgetfulnessCanbeGeneralized

4、Localized(selective)OtherDissociativeDisorders(continued)DissociativeFugueDSM-IV-TRcriteriaincludeSudden,unexpectedtravelawayfromhomeorone’splaceofwork,withinabilitytorecallone’spastConfusionaboutidentityorassumptionofnewidentitypersonleaveshomeandlaterfindshimselfinanewplace,unabletorememberhow

5、orwhyhegottherefuguestateusuallyendsabruptly,personreturnshome,andisabletorecallmost(ifnotall)ofwhathappenedDissociativeIdentityDisorder(akaMPD)Presenceof2ormoredistinctidentitiesorpersonalitystatesEachwithitsownrelativelyenduringpatternofperceiving,relatingto,andthinkingabouttheenvironmentandon

6、eselfAtleast2oftheseidentitiesorpersonalitystatesrecurrentlytakecontrolofperson’sbehaviorInabilitytorecallimportantpersonalinformationthatistooextensivetobeexplainedbyordinaryforgetfulnessNotduetodirecteffectsofasubstanceorgeneralmedicalconditionClinicalDescriptionInmostcases,the“original”person

7、alitypossesseslittleornodirectawarenessofthealternatepersonalitiesmaybeawareofsubstantialperiodsoflosttimeAlterstypicallyhavesomeawarenessoftheoriginalpersonalityoreachotherTransitionsfromonepersonalitytoanothertypicallyoccu