多重人格障碍课件.ppt

1、JackMichaelRayAlexanderAlexanderStormMotel in the desert11 people in the motell Managerl 80 movie star and her Limo driverl Cop and his Serial killerl Prostitutel Newlywadsl A familyDissociative Identity disorderDID-分离性身份识别障碍分离性身份识别障碍Symptoms Lapses in memory(dissociation),particularly of significan

2、t life events;experiencing blackouts in time,resulting in finding oneself in places but not recalling how one traveled there;not recognizing themselves in the mirror;being frequently accused of lying when they do not believe they are lying.Multiple-personality Disorder Dissociative Identity Disorder

3、(DID)Etiology and pathogenesisMichaelgeneticgeneticPsychologicalPsychologicalSocial cultureSocial cultureEtiology and pathogenesisGenetica family member with DID may indicate a potential vulnerability to developing.DadMomSon or Daughtermorbidity rateDadMomSon or DaughterGeneticBut does not translate

4、 into the condition being literally hereditary.In 1961,Slater studied on 12 MZs(单卵双生子）单卵双生子）and 12 DZs（双卵双生子），（双卵双生子），and didnt find DID.Psychological1.Experience and reaction of stress events(应激应激性事件）性事件）is one of the most important factors.2.Trauma experience in childhood a child who suffers from

5、a mental,physical or sexual abuse has a larger probability with DID when he becomes an adult.3.PersonalityImplied暗示性暗示性 emotional情感性情感性Egocentricity自我中心自我中心 Performativity表演性表演性 Abstractedness幻想性幻想性 The individual who has implied,emotional,egocentricity,performativity,abstractedness in the personali

6、ty is more likely to be a DID.Social Culture1.Some forms of expression in DID can only find in some social culture.Koro Syndrom can only find in the south of CHINAHigher Degree of EducationLower Degree of Education2.The group of higher degree of education is with lower morbidity rate in DID.Enclosed

7、 SpacesOpen environment3.The group who live in the enclosed spaces is with higher morbidity rate in DID.Multiple personality disorder s diagnosisRayThe patients different personalities can be different agesThe patients different personalities can be different agesResearch shows that the incidence is

8、 highest in the stage of 20 to 70 years old,but sometimes it is also under 20 years old The patients different personalities can be different gendersResearch shows that the incidence of woman is much higher than the man,The incidence of developed countries is much higher than the developing countrie

9、sEach kind of personalities can get along well with others independently and has its own thinking mode,just like several people share one body,these people can deal with everything with outside world,so it is difficult to know patients has Multiple personality disorders One personality always does n

10、ot know the existence of the other personalities,Meanwhile,at least one or two personalities can integrat the behavior.Each kind of the personalities is complete,just like magic squares six surfaces,the personalities can convert with each other,and can operate independently.One personality does not

11、know the existence of others,this will lead to serious lost time phenomenon.The transformation process of different personalities is often suddenly and dramaticSome patients affected by mental stimulation or a sudden change turn to anather person suddenly,then all the emotions,thoughts,words and dee

12、ds according to the subsequent personalitys way.The transformation is usually suddenly and dramatic,the patient just like a good performer.When the last personality begin to ruling“,he has forgot what happen to the beginning personalityIn the inspection,you almost cant find the strange place but the

13、 amnesia phenomenon They feel the time passed quickly,and dont remember what they have done before.It is not clear to find this disease just by one inspection so the doctor must have a long time observation to find the patients mental state of disease.Multiple personality disorder usually has a long

14、 or a lifetime course.TreatmentJackProcess The most ideal treatment is to reform the patients integration personality structureHypnosis therapy(催眠治疗)Hypnosis and make the patient age backwards,could help patients to adapt to different personality state which appears in different periods,then command

15、s let time back to now usually lead another personality state.It can teach patients using this method to control the state of separation.Therapeutic purposes(治疗目的):Understand their disease properties,remember gap,integrate the vice personality,become a functional personalityhypnosisDrug treatment Taking anti-anxiety drugs can reduce a patient anxiety and make it better psychological treatment.Benzodiazepines(苯二氮卓类)Buspirone(钉螺环酮)Thank you for your attentionBest wishes to you!