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A Note on Cognitive Dissonance and Malingering
A Note on Cognitive Dissonance and Malingering

... forensic assessment of patients. As a result, many studies in this domain have focused on the development and refinement of symptom validity tests, while conceptual issues have been given less consideration (see also Berry & Nelson, 2010). One such issue concerns the nosological status of malingerin ...
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... In the past mental healthcare was burdened by a separation of psychiatric services from general medicine. In addition, a predominantly hospitalbased system has limited access to healthcare. A primary care approach aims to provide an integrated service that is accessible to the majority of people and ...
CHILDHOOD SCHIZOPHRENIA
CHILDHOOD SCHIZOPHRENIA

... As stated above, in childhood, and most especially during adolescence, the affective symptoms of schizophrenia can sometimes be mistaken for age appropriate moodiness or oppositional behavior. It is worth noting that in children and adolescents, hearing voices is not always a sign of schizophrenia, ...
Effects of Transcendental Meditation in Veterans of Operation
Effects of Transcendental Meditation in Veterans of Operation

... At baseline, 2 of the subjects were on psychotropic medications that remained consistent throughout treatment, except for 1 subject's sedative/hypnotic medication (temazepatn), which was stopped by his psychiatrist after week 4. No subject started any new psychotropic medication or other therapy dur ...
underlying treatment philosophies: advantages and disadvantages
underlying treatment philosophies: advantages and disadvantages

... almost the mirror image of its advantages. For example, lowering expectations can lead to a kind of selffulfilling prophecy—if you expect nothing of someone then nothing will happen. Even when it may be “realistic,” a maintenance philosophy can be very demoralizing for many patients. Patients will n ...
4 КУРС - Гомельский государственный медицинский университет
4 КУРС - Гомельский государственный медицинский университет

... good. The treatment then focused on his depressive reactions to the diagnosis. 13. How are questions best worded? The interviewer should use language that is not technical and not overly intellectual. When possible, the patient’s own words should be used. This is particularly important in dealing wi ...
Syllabus - Great Valley School District
Syllabus - Great Valley School District

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Recovery from Eating Disorders is Possible

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TITLE: Co-occurrence of mTBI, PTSD in Role Transitioning for

... received 14-16 sessions of ET, while the control group was assigned to a waiting list.21 When compared to the waiting list control, veterans receiving ET showed significant improvement across many of the psychometric measures and the therapist ratings of psychopathology.21 Changes were noted in the ...
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Rieger Chapter Summaries PowerPoint 06
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A Comparison of Mental Disorders in Two Groups of Prisoners
A Comparison of Mental Disorders in Two Groups of Prisoners

... prisoners in Western countries suffer from mental illness and/or severe depression which may lead to suicide and one out of every two male prisoners and one out of every five female prisoners suffer from antisocial personality disorder.(9) According to Lovell, Gagliardi, and Peterson(10) although a ...
Treatment of Rapid-Cycling Bipolar Disorder
Treatment of Rapid-Cycling Bipolar Disorder

... The aforementioned largest randomized clinical trial of rapid cycling (N=51), although not definitive, also indicated an association between antidepressant use and rapid cycling (4). In contrast, a recent small study (N=9) of previously untreated patients with type II rapid-cycling bipolar disorder ...
The Use and Misuse of Exposure Therapy for Obsessive
The Use and Misuse of Exposure Therapy for Obsessive

... regimen for someone with OCD or any other behavioral problem relies on precise information about the antecedents and consequences of the responses to be eliminated. The collection of this information (functional [behavioral] analysis) [7, 8] is critical to the success of behavior therapy because it ...
Ten-year outcome: patients with schizoaffective disorders
Ten-year outcome: patients with schizoaffective disorders

... of 7 or 8), indicating uniformly poor functioning, including poor psychosocial functioning and major symptoms. We found a correlation of rˆ0.85 0.85 (P (P50.001) between the eight-point LKP scale and scores on the Global Assessment Scale, providing an indication that different outcome measures often ...
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Linköping University Post Print Implementation of Internet-based preventive

... which are not too severe (1 standard deviation above the population mean on the CES-D, cut-off < 39 and/or HADS cut-off <15 [16,17]), 4) have access to a computer with a fast internet connection and 5) have sufficient knowledge of the Dutch language. Excluded are subjects with severe depressive or a ...
Excessive reassurance
Excessive reassurance

... sometimes patients fail to engage, are not motivated to change or wish to avoid the costs of facing anxiety. Two key strategies can help. The first is to help people work out how the vicious circle is causing their symptoms to stick. Understanding will often lead to motivation and belief in the poss ...
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Dissociative identity disorder



Dissociative identity disorder (DID), previously known as multiple personality disorder (MPD), is a mental disorder on the dissociative spectrum characterized by the appearance of at least two distinct and relatively enduring identities or dissociated personality states that alternately control a person's behavior, accompanied by memory impairment for important information not explained by ordinary forgetfulness. These symptoms are not accounted for by substance abuse, seizures, other medical conditions, nor by imaginative play in children. Diagnosis is often difficult as there is considerable comorbidity with other mental disorders. Malingering should be considered if there is possible financial or forensic gain, as well as factitious disorder if help-seeking behavior is prominent.DID is one of the most controversial psychiatric disorders, with no clear consensus on diagnostic criteria or treatment. Research on treatment efficacy has been concerned primarily with clinical approaches and case studies. Dissociative symptoms range from common lapses in attention, becoming distracted by something else, and daydreaming, to pathological dissociative disorders. No systematic, empirically-supported definition of ""dissociation"" exists. It is not the same as schizophrenia.Although neither epidemiological surveys nor longitudinal studies have been conducted, it is generally believed that DID rarely resolves spontaneously. Symptoms are said to vary over time. In general, the prognosis is poor, especially for those with comorbid disorders. There are few systematic data on the prevalence of DID. The International Society for the Study of Trauma and Dissociation states that the prevalence is between 1 and 3% in the general population, and between 1 and 5% in inpatient groups in Europe and North America. DID is diagnosed more frequently in North America than in the rest of the world, and is diagnosed three to nine times more often in females than in males. The prevalence of DID diagnoses increased greatly in the latter half of the 20th century, along with the number of identities (often referred to as ""alters"") claimed by patients (increasing from an average of two or three to approximately 16). DID is also controversial within the legal system, where it has been used as a rarely successful form of the insanity defense. The 1990s showed a parallel increase in the number of court cases involving the diagnosis.Dissociative disorders including DID have been attributed to disruptions in memory caused by trauma and other forms of stress, but research on this hypothesis has been characterized by poor methodology. So far, scientific studies, usually focusing on memory, have been few and the results have been inconclusive. An alternative hypothesis for the etiology of DID is as a by-product of techniques employed by some therapists, especially those using hypnosis, and disagreement between the two positions is characterized by intense debate. DID became a popular diagnosis in the 1970s, 80s and 90s, but it is unclear if the actual rate of the disorder increased, if it was more recognized by health care providers, or if sociocultural factors caused an increase in therapy-induced (iatrogenic) presentations. The unusual number of diagnoses after 1980, clustered around a small number of clinicians and the suggestibility characteristic of those with DID, support the hypothesis that DID is therapist-induced. The unusual clustering of diagnoses has also been explained as due to a lack of awareness and training among clinicians to recognize cases of DID.
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