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Psychodynamic theory of dissociative disorder
Psychodynamic theory of dissociative disorder
Psychodynamic theory of dissociative disorder
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Effects of Trauma: The Uncontrollable Unconscious The individual’s mind has various methods of protecting the self by identifying a scenario and applying certain defense mechanisms. This part of the mind is called the psyche, which acts as the brain’s defense mechanism when one deals with trauma or sadness. Most often, people do not even realize they are being protected by the psyche, because its job is to make one become unaware of their potential intense feelings. This feeling of unawareness is called dissociation, which Martha Stout refers to in her essay, “When I Woke Up Tuesday Morning, It Was Friday.” Dissociation isolates memories so that one can function properly without letting their emotions take over. Stout explains that trauma …show more content…
Dissociation does not work the same with everyone. Also, everyone’s dissociative mind is triggered by different situations. One can feel alienated in a social group if a certain situation triggers past traumatic emotions, leaving the individual to feel alone and unaware of how to socialize. When people are triggered, they are often caught off guard and can become frustrated because they do not know exactly what triggers them. One can be alienated just by worrying to themselves that their dissociation will be triggered. Gilbert talks about the how one can be confused by their own mind when he talks about the psychological immune system by saying, “our brains do their shopping unconsciously, we tend not to realize they will do it at all; hence, we blithely assume that the dreadful view we have when we look forward to the event is the dreadful view we’ll have when we look back on it” (Gilbert 132). It is difficult for people to maintain a healthy social competence when they are constantly worrying about the effects dissociation might have on them. People may be triggered by scenarios that do not directly relate to their past traumatic experiences, so they cannot predict when and where they will be when dissociation affects them. One could be enjoying themselves talking to friends and family, but instead, worrying about dissociation causes one to be stuck in their own world, unable to communicate. This is the point when the protective barrier of dissociation becomes a threat. In her essay, Stout explains the harms of dissociation by saying, “later in the individual’s life, in situations that are vaguely similar to the trauma - perhaps merely because they are startling, anxiety-provoking, or emotionally arousing - amygdala-mediated memory traces are accessed more readily than are the more complete, less shrill memories” (Stout 422).
Dissociation can occur any time in our life and there is two kinds of dissociation, childhood and adulthood. Child dissociation is different from adult dissociation. Child dissociation occurs when the child is actually experiencing some sort of trauma, like abuse. Adult dissociation happens in situations like stress or family related issues. Another difference is that child dissociation does not last very long (usually a hour), but adult dissociation lasts for a longer period of time. Dissociation occurs when something so painful is happening that the mind leaves the body to go elsewhere. In Martha Stout’s essay “When I Woke up On Tuesday, It Was Friday,” she defines dissociation as the mind leaving the body and transporting our awareness to a place so far away, it feels like the person is watching from outside their body. In her essay, she tells her audience about the dangers of dissociation, such as blackout, unable to relate to others, a sense of not knowing who one is, and the sense of lost time. She also includes some of her patient’s stories and experiences with dissociation, how they struggle for sanity and how she helps them see a new meaning of life. She tells her audience that often when patients or people dissociate they have lack of self-control and self-awareness. Dissociation can happen to anybody in a dire situation, for instance a child getting abused or some other traumatic event. Martha Stout has her audience/reader rethink about dissociation particularly the harmful side of it. She has help me see that although dissociation is helpful, it could lead to suicide thought, accidents, loss of identity and sanity.
Therefore, when the tragic event 10-years ago on 9/11 took Silvia’s partner Judy, she becomes inconsolable. Silvia began suffering from depression, and symptoms secondary PTSD (e.g. nightmares, anger, and being startled easily). Due to the traumatic event on 9/11 Silvia has been exhibiting avoidance from taking part in her daily life. The psychological effects of the traumatic, in which Judy died has caused her to dissociate or “disconnect” from her life. The dissociation is made possible through the biological and psychological process, where levels of endogenous opioids increase, creating a sense of well-being and a decrease in explicit processing of the event (Cozolino, 2017b). Furthermore, the derealization and depersonalization reaction that Silvia is displaying allows her to avoid the reality of Judy’s death and the importance of moving on, as evident by Silvia stating, “She feels like she’s watching herself go through the motions” of living without actually
There are few studies, experiments, or controlled research done on the treatment of dissociative identity disorder. The textbook states that “only 5 of 20 patients achieve a full integration” and “12 out of 54 patients had achieved integration 2 years after presenting for treatment” (Barlow & Durand, 2012, p. 203). The goal of treatment is to identify the triggers that cause the dissociation and “neutralize them” (Barlow & Durand, 2012, p. 203). The patient “must confront and relive” (Barlow & Durand, 2012, p. 203) the trauma and triggers in order to gain control of the situations. Hypnosis is commonly used to bring unconscious memories to the conscious. There is “no evidence that hypnosis is a necessary part of treatment” (Barlow & Durand, 2012, p. 203) but may be efficient because of the similarity between dissociation and the process of
Dissociation, a place many find themselves, is done subconsciously by an individual to escape from their current horrid reality. Stout explains, “In these ways the brain lays down the traumatic memories differently from the way it records its regular memories. Regular traumatic memories are formed through adequate hippocampal and cordial input” (Stout 421). The way a traumatic memory is recorded is vital for the individual. The hippocampus is responsible for the long term and short term memory consolidation, certain memories are allowed for modification and sealed from any outside control. Traumatic experiences are recorded as fragments in the brain whereas daily memories, or clear memories, are transcribed fully. After a traumatic experience, the brain allows the individual to suppress their emotions and move onward with life. The brain is able to undergo this process by dissociating. However, this suppression causes the painful memories to be fragmented, which leads to a change in the individual’s overall character. As Stout infers with her multiple case studies, this altering of character is expected. Julia, a summa cum laude from Stanford and
Dissociative identity disorder, a condition that has plagued and altered the minds of those who were diagnosed for many years, represents the condition in which an individual displays multiple personalities that overpower his or her behavior around others and even alone. Such personalities or identities can have staggering differences between them even being characterized by a disparate gender, race, or age. One of the sides of them can even be animal-like and display feral qualities. Also, the disorder severs the connection between the victim’s sense of identity, emotions, actions, and even memories from their own consciousness. The cause for this is known to be a very traumatic experience that the person had gone through previously and fails to cope with it, thus they dissociate themselves from the memory in order to keep their mental state in one piece. All these results from the disorder do not begin to tell of the rest of the horrors that gnaw away at the affected human.
Dissociative Identity Disorder, or DID, is defined as: “The result of a marvelously creative defense mechanism that a young child uses to cope with extremely overwhelming trauma” (Hawkins, 2003, p. 3). Ross describes DID in this way: “In its childhood onset forms, the disorder is an effective strategy for coping with a traumatic environment: It becomes dysfunctional because environmental circumstances have changed by adulthood” (1997, p, 62). What types of traumatic environments are we talking about here? Often children who form DID are involved in some sort of abuse. These types of abuses can be physical, sexual and even ritual. Such abuses are not meant for children to have to endure, however, the mind is able to deal in effective ways to allow the child to bear such intolerable environments. As one examines this subject, one finds that there are varied opinions on DID, however, it is important to understand the nature of DID, types of DID as well as DID symptoms and healing in adults.
Do you ever feel like you just can’t take reality anymore? You just want to escape it and in order to do so, your conscious awareness becomes separated from all the painful things you can’t stand, including your painful memories. Then suddenly you’re a totally different person. Another identity takes your place in suffering all the painful things you want to escape. Today, I’m going to talk to you about dissociative identity disorder (DID). I will be talking about what DID is, what causes DID and how it affects the individual (host/core). I will also mention a famous case in psychology.
Ross, following Hilgard, argues that there appear to be two ways for the ego to escape the memories of the abuse: repression or dissociation. He refers to a horizontal split as a way to divide consciousness by the pushing of painful memories below the level of consciousness. The other strategy is to divide consciousness by creating vertical splits between the segments which are separated by amnesic barriers” (Foui, Unit 9, 2014 p.
In recent years, there has been a growing interest amongst researchers and clinicians on developing working knowledge of dissociation (Bucci, 2011; Binks & Fergusson, 2013). Dissociation is a reaction to trauma and has been described as a typical defence mechanism to repeated stressful or traumatic situations (Brand, McClary, Myrick, Loewenstein, Classen, Lanius, McNary, Pain & Putnam, 2012a; Brand, Myrick, Loewenstein, Classen, Lanius, McNary, Pain & Putnam, 2012b). Severe isolated traumas or repeated traumas may result in a person developing a dissociative disorder. A dissociative disorder impairs the normal state of awareness and limits or alters one’s sense of identity, memory or consciousness. Recent research indicates that dissociative
In this report I will be describing and explaining the physiological and psychological responses to injury. If you injure yourself while playing sport the injury is a sports injury. They can occur from a complete accident, or some can result from poor equipment or insufficient training. You can also get a sports injury if you don’t warm up or stretch enough before exercise or playing sport.
According to Barlow, Durand & Stewart (2012), Dissociative Identity Disorder (DID) is one of several dissociative disorders in which a person experiences involve detachment or depersonalization. They go on to explain that people with DID ha...
“baseline participants consisted of 298 therapists and 237 patients" (2). Therapists who were used to conduct the study were from the associate registry of the “International Society for the Study of Trauma and Dissociation (ISSTD), graduates of the ISSTD’s Dissociative Disorders Psychotherapist Training Program (DDPTP), and mental health professional listserves" (2).
In today’s communicating environment, individuals are bombarded with mass media violence. Silver et al. (2013) argue that potential mental-health issues may arise due to vicarious media exposure to violence or disasters. Early research that looked at children affected by the 1995 Oklahoma City bombing and the 1990 Gulf War found a relationship between media exposure and trauma-related symptoms (Silver et al., 2013). Exposure to traumatic events may affect individuals’ physical and mental health. This includes individuals that are present during the trauma or those indirectly exposed to the stressor. According to the National Institute of Mental Health, traumatic events are a shocking, scary, or dangerous experience that can affect an individual
You may see the bravest and strongest man on earth. You may see him as a true heroic and masculine person. However, the fact that every individual having a fear of something makes this man inevitably a “coward’ in terms of some aspect. Traumas in particular affect everyone’s life, ranging in diverse aspects – from swimming pools to car accidents. In fact, in 2013, I had a terrible accident with my friend’s car which is still haunting me today. This has affected me in two ways.
The term dissociation refers to the disruption of one or more agents that constitutes "consciousness", such the formation of memories, making sense of them and maintaining a sense of identity (1). Dissociation results from forces beyond the patient's control. Proponents of Dissociative Identity Disorder believe memory loss occurs because the patient's consciousness is taken over by alter personalities believed to be formed during childhood (2). Personalities are usually found to be extremely different from the personality of the patient. The patient is usually shy, introverted and insecure, whereas some of her personalities may be flirtatious, outgoing, confident; and yet others may have issues surrounding anger management. Personalities may be older than the age of the patient, younger, or may have lived over a hundred years ago (1).