Dissociative identity disorder (previously known as multiple personality disorder) often results from severe trauma during early childhood and is considered as the most severe and chronic manifestation of the dissociative disorders. This study aims to explore therapies used on patients with dissociative identity disorder and to obtain an overview of the dissociative identity disorder situation in Sweden according to the experts’ perspectives. To accomplish the objectives, a qualitative research was used and the data came from three interviews with experts in dissociative identity disorder field and a short literature review was conducted. The analysis was guided by the psychodynamic and cognitive-behavioural theories with a focus on the meaning of the interview texts. The result shows a positive trend of developments about the situation of dissociative identity disorder in Sweden. At the same time, it proves that social workers in Sweden have a long way to go in this field with therapists major in dissociative identity disorder. When it comes to therapists used by professionals, plenary effective therapies along with innovative therapies would be put in use in dissociative identity disorder field.

Master of Arts / Department of Communications Studies / Sarah E. Riforgiate / At 47 years old, Lori is a high-functioning businesswoman, matriarch, and contributing member of society. Lori is also diagnosed with Dissociative Identity Disorder (DID). From age 3, Lori was violently raped and assaulted by several perpetrators, yet views her multiple personalities as strength, as survival mechanisms, and wants to share her story to help prevent child sexual abuse. Utilizing methods drawn from communication studies, ethnodrama, and autoethnography, this study aims to tell a person’s story in her own words and in a format that can easily be shared with both academic and non-academic audiences. Lori’s story is woven together as an ethnodramatic play that includes original interview transcripts along with an autoethnographic monologue describing the experience of writing someone’s truth when it challenges the hegemonic views of society, and instead embraces the feminist ideals of equality and deconstruction of power. Academic research needs to reach further than academic journals to make a true impact. Through the non-conventional venues of autoethnography and ethnodrama, we can breathe life into our research and provide accessibility to innovative information for those who may need it most.

This study examined the prevalence of undiagnosed dissociative disorders in a sample of 201 adult patients admitted to a private psychiatric hospital in a major metropolitan city in the south-central United States, over an eight-month period. A screening measure, two blind structured interviews, and a blind clinical interview were employed. The lifetime prevalence of dissociate disorders among the interviewed subjects was 40.8%. More specifically, 7.5% were diagnosed with dissociative identity disorder, 15.4% with dissociative disorder not otherwise specified, 13.4% with dissociative amnesia, and 4.5% with depersonalization disorder. Dissociative fugue was not found in this sample. Cohen's kappa reliability coefficients were computed between the three interview measures, resulting in significant findings for the presence of dissociative identity disorder and dissociative disorder not otherwise specified versus no dissociative disorder. The Cohen's kappa reliability coefficients were as follows: DDIS-DES-T = 0.81; SCID-D-DES-T = 0.76; Clinician-DES-T = 0.74, DDIS-SCID-D = 0.74; DDIS-Clinician = 0.71, and SCID-D-Clinician = 0.56. A meeting was conducted at the end of all subject interviews to discuss discrepant findings between measures. Four additional sub-analyses were performed between dissociative and non-dissociative subjects on DSM-IV variables. Patients diagnosed with a dissociative disorder had higher rates of comorbid major depressive disorder, borderline personality disorder, somatization disorder, and childhood history of physical and/or sexual abuse. Theoretical and methodological issues were discussed as they relate to these findings.

There is a paucity of research on the diagnosis of dissociative disorders in children. Most children are misdiagnosed with more common mental disorders with similar symptoms. Earlier recognition of dissociative disorders can save years of pain, suffering, and cost. This qualitative collective case study examined the process of diagnosing dissociation in two children under the ages of 12 at the beginning of treatment. A concurrent focus on the training and development of the therapist/researcher is included. Archival data including progress notes, psychotherapy notes, assessments, correspondence, legal documents, school records, and medical records were analyzed using within-case and cross-case analyses to identify individual and common themes that may expedite the diagnosis of dissociative disorders in children. The narrative presentation of a qualitative study with its thick, rich description may increase the understanding of clinicians with little or no experience and help them to differentiate these disorders from other disorders with overlapping symptoms. Factors that impeded and advanced the recognition of dissociative disorders were identified. Clinical findings underscore the role of knowledge and training, experience, and consultation in the diagnosis of dissociative disorders.

Awareness due to increase crime has highlighted the occurrence of immense personal and social problems. Problems resulting from disorders such as Schizophrenia, Alzheimer's and Dissociative Identity Disorder (DID) are less common but have a profound impact on all of us. Research has shown that 97% of people with severe abuse and life trauma before the age of nine, develop DID. The objective of this study was to investigate (from the perspectives of therapists) the experience of people diagnosed with Dissociative Identity Disorder (DID) in the workplace. A qualitative research design was used to capture the essence of the individual's experience thereby enabling the researcher to develop an understanding from the participant's point of view. In this study seven therapists were interviewed and each completed a questionnaire. This was the basis used to demonstrate the typical behaviour of DID in the workplace. The results indicated that DIDs cope to a certain extent but tend to switch (switching) personalities when exposed to trauma, stress or events that triggers past life trauma. Defense mechanisms and switching can have a negative influence on the organisation and its employees, but most of all on the DID. If professional treatment is available, the condition can be fully cured. Most patients treated were female, averaged 29 years of age, were single, and had experienced some kind of abuse. Patients experienced problems directly related to DID, such as lack of concentration, attention deficiency and memory loss, depression, migraine and constant headaches. Their behaviour is inconsistent and unpredictable, and they experience relationship problems. Results show that DIDs can hold relatively senior positions but tend to change jobs on a regular basis. Although this condition can be differentiated from other Psychological conditions, most DIDs have previously been misdiagnosed. A Psychological-based paradigm is mostly used to diagnose the condition. Recommendations to the organisation (especially to the HR department) and recommendations for future research were made. / Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

Awareness due to increase crime has highlighted the occurrence of immense personal and social problems. Problems resulting from disorders such as Schizophrenia, Alzheimer's and Dissociative Identity Disorder (DID) are less common but have a profound impact on all of us. Research has shown that 97% of people with severe abuse and life trauma before the age of nine, develop DID. The objective of this study was to investigate (from the perspectives of therapists) the experience of people diagnosed with Dissociative Identity Disorder (DID) in the workplace. A qualitative research design was used to capture the essence of the individual's experience thereby enabling the researcher to develop an understanding from the participant's point of view. In this study seven therapists were interviewed and each completed a questionnaire. This was the basis used to demonstrate the typical behaviour of DID in the workplace. The results indicated that DIDs cope to a certain extent but tend to switch (switching) personalities when exposed to trauma, stress or events that triggers past life trauma. Defense mechanisms and switching can have a negative influence on the organisation and its employees, but most of all on the DID. If professional treatment is available, the condition can be fully cured. Most patients treated were female, averaged 29 years of age, were single, and had experienced some kind of abuse. Patients experienced problems directly related to DID, such as lack of concentration, attention deficiency and memory loss, depression, migraine and constant headaches. Their behaviour is inconsistent and unpredictable, and they experience relationship problems. Results show that DIDs can hold relatively senior positions but tend to change jobs on a regular basis. Although this condition can be differentiated from other Psychological conditions, most DIDs have previously been misdiagnosed. A Psychological-based paradigm is mostly used to diagnose the condition. Recommendations to the organisation (especially to the HR department) and recommendations for future research were made. / Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

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Title from second page of PDF document. Includes bibliographical references (p. 197-204).

Syftet med denna kvalitativa innehållsanalys är att undersöka hur stereotyper, stigmatisering och trivialisering kring psykisk störning, närmare bestämt personer med dissociativ identitetsstörning, bibehålls genom gestaltningar i film, samt hur gestaltningen skiljer sig åt inom två filmer ur olika genrer, skräck- och komedifilm. Med filmerna Mina jag och Irene och Hide and Seek som analysunderlag, och med hjälp av ett representationsteoretiskt perspektiv, applicerades ett analysschema på sekvenser ur materialet som, genom de semiotiska analysverktygen denotation och konnotation, användes för att besvara studiens forskningsfrågor. Resultatet visade att båda filmerna upprätthöll stigmatiserande och/eller trivialiserande skildringar av dissociativ identitetsstörning men att de skiljde sig åt i sitt sätt att porträttera störningen. Dessa sätt leder till olika uppfattningar om störningen men har snarlika verkliga konsekvenser. / The purpose of this qualitative content analysis is to investigate how stereotypes, stigmatization and trivialization around psychological disorders, more specifically around people with dissociative identity disorder, are maintained through representation in films and how the representation differs within two different film genres, horror and comedy films. With the films Me, myself & Irene and Hide and Seek as the basis for the analysis and by using the theoretical concepts of representation, stigma and trivialization, an analysis scheme was applied to sequences from the material, which, through the semiotic analysis tools denotation and connotation, were used to answer the study's research questions. The results showed that both films maintained stigmatizing and/or trivializing depictions of dissociative identity disorder but that they differed in their way of portraying the disorder. These approaches lead to different perceptions of the disorder but have similar real-life consequences.

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