多重人格障碍课件

1、JackMichaelRayAlexanderJackMichaelRayAlexanderAlexanderAlexander多重人格障碍课件StormMotel in the desertStormMotel in the desert11 people in the motelManager80 movie star and her Limo driverCop and his Serial killerProstituteNewlywadsA family11 people in the motelManager多重人格障碍课件多重人格障碍课件多重人格障碍课件多重人格障碍课件Disso

2、ciative Identity disorderDID-分离性身份识别障碍Dissociative Identity disorderSymptomsLapses in memory (dissociation), particularly of significant life events;experiencing blackouts in time, resulting in finding oneself in places but not recalling how one traveled there;not recognizing themselves in the mirro

3、r;being frequently accused of lying when they do not believe they are lying .SymptomsLapses in memory (dissMultiple-personality Disorder Dissociative Identity Disorder(DID) Etiology and pathogenesisMichaelMultiple-personality DisordergeneticPsychologicalSocial cultureMultiple-personality DisordersEt

4、iology and pathogenesisgeneticPsychologicalSocial culGenetica family member with DID may indicate a potential vulnerability to developing . DadMomSon or Daughtermorbidity rateDadMomSon or Daughter2.4%6.4%Genetica family member with DIGeneticBut does not translate into the condition being literally h

5、ereditary. In 1961,Slater studied on 12 MZs(单卵双生子）and 12 DZs（双卵双生子），and didnt find DID.GeneticBut does not translate Psychological1.Experience and reaction of stress events (应激性事件）is one of the most important factors.major change of lifePsychological1.Experience andPsychological Trauma of WarPsychol

6、ogical Trauma of War2.Trauma experience in childhood a child who suffers from a mental, physical or sexual abuse has a larger probability with DID when he becomes an adult.2.Trauma experience in childho3.PersonalityImplied暗示性 emotional情感性Egocentricity自我中心 Performativity表演性 Abstractedness幻想性 The indi

7、vidual who has implied, emotional, egocentricity, performativity, abstractedness in the personality is more likely to be a DID.3.PersonalityImplied emotionalSocial Culture1.Some forms of expression in DID can only find in some social culture.Koro Syndrom can only find in the south of CHINASocial Cul

8、ture1.Some forms oHigher Degree of EducationLower Degree of Education2.The group of higher degree of education is with lower morbidity rate in DID.Higher Morbidity RateHigher Degree of EducationLoweEnclosed SpacesOpen environmentHigher Morbidity Rate3.The group who live in the enclosed spaces is wit

9、h higher morbidity rate in DID.Enclosed SpacesOpen environmeMultiple personality disorder s diagnosisRayMultiple personality disorder The patients different personalities can be different agesThe patients different personalities can be different agesResearch shows that the incidence is highest in th

10、e stage of 20 to 70 years old, but sometimes it is also under 20 years old The patients different personThe 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 de

11、veloping countriesThe patients different personEach 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 pers

12、onality disorders Each kind of personalities canOne personality always does not 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 ca

13、n convert with each other , and can operate independently.One personality does not know the existence of others, this will lead to serious lost time phenomenon.One personality always does noThe transformation process of different personalities is often suddenly and dramaticSome patients affected by

14、mental stimulation or a sudden change turn to anather person suddenly, then all the emotions, thoughts, words and deeds 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“

15、, he has forgot what happen to the beginning personalityThe transformation process of In the inspection,you almost cant find the strange place but the 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 i

16、nspection so the doctor must have a long time observation to find the patients mental state of disease. Multiple personality disorder usually has a long or a lifetime course.In the inspection,you almost cTreatmentJackTreatmentJackProcessThe most ideal treatment is to reform the patients integration

17、personality structureProcessThe most ideal treatmenHypnosis 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 commands let time back to now usually lead another personality state. It can teach patients using this method to control the state of separation.Hypnosis therapy(催眠治疗)HypnosisTherapeutic purposes(治疗目的) : Understand their disease properties, remember gap, integrate the vice personality, become a functional personalityTherapeutic purposes(