Theories of Dissociative Identity disorder shifted from __________ model to the ____________ model
Disease Model to the
Socio-cognitive model
Explain the disease model of Dissociative Identity Disorder
Childhood trauma (that was repressed) -> Compartmentalization of experience (through the respression) -> Dissociated Identities
Explain the socio-cognitive model of Dissociative Identity Disorder
Premorbid Personality Characteristics (highly suggestible)
- > iatrogenic and sociocultural factors
- > Legitimized and Socially Reinforced
- > Dissociated Identities
What is the word for “caused by a physician”
iatrogenic
What did Rind et al’s meta-analysis of child sexual abuse using college samples show?
showed that those who were sexually abused as children were only slightly less well adjusted than controls.
and family variance could explain most of that variance
how does childhood maltreatment alter neuro development? what is the result?
- Altered limbic development (smaller hippocampus, amygdala and corpus callosum)
- Decreased blood flow in cerebellar vermis
- Less development in Left cortices than right
Unable to cope with emotionality
What does Hysteria mean?
Wondering Womb
What are the first 4 historical theories of conversion disorder (hysteria)
- Egyptians (2000 BC)) Displacement of uterus
- Hippocrates (400 BC) Drying of the uterus “wondering womb”
- Romans (Galen) Due to sexual abstinence and could also develop in men
- Middle ages: Witches and sexuality
What are the last 3 historical theories of conversion disorder (hysteria)
- Renaissance: Sexual needs underlie symptoms. treatment: ovariectomies
- Mesmer (1734-1825) Father of hypnosis. Benjamin Franklin and the Commission found Mesmer to be a fraud
- Jean Charcot believed it to be neurological, used hypnosis, Freud was his student.
what kind of person might be susceptible to Hysteria?
someone with Histrionic Personality Disorder
What are the characteristics of Histrionic personality disorder?
A pervasive pattern of excessive emotionality and attention seeking (5 of the following)
- Uncomfortable unless the center of attention
- Inappropriate sexually seductive
- Shifting shallow emotions
- Use physical appearance to draw attention
- speak impressionistic (vague)
- theatricality
- Suggestible
- Sees relationships as more intimate than they are
What is the Law of optimal arousal
The Yerkes Dodson Law
