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Dissociative Identity Disorder

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https://www.readbyqxmd.com/read/27812338/systemic-case-formulation-individualized-process-monitoring-and-state-dynamics-in-a-case-of-dissociative-identity-disorder
#1
Günter K Schiepek, Barbara Stöger-Schmidinger, Wolfgang Aichhorn, Helmut Schöller, Benjamin Aas
Objective: The aim of this case report is to demonstrate the feasibility of a systemic procedure (synergetic process management) including modeling of the idiographic psychological system and continuous high-frequency monitoring of change dynamics in a case of dissociative identity disorder. The psychotherapy was realized in a day treatment center with a female client diagnosed with borderline personality disorder (BPD) and dissociative identity disorder. Methods: A three hour long co-creative session at the beginning of the treatment period allowed for modeling the systemic network of the client's dynamics of cognitions, emotions, and behavior...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27770748/trauma-related-self-defining-memories-and-future-goals-in-dissociative-identity-disorder
#2
Rafaële J C Huntjens, Ineke Wessel, Brian D Ostafin, Paul A Boelen, Friederike Behrens, Agnes van Minnen
This study examined the content of self-defining autobiographical memories in different identities in patients with Dissociative Identity Disorder (DID) and comparison groups of patients with PTSD, healthy controls, and DID simulators. Consistent with the DID trauma model, analyses of objective ratings showed that DID patients in trauma identities retrieved more negative and trauma-related self-defining memories than DID patients in avoidant identities. Inconsistent with the DID trauma model, DID patients' self-rated trauma-relatedness of self-defining memories and future life goals did not differ between trauma identities and trauma avoidant identities...
October 11, 2016: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/27689689/evidence-for-phase-based-psychotherapy-as-a-treatment-for-dissociative-identity-disorder-comorbid-with-major-depressive-disorder-and-alcohol-dependence
#3
Brianna E Pollock, Jenny Macfie, L Christian Elledge
We report on the treatment and successful outcome of a 58-year-old Native American male with a history of complex trauma presenting with dissociative identity disorder (DID) and major depressive disorder. The treatment included a trauma-informed phase-based psychotherapy as recommended by the International Society for the Study of Trauma and Dissociation for treating DID. We assessed symptoms at baseline and at three additional time points over the course of 14 months. We utilized the Reliable Change Index to examine statistically significant change in symptoms over the course of treatment...
September 30, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27467405/opposite-structural-effects-of-epigallocatechin-3-gallate-and-dopamine-binding-to-%C3%AE-synuclein
#4
Albert Konijnenberg, Simona Ranica, Joanna Narkiewicz, Giuseppe Legname, Rita Grandori, Frank Sobott, Antonino Natalello
The intrinsically disordered and amyloidogenic protein α-synuclein (AS) has been linked to several neurodegenerative states, including Parkinson's disease. Here, nanoelectrospray-ionization mass spectrometry (nano-ESI-MS), ion mobility (IM), and native top-down electron transfer dissociation (ETD) techniques are employed to study AS interaction with small molecules known to modulate its aggregation, such as epigallocatechin-3-gallate (EGCG) and dopamine (DA). The complexes formed by the two ligands under identical conditions reveal peculiar differences...
September 6, 2016: Analytical Chemistry
https://www.readbyqxmd.com/read/27404447/voice-identity-processing-in-autism-spectrum-disorder
#5
Stefanie Schelinski, Claudia Roswandowitz, Katharina von Kriegstein
People with autism spectrum disorder (ASD) have difficulties in identifying another person by face and voice. This might contribute considerably to the development of social cognition and interaction difficulties. The characteristics of the voice recognition deficit in ASD are unknown. Here, we used a comprehensive behavioral test battery to systematically investigate voice processing in high-functioning ASD (n = 16) and typically developed pair-wise matched controls (n = 16). The ASD group had particular difficulties with discriminating, learning, and recognizing unfamiliar voices, while recognizing famous voices was relatively intact...
July 12, 2016: Autism Research: Official Journal of the International Society for Autism Research
https://www.readbyqxmd.com/read/27399352/vitamin-d-dependent-rickets-type-1-caused-by-mutations-in-cyp27b1-affecting-protein-interactions-with-adrenodoxin
#6
Adam Zalewski, Nina S Ma, Balazs Legeza, Nora Renthal, Christa E Flück, Amit V Pandey
CONTEXT: CYP27B1 converts 25-hydroxyvitamin D3 to active 1,25-dihydroxyvitamin D3, playing a vital role in calcium homeostasis and bone growth. Vitamin D-dependent rickets type 1 (VDDR-1) is a rare autosomal recessive disorder caused by mutations in CYP27B1. OBJECTIVE: The objective of the study was an enzymatic and structural analysis of mutations in a patient with calcipenic rickets. Design, Setting, Patient, and Intervention: Two siblings presented with calcipenic rickets and normal 1,25-dihydroxyvitamin D3 levels...
September 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27395050/psychospiritual-resiliency-enhancing-mental-health-and-ecclesiastical-collaboration-in-caring-for-those-experiencing-dissociative-phenomena
#7
Christopher J Howard
Trauma can oftentimes be a catalyst for changes in an individual's religious and spiritual beliefs. Beliefs about the cause of the trauma, for instance, may include attributions of possessing spirits, and are to be found in an increasingly pluralistic and multicultural society. Such preternatural explanations may be referred to as dissociative identity disorder, possession form. Unwittingly, an overreliance on neurobiological explanations and relegation of cultural idioms of distress may diminish effective collaboration with ecclesiastical authorities...
July 9, 2016: Journal of Religion and Health
https://www.readbyqxmd.com/read/27384396/separating-fact-from-fiction-an-empirical-examination-of-six-myths-about-dissociative-identity-disorder
#8
Bethany L Brand, Vedat Sar, Pam Stavropoulos, Christa Krüger, Marilyn Korzekwa, Alfonso Martínez-Taboas, Warwick Middleton
Dissociative identity disorder (DID) is a complex, posttraumatic, developmental disorder for which we now, after four decades of research, have an authoritative research base, but a number of misconceptualizations and myths about the disorder remain, compromising both patient care and research. This article examines the empirical literature pertaining to recurrently expressed beliefs regarding DID: (1) belief that DID is a fad, (2) belief that DID is primarily diagnosed in North America by DID experts who overdiagnose the disorder, (3) belief that DID is rare, (4) belief that DID is an iatrogenic, rather than trauma-based, disorder, (5) belief that DID is the same entity as borderline personality disorder, and (6) belief that DID treatment is harmful to patients...
July 2016: Harvard Review of Psychiatry
https://www.readbyqxmd.com/read/27336217/comparing-shame-in-clinical-and-nonclinical-populations-preliminary-findings
#9
Kevin F W Dyer, Martin J Dorahy, Mary Corry, Rebecca Black, Laura Matheson, Holly Coles, David Curran, Lenaire Seager, Warwick Middleton
OBJECTIVES: To conduct a preliminary study comparing different trauma and clinical populations on types of shame coping style and levels of state shame and guilt. METHODS: A mixed independent groups/correlational design was employed. Participants were recruited by convenience sampling of 3 clinical populations-complex trauma (n = 65), dissociative identity disorder (DID; n = 20), and general mental health (n = 41)-and a control group of healthy volunteers (n = 125)...
June 23, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27245196/comparing-the-symptoms-and-mechanisms-of-dissociation-in-dissociative-identity-disorder-and-borderline-personality-disorder
#10
Andreas Laddis, Paul F Dell, Marilyn Korzekwa
A total of 75 patients were diagnosed with the Structured Clinical Interview for DSM-IV Dissociative Disorders-Revised as having dissociative identity disorder (DID), and 100 patients were diagnosed with the Structured Interview for DSM-IV Personality as having borderline personality disorder (BPD). Both groups were administered the Multidimensional Inventory of Dissociation (MID). DID patients had significantly higher MID scores than BPD patients, different distributions of MID scores, and different MID subscale profiles in 3 ranges of MID scores (0-15, 15-30, 30-45)...
May 31, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27225185/is-it-trauma-or-fantasy-based-comparing-dissociative-identity-disorder-post-traumatic-stress-disorder-simulators-and-controls
#11
E M Vissia, M E Giesen, S Chalavi, E R S Nijenhuis, N Draijer, B L Brand, A A T S Reinders
OBJECTIVE: The Trauma Model of dissociative identity disorder (DID) posits that DID is etiologically related to chronic neglect and physical and/or sexual abuse in childhood. In contrast, the Fantasy Model posits that DID can be simulated and is mediated by high suggestibility, fantasy proneness, and sociocultural influences. To date, these two models have not been jointly tested in individuals with DID in an empirical manner. METHOD: This study included matched groups [patients (n = 33) and controls (n = 32)] that were compared on psychological Trauma and Fantasy measures: diagnosed genuine DID (DID-G, n = 17), DID-simulating healthy controls (DID-S, n = 16), individuals with post-traumatic stress disorder (PTSD, n = 16), and healthy controls (HC, n = 16)...
August 2016: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/27216366/is-high-hypnotizability-a-necessary-diathesis-for-pathological-dissociation
#12
Paul F Dell
During the nineteenth century, high hypnotizability was considered to be a form of psychopathology that was inseparable from hysteria. Today, hypnotizability is considered to be a normal trait that has no meaningful relationship with psychopathology. Psychiatric patients generally manifest medium-to-low hypnotizability. Nevertheless, several psychiatric diagnoses are marked by an unexpectedly large proportion of patients with high hypnotizability. This is especially true of the diagnostic categories that were subsumed by the nineteenth-century concept of hysteria: Dissociative identity disorder, somatization disorder, and complex conversion disorders...
May 23, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27124478/-transsexualism-a-brain-disorder-that-begins-to-known
#13
Natalia López Moratalla, Amparo Calleja Canela
Transsexualism describes the condition when a person's psychological gender differs from his or her biological sex. People with gender identity disorder suffer persistently from this incongruence and they search hormonal and surgical sex reassignment to the desired anatomical sex. This review, from an ethical perspective, intends to give an overview of structural and functional neurobiological correlations of transsexualism and their course under cross-sex hormonal administration. Several studies demonstrate an increased functional connectivity between cortex regions reaffirming psychosocial distress of psychologicalbiological sex incongruity...
January 2016: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/27120718/the-psychobiology-of-authentic-and-simulated-dissociative-personality-states-the-full-monty
#14
Antje A T S Reinders, Antoon T M Willemsen, Eline M Vissia, Herry P J Vos, Johan A den Boer, Ellert R S Nijenhuis
The etiology of dissociative identity disorder (DID) remains a topic of debate. Proponents of the fantasy model and the trauma model of DID have both called for more empirical research. To this end, the current study presents new and extended data analyses of a previously published H2O positron emission tomography imaging study. This study included 29 subjects: 11 patients with DID and 10 high- and 8 low-fantasy-prone DID-simulating mentally healthy control subjects. All subjects underwent an autobiographical memory script-driven (neutral and trauma related) imagery paradigm in 2 (simulated) dissociative personality states (neutral and trauma related)...
June 2016: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27117996/-assessment-and-management-of-gender-dysphoria-in-children-and-adolescents
#15
L Martinerie, M-F Le Heuzey, R Delorme, J-C Carel, A Bargiacchi
Gender dysphoria, originally called gender identity disorder, is characterized by the dissociation between one's expressed gender and the gender of rearing as assigned at birth, which generates significant clinical distress and social, academic, and other important forms of isolation. This state is also known as transgender or transsexualism and is recognized as a medical disease. Adults with gender dysphoria can benefit from psychological, medical, and surgical care. However, gender dysphoria rarely occurs in adulthood but rather emerges in childhood or adolescence, generating deep social and academic difficulties, especially at puberty...
June 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27108472/sexual-trauma-at-the-salpetriere
#16
Colin Ross
Jean-Martin Charcot who studied hysteria at the Salpetriere hospital in Paris late in the nineteenth century is often portrayed as a great neurologist. According to standard accounts, his female hysterical patients imitated the seizures of epileptic patients at the Salpetriere in order to get attention because of their dramatic, self-centered natures. They were also prone to making false allegations of childhood sexual abuse. In fact, the so-called hysterical seizures were often abreactions of rapes. The patients commonly had extensive childhood sexual abuse histories, and sexual misconduct by doctors was endemic at the Salpetriere...
2016: Journal of Psychohistory
https://www.readbyqxmd.com/read/27081389/dissociative-identity-disorders-in-korea-two-recent-cases
#17
Ilbin Kim, Daeho Kim, Hyun-Jin Jung
Although dissociative identity disorder (DID), the most severe of the dissociative disorders, has retained its own diagnostic entity since its introduction in the DSM-III, cases of DID are rarely seen in South and East Asia, likely due to the higher prevalence of possession disorder. We report two patients with DID who were recently admitted to our inpatient psychiatric unit and demonstrated distinct transitions to several identities. Their diagnoses were confirmed through a structured interview for dissociative disorders and possible differential diagnoses were ruled out by psychological, neuroimaging, and laboratory tests...
March 2016: Psychiatry Investigation
https://www.readbyqxmd.com/read/26944745/mmpi-2-item-endorsements-in-dissociative-identity-disorder-vs-simulators
#18
Bethany L Brand, Gregory S Chasson, Cori A Palermo, Frank M Donato, Kyle P Rhodes, Emily F Voorhees
Elevated scores on some MMPI-2 (Minnesota Multiphasic Inventory-2) validity scales are common among patients with dissociative identity disorder (DID), which raises questions about the validity of their responses. Such patients show elevated scores on atypical answers (F), F-psychopathology (Fp), atypical answers in the second half of the test (FB), schizophrenia (Sc), and depression (D) scales, with Fp showing the greatest utility in distinguishing them from coached and uncoached DID simulators. In the current study, we investigated the items on the MMPI-2 F, Fp, FB, Sc, and D scales that were most and least commonly endorsed by participants with DID in our 2014 study and compared these responses with those of coached and uncoached DID simulators...
March 2016: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/26923265/measuring-personality-functioning-in-older-adults-construct-validity-of-the-severity-indices-of-personality-functioning-short-form-sipp-sf
#19
Gina Rossi, Inge Debast, S P J van Alphen
OBJECTIVE: The dimensional personality disorders model in the Diagnostic and Statistical Manual (DSM)-5 section III conceptually differentiates impaired personality functioning (criterion A) from the presence of pathological traits (criterion B). This study is the first to specifically address the measurement of criterion A in older adults. Moreover, the convergent/divergent validity of criterion A and criterion B will be compared in younger and older age groups. METHOD: The Severity Indices of Personality Functioning - Short Form (SIPP-SF) was administered in older (N = 171) and younger adults (N = 210)...
February 29, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/26556682/-persistent-perpetrator-contact-in-a-patient-with-dissociative-identity-disorder
#20
Stefan Tschöke, Frank Eisele, Tilman Steinert
The case of a young woman with still ongoing incest and forced prostitution is presented. The criteria for a dissociative identity disorder (DID) were met. Due to persistent contact to the perpetrator she was repeatedly revictimized. Based on the model of trauma-related dissociation we discuss to what extent she was capable of self-determined decision making as well as therapeutic consequences resulting therefrom.
May 2016: Psychiatrische Praxis
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