PSY 210 Dissociative Disorders Essay

PSY 210 Dissociative Disorders Essay

PSY 210 Dissociative Disorders Essay

Controversies on Dissociative Disorders

Dissociative disorder is a mental illness where one experiences a sense of disconnection between thoughts, identity, memories, and environment. It is presumed to be caused by trauma and is considered a coping strategy to help those affected avoid bad memory. The condition is surrounded by multiple controversies due to a lack of accurate scales to craft the level of dissociation for clients with the disorder (Loewenstein, 2022). Due to this, disagreements continue to ensue on whether to grade this mental issue as a disorder or a mere choice of people to neglect traumatic psychological experiences. Usually, it takes many years for family members to recognize the condition in a person because in many instances, close relatives might think that what the affected individual is going through is normal. Nonetheless, some people have a conviction that those with the disorder are kind of faking their behavior to avoid the reality of life (Mangiulli et al., 2022). Moreover, the disorder continues to remain a controversy as some people associate the dissociations with cultural beliefs, mythical figures, or evil spirits. Due to the aforementioned associated misconceptions, clients with the illness fail to seek medication at the onset of the symptoms which complicates diagnosis and treatment at advanced stages.

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Professional Beliefs about Dissociative Disorders

According to Lynn et al. (2022), dissociative disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are identity disruption illness that affects personality traits of a person. The disorder causes a discontinuity in the sense of self and agency such that it influences variations in consciousness, perception, cognition, memory, and sensory-motor functioning of those affected. In their informative piece, Blihar et al. (2020) affirm that clients with dissociative disorders experience repeated gaps in autobiographical memory which also influence their patterns of behavior. The authors further suggest that dissociative disorders are psychobiological traits that cushion the affected individuals from overwhelming traumatic experiences following a disruption occasioned by mental shock. Mangiulli et al. (2022) on the other hand indicate that dissociative disorder causes significant distress to patients and does not in any way associate the illness with the religious or cultural practices of a given society. According to the authors, the condition affects nearly 3.5% of Americans and can be manifested in form of severe depersonalization, recurrent amnesia, or identity alteration.

Strategies for maintaining therapeutic Relationships with a Dissociative Disorder Client

Dissociative disorders are linked to traumatic disorders that occur in childhood and memory tends to block such events from recurring in the affected individuals. Such patients remain vulnerable to traumatic experiences and appropriate strategies should be used when providing care to them. Health workers attending to the patient should recognize the emotions of the clients concerning their ailment (Loewenstein, 2022). The practitioner needs to suggest ways to overcome potential barriers to healthy emotions for the client prior to the intervention. In other instances, the health workers should focus on approaches that reduce physical together with cognitive vulnerability to the traumatic experiences that the client would wish to dissociate with. Through this approach, the client will open up about issues that are associated with their ailment to the health provider (Lynn et al., 2022). The latter is also required to be mindful of their emotions and address the issues raised by the client without judgment. However, the nurse or any health provider has the task of providing a conducive environment to enable the client to expose all the emotions they have about the illness (Mangiulli et al., 2022). Through this approach, both the client and the health provider will suggest positive ways to address the dissociative disorder.

Ethical and Legal Considerations related to Dissociative Disorders

Patients with dissociative disorder manifest emotional dysregulation traits which health providers should take into account during the intervention. As a nurse or health worker, one should maintain confidentiality to ensure that the emotions expressed by the client are not discussed with unauthorized persons (Mangiulli et al., 2022). The client should as well be accorded proper diagnosis using the DSM-5 tool to clearly distinguish the mental ailments that affect their emotions (Blihar et al., 2020). However, the opinions and preferences of dissociative disorder patients should be taken into account to enable them to select medical treatments that befit their ailment.

References

Blihar, D., Delgado, E., Buryak, M., Gonzalez, M., & Waechter, R. (2020). A systematic review of the neuroanatomy of dissociative identity disorder. European Journal of Trauma & Dissociation, 4(3), 100148. https://doi.org/10.1016/j.ejtd.2020.100148

Loewenstein, R. J. (2022). Dissociation debates: Everything you know is wrong. Dialogues in clinical neuroscience. https://doi.org/10.31887/DCNS.2018.20.3/rloewenstein

Lynn, S. J., Polizzi, C., Merckelbach, H., Chiu, C. D., Maxwell, R., van Heugten, D., & Lilienfeld, S. O. (2022). Dissociation and dissociative disorders reconsidered: Beyond sociocognitive and trauma models toward a transtheoretical framework. Annual Review of Clinical Psychology, 18, 259-289. https://doi.org/10.1146/annurev-clinpsy-081219-102424

Mangiulli, I., Otgaar, H., Jelicic, M., & Merckelbach, H. (2022). A critical review of case studies on dissociative amnesia. Clinical Psychological Science, 10(2), 191-211. https://doi.org/10.1177/21677026211018194

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Explain the controversy that surrounds dissociative disorders.
Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.