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Section 3: Dissociative Disorders Dissociative Disorders • Dissociation – separation of certain personality components / mental processes from conscious thought – Somewhat common – Becomes a disorder when used to avoid stressful events or feelings – Lose memory of an event, forget identity Amnesia • Sudden loss of memory, usually following traumatic event • Can’t remember anything surrounding event • May even forget identity • Memory returns as suddenly as it was lost • Wartime and natural disasters huge causes Fugue • Forgetting personal information and past events, but also relocating and taking on new identity • Usually follows traumatic event • May not appear to be ill at all • Eventually ends, can’t remember anything Dissociative Identity Disorder • (multiple personality disorder) • Two or more personalities that may or may not be aware of one another • Different voice, facial expressions, handedness, age, gender, allergies, etc. • Usually severely abused as kid • Suffered severe physical sexual and or psychological abuse Depersonalization Disorder • Feelings of detachment from one’s mental processes or body • Usually preceded by stressful event • Third most common complaint among psychiatric patients Explaining Dissociative Disorders • Psychoanalytic theory – dissociate in order to repress unacceptable urges • Learning theorists – learned not to think about disturbing events in order to avoid feelings of guilt, shame, or pain Section 4: Common Disorders in Children Overview of ADHD • • • • Attention deficit / hyperactivity disorder Trouble focusing on task at hand May be easily distracted Causes problems at school (learning and social) • Most common reason kids are referred to mental health professional Diagnosing ADHD • • • • Usually young boys Most common in USA Ritalin (actually a stimulant) is most helpful drug Pregnant mothers that smoke 3x more likely to have ADHD child • Side effects can be a problem • If not dealt with – problems in school, relationships, delinquent behavior, substance abuse, etc. Autism • Early signs – Aloof and unresponsive babies – Attach to inanimate objects instead of family – Inappropriate speech – Unexplained tantrums – Difficult to feed – Don’t like being held or cuddled – Very little sensitivity to pain – Rarely maintain eye contact Symptoms • Failure to develop normal communication patterns, social interactions, emotional responses • Strong and negative reaction to change • Few able to speak normally, many practice echolalia (repeating what has just been said) • May abuse themselves or repeat single hand motion for hours Famous people Rumored to have Autism • • • • • • • • • • • • • • Emily Dickenson Mozart Albert Einstein Thomas Jefferson Jane Austen Vincent Van Gogh Alexander graham bell Bach Beethoven Leonardo Da Vinci Thomas Edison Isaac Newton Michelangelo Mark Twain Who it affects • 1 in 88 kids born today • Usually boys • Kids regardless of parental styling (doesn’t mean autistic kids have bad parents) • Neurological problem – make up of brain is different • Possible link between autism and schizophrenia Causes of Autism • Mothers that – Don’t take pre-natal vitamins – Are obese – Are older when giving birth • Other possible causes: – – – – – – Vaccines Food allergies Immune system deficiencies Heredity Premature birth Environmental factors (pollutants, etc.) Autistic Savant • Extraordinary skill of some kind • Complicated numerical operations, musical talents, artistic ability, memory capability • A medical mystery Asperger's • High functioning Autism • Difficulty with social situations & limited, repetitive behaviors • 1 in 500 kids • Literal thinking (difficulty noticing sarcasm) • Trouble reading body language and emotions • 3 to 4x more likely in boys • Many are highly intelligent • Behavior therapy can help, drugs to help anxiety