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Home : Other Subjects : Psychology Study Guides : Abnormal : Dissociative/Somatoform : Etiology and Treatment of Dissociative Disorders
Etiology and Treatment of Dissociative Disorders
Research has shown that dissociative disorders are a result of trauma,
especially childhood abuse. One current theory that attempts to explain these
disorders, in light of this knowledge, is that of self-hypnosis theory.
This theory basically claims that of those individuals exposed to abuse some are
highly hypnotizable, so they somehow hypnotize themselves. The paradigm,
therefore, does follow a diathesis-stress model
in that the vulnerability is the characteristic of "easily hypnotizable," and
the triggering, stressful event is sexual/physical abuse. In addition to this
theory, many scientists believe that dissociative disorders, especially
multiple personality disorder, are a result of state-dependent learning.
Individuals in this category then, through repeated state of trauma,
disassociation, and consciousness, begin to develop separate, complete and
autonomous memory systems, which ultimately lead to the development of different
personalities with their own specific state of consciousness. Support for this
theory comes from studies that indicate that events or information that is
learned by one personality cannot explicitly be recalled by another personality,
though, implicitly, there seems to be communication across personalities.
Finally, many socio-cultural theorists believe that dissociative disorders
may be a manufacture or result of treatment itself. The patient, possibly
because he or she is highly susceptible to suggestion, assumes a social role
that attempts to please the therapist and meet the therapist's expectations.
Encouraged by the leading questions of the therapist and eager and willing to
please--and not as a result of their own coping and defense
mechanisms--the individual's
production of a dissociative state, therefore, is a type of iatrogenesis.
A central focus of intervention for dissociative disorders has been encouraging
individuals to recount past traumatic events. The logic concerning this form of
treatment is that since these disorders are caused by some overwhelmingly
traumatic event, expression and coping with the past will lead to recovery.
Thus such techniques, as in hypnosis,
are used to integrate the trauma into conscious experience. In addition,
therapists usually attempt to reintegrate the different personalities of
dissociative identity disorder into a whole. Antipsychotic, antidepressant,
and antianxiety drugs have been used as
medication to reduce the distress of these individuals. Yet, systematic
research concerning the efficacy of treatment has yet to find more information
concerning the etiology of these disorders, and
come to a better understanding of the processes of disassociation occurring
between the conscious and unconscious.
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