Dissociative Disorders Chapter 9 Introduction Dissociative disorders are defined by a disruption in the usually integrated functions of consciousness, memory, identity, or perception. Dissociative disorders are thought to be quite rare, but when they do occur they may present a very dramatic clinical picture of severe disturbance in normal personality functioning.
There is an increase in reported cases of amnesia. Amnesia: Assessment Localized amnesia Inability to recall all incidents associated with the traumatic event for a specific time period following the event. Selective amnesia Inability to recall only certain incidents associated with a traumatic event for a specific period after the event. Continuous amnesia Inability to recall events occurring after a specific time up to and
including the present. Generalized amnesia Rare phenomenon of not being able to recall anything that has happened during the persons entire lifetime, including his or her personal identity Systematized amnesia Person cannot remember events that relate to a specific category of information, such as ones family or on particular person or event. Localized amnesia
Assessment Nursing Diagnosis Nursing Intervention Patient and family Education Selective amnesia
Assessment Nursing Diagnosis Nursing Intervention Patient and family Education Continuous amnesia
Assessment Nursing Diagnosis Nursing Intervention Patient and family Education Generalized amnesia
Assessment Nursing Diagnosis Nursing Intervention Patient and family Education Systematized amnesia Assessment
Nursing Diagnosis Nursing Intervention Patient and family Education Dissociative Fugue: Assessment Characteristic feature of dissociative fugue is a sudden, unexpected travel away from home or customary workplace A person in a fugue state unable to recall personal identity, and assumption of a new identity is common
Nursing Process Nursing Diagnosis Planning/Implementation Outcomes Evaluation Dissociative Identity Disorder:
Assessment Characterized by the existence of two or more personalities within a single individual Transition from one personality to another is usually sudden, often dramatic, and usually precipitated by stress Nursing Process
Certain neurological conditions may predispose individuals to DID Psychological Influences:History of Traumatic Experience Sexual abuse, Psychological abuse andPhysical abuse Depersonalization Disorder Assessment: Characterized by a temporary change in the quality of self-awareness that often takes the form of:
Feelings of unreality Changes in body image Feelings of detachment from the environment Sense of observing oneself from outside the body Symptoms of depersonalization disorder are often accompanied by:
Anxiety Fear of going insane Depression Obsessive thoughts Somatic complaints Disturbance in the subjective sense of time Physiological theory Neurophysiological basis Psychodynamic theory
Emphasizes the psychological conflict and disturbances of ego structure in the predisposition to depersonalization disorder Nursing Process
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From "Always Running" and "Race Politics" ... Retell the story of Luis Rodriguez and his brother being beaten up by the older boys, but through the perspective of a different character. Change the speaker, and maybe the audience and/or format....
"(1) For when he (Antichrist) is come, and of his own accord concentrates in his own person the apostasy, and accomplishes whatever he shall do according to his own will and choice, sitting also in the temple of God, so...
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Reading - Modelled, Shared, Guided& Independent Reading. Numeracy Block: iStarmethod for curriculum delivery. Scope and Sequence. Daily mental maths. ... To assist with reading to your child, there is a tub of books available for borrowing.