Psychological Assessment A diagnosis, including the appropriate DSM-5 code The patient Norman Bates, eighteen year old male, shows signs of 300.15-Dissociative DO, Dissociative identity disorder (DID). He exhibits two know separate personalities, Normal Bates his normal functions as a teenager and he portrays the personality of his beloved deceased mother, Norma Bates. When transferring to his alternate personality of Norma Bates, Norman will suffer memory loss of any actions performed while in this state. Identification of any psychosocial or contextual factors to be considered, as outlined in the DSM-5 Norman undergoes lack of intimacy and personal connections; Norman demonstrates that’s he prefers to be alone and stay at home with …show more content…
With this treatment we need to help Norman Bates improve his relationships to improve his feelings of comfort in openly expressing the events and incidents that occurred in his past, for example: the death of his father, emotion abuse from his mother, ect. With psychotherapy if is very important to not overwhelm the patient causing an anxiety attack and risk the fallback of the emotions overtaking and causing a draw back in the treatment and having the patient relive the traumatic experiences in a negative way. Norman needs a support group to help with finding alternate techniques in coping with the memory lapse to achieve a calming coexistence with his multiple personalities instead of trying to fit them into one identity state. The goal of psychotherapy is reintegration, but sometimes it leads the individual with dissociative identity disorder to feel as if they need to completely erase or “kill” the other parts of their personalities. Another form of treatment that has been found to enhance the process and healing of the information would be eye movement desensitization and reprocessing (EMDR). This is a treatment that integrates the past traumatic memories with Norman Bate’s own current …show more content…
Therefore, they are prescribes medications for other health conditions that are commonly associated with dissociative identity disorder. Typically the patient will be giving medications that treat: depression, anger, severe anxiety, and impulse-control problems. The main issue with prescribing a patient with dissociative identity disorder is that the individual may began to feel as if they are being controlled. Any effect the patient may experience regardless if it is good or bad can cause the patient to feel traumatized
Oldham, J, editor (2010). DSM-5: a work in progress. Vol 16 # 6 Journal of Psychiatric
The DSM-5 lists approximately 400 mental disorders, each one explains the criteria for diagnosing the disorder and key clinical features, and sometimes describes features that are often times not related to the disorder. The classification is further explained by the background information such as: research findings, age, culture, gender trends, and each disorder’s prevalence, risk, course, complications, predisposing factors, and family patterns (Comer, 2013, pp.100).... ... middle of paper ... ...
Psychologists Hunt and McHale (2010, p.20) state that according to the Diagnostic and Statistical Manual of Mental Disorders (DSM):
Frances, A., & Ross, R. (1996). DSM-IV case studies a clinical guide to differential diagnosis. Washington, DC: American Psychiatric Press, Inc.
Cognitive therapy, which involves changing dysfunctional thought patterns. Family therapy, which helps to educate the family about the disorder, recognize its presence as well as work through issues that have developed in the family because of dissociative identity disorder. And also Hypnotherapy which can be used in conjunction with psychotherapy and can help clients access repressed memories, control problematic behaviors, such as self-mutilation and eating disorders, and help fuse thier other personalities during the process. Some indications that therapy might be needed include sysmptoms like: memory loss, a sense of being detached from themselves and their emotions, distorted Perception, a blurred sense of identity, significant stress or problems in life, inability to cope well with emotional or professional stress, and mental health problems, such as depression, anxiety, and suicidal thoughts and behaviors. DID requires a medical diagnosis, and treatment should always be conducted by professionals that specialize in dissociative identity disorder as it is a rare and challenging condition to treat. There are also contraindications onvolving the treatment of DID. Caution needs to be taken while treating people with DID with medications because any effects they may experience, good or bad, may
McAllsiter M, Michael. Dissociative Identity Disorder: A Literature Review. Journal of Psychiatric & Mental Health Nursing, #7, pgs 28-33.
Norman Bates is arguably the most unforgettable character in the horror genre. His movements, voice and aura at first radiate a shy young man but transform into something more sinister as the movie Psycho (Hitchcock, USA, 1960) progresses. How has the director, Alfred Hitchcock, achieved this? Norman Bates was a careful construct: the casting, body language, lighting and even the subtle use of sound and mise-en-scène created the character.
Many people may wonder what specifically defines Dissociative Identity Disorder (DID). This disorder is a mental illness that involves the sufferer experiencing two or more clear identities or personalities, also called alters, each of which has their own way of seeing and connecting themselves to the world (1). This disorder was formally known as Multiple Personality Disorder (MPD), and is frequently called split personality disorder (1). The actions of victims with DID are determined by the personality that is dominant at a specific time (7). “In the category of Dissociative Disorder there are four main disorders: depersonalization, derelization, dissociative fugue and dissociative identity disorder (8). Furthermore, “DID is a severe form of dissociation, a mental process, which produces a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity” (www.webmd.com). Having a thorough understanding of the meaning of DID is exceedingly significant for the doctors that diagnose and treat patients.
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.
There are many types of amnesia, but the specific found in dissociative identity disorder is unique. The individual usually is in control, until a change take its place (Wood et al 411). This was shown when Norman Bates was unable to recall what occurred during these dissociative blackouts. Amnesia in individuals with dissociative identity disorder is not limited to stressful or traumatic events; these individuals often cannot recall everyday events as well. In one of the episodes, Norman is in his kitchen cooking breakfast in his mother’s aprons. His brother, Dylan, then walks in to ask Norman what he doing. Norman continues to persist that he was Norma and not Norman. The next day, Norman had no memory of this occurring. Many people with DID have early histories of severe physical and/or sexual abuse. As a result, researchers and clinicians have long assumed that early trauma plays a critical role in the development of DID, an approach that is consistent with the psychoanalytic perspective (Wood et al 412). Individuals who have dissociative identity disorder, usually present a combined diagnosis, such as depression, anxiety, substance abuse, self-injury, non-epileptic seizures, or other common symptoms. Norman Bates suffered from depression, anxiety, and non-epileptic seizures. These symptoms were an effect from the underlying cause of dissociative identity disorder. Norman
My topic of choice for this research paper is Dissociative Identity Disorder or DID. This appellation is rather new; therefore, most are more familiar with the disorder's older, less technical name: Multiple Personality Disorder or MPD. When first presented with the task of selecting a topic on which to center this paper, I immediately dismissed Dissociative Identity Disorder (which for the sake of brevity will be referred to as DID for the remainder of this paper) as a viable topic due to the sheer scope of the disorder. However after an exhaustive examination of other prospective topics, I found myself back at my original choice. There are several reasons why I chose DID. The foremost of which is the widespread fascination of this disorder by many different types of people; most of whom otherwise have no interest in psychology or its associated fields. One would be hard pressed to find someone who hasn’t been captivated at one time or another by the extraordinary, all too well known symptoms of this disorder. This fascination… dare I say ‘allure’ to this disorder is exemplified by the myriad of motion pictures that have been produced based on cases, real or fictitious, of DID. Another reason for my choice is what I feel is the insufficiency of effective treatments for DID. Despite what is known about this disorder, (which is relatively a lot) there are only two chief treatments for DID; the first and most prevalent is psychotherapy; also known as ”talk therapy”, the second is medication. The third and final reason for my choice is my own enchantment with DID. I must admit that ever since I read about Sue Tinker, a woman who was diagnosed with over 200 different personalities. In writing this paper I hope to discover more about this disorder and perhaps be able to identify a few areas that I feel might require more research on the part of psychologists specializing in DID.
Diagnostic and statistical manual of mental disorders: DSM-5. (5th ed.). (2013). Washington, D.C.: American Psychiatric Association.
“He [Norman] only half-existed,” the psychiatrist stated after taking a look at Norman himself (Psycho). Norman Bates is a character in the movie Psycho, whose mental illness caused him to turn murderous. Psycho is not the only film that uses a mental illness to produce a villain. The Joker from the Batman series is diagnosed by the viewers to be psychopathic, and he is known to be a mass murderer. From the 1960 film to modern movies, many producers create their villains with mental disabilities. Because the mentally ill are portrayed as villains, this causes the viewers to classify them as capable of turning monstrous and harming those around them. This stereotype leads to the vilification of all those with a mental illness. Producers create
Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., & ... Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression & Anxiety (1091-4269), 28(9), 824-852. doi:10.1002/da.20874
Grohol, J. M. (n.d.). Psych Central: Dissociative Identity Disorder Treatment. Psych Central - Trusted mental health, depression, bipolar, ADHD and psychology information. Retrieved May 24, 2011, from http://psychcentral.com/disorders/sx18t.htm