02 August 2010


The diagnosis of Dissociative identity disorder is defined by criteria in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM-II used the term multiple personality disorder, the DSM-III grouped the diagnosis with the other four major dissociative disorders, and the DSM-IV-TR categorizes it as dissociative identity disorder. The ICD-10 continues to list the condition as multiple personality disorder.
The diagnostic criteria in section 300.14 (dissociative disorders) of the DSM-IV require:

• The presence of two or more distinct identity or personality states, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.
• At least two of these identities or personality states recurrently take control of the person's behavior.
• Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.
• The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or a general medical condition (e.g., complex partial seizures). In children, the symptoms are not attributable to imaginary playmates or other fantasy play. A patient history, x-rays, blood tests, and other procedures can be used to eliminate the possibility that symptoms are due to traumatic brain injury, medication, sleep deprivation, or intoxicants, all of which can mimic symptoms of DID.
Diagnosis should be performed by a psychiatrist or psychologist who may use specially designed interviews (such as the SCID-D) and personality assessment tools to evaluate a person for a dissociative disorder.
The psychiatric history of individuals diagnosed with DID frequently contain multiple previous diagnoses of various mental disorders and treatment failures.


Screening
The SCID-D may be used to make a diagnosis. This interview takes about 30 to 90 minutes depending on the subject's experiences.
The Dissociative Disorders Interview Schedule (DDIS) is a highly structured interview which discriminates between various DSM-IV diagnoses. The DDIS can usually be administered in 30–45 minutes.
The Dissociative Experiences Scale (DES) is a simple, quick, and validated questionnaire that has been widely used to screen for dissociative symptoms. Tests such as the DES provide a quick method of screening subjects so that the more time-consuming structured clinical interview can be used in the group with high DES scores. Depending on where the cutoff is set, people who would subsequently be diagnosed can be missed. An early recommended cutoff was 15-20 and in one study a DES with a cutoff of 30 missed 46 percent of the positive SCID-D diagnoses and a cutoff of 20 missed 25%. The reliability of the DES in non-clinical samples has been questioned. There is also a DES scale for children and DES scale for adolescents. One study argued that old and new trauma may interact, causing higher DID item test scores.


Differential diagnoses
Conditions which may present with similar symptoms include borderline personality disorder, and the dissociative conditions of dissociative amnesia and dissociative fugue. The clearest distinction is the lack of discrete formed personalities in these conditions. Malingering may also be considered, and schizophrenia, although those with this last condition will have some form of delusions, hallucinations or thought disorder.

source:www.wikipedia.com.my

23 February 2010

behind the stories

salam..hye kak ct n nory..i'm juz want 2 share with u all what that i found..when i seacrhing informatian are related to our blog i read 1 artical tells about people have this dieseas.so, lets find what behind the stories girl...!!!!

Case-1

The first patient is a man named William S. Milligan, he was caught by the charge of rape in Ohio at 1977. As police and the psychologists examined him, they found the unbelievable fact that he had several personalities. Here are the first ten personalities they found. In The Minds of Billy Milligan;

1. The first personality is the main personality, Billy, twenty-seven years old, blue eyes, brown hair.

2. The second personality is Arthur, twenty-two years old, British. This personality and the next one are the keeper of the "Spot", where they can have the control of the body, or become themselves open to the outer world through the body of Billy.

3. The third personality is Leigen, twenty-three years old, Yugoslav, who knows how to fight and can use gun and other dangerous stuff, controls the hate.

4. Fourth personality is Allen, eighteen years old, talkative, only one who smoke and right handed.

5. Fifth personality is Tommy, sixteen years old, knows how to unlock chains or handcuffs, and the specialist of the electricity.

6. Sixth personality is Danny, fourteen years old, always scared to something especially man, blond hair, blue eyes.

7. Seventh personality is David, eight years old, controls pain, red-brown hair blue eyes.

8. Eighth personality is Christine, three years old, cannot talk, blond hair, female.

9. Ninth personality is Christopher, thirteen years old, brother of Christine.

10. For the last tenth personality, Adarana, nineteen years old, quiet, lesbian, female.

Those were the main ten personalities of the William S. Milligan. As if you wonder how they know their outlooks, William Milligan, Billy has a hobby of painting, or some of the personalities do. Therefore, they draw each other on the painting and that is how they get to know their outlooks.


Case-2

The woman's name is Claudia Ellen Yascow. She was arrested by the charge of killing four people, which they found later that she was not the suspect. However, it was not unnecessary for the police to think that she was the suspect, because she had information of the scene that cannot be known unless the person has been there. Even though the information was confusing and messy because of her mental disease, police believed her and thought that she was the suspect, for she knew even where the pot and other little detail was at when the crime occurred. She was caught once but let go after few month with the check of psychologist that she has a incubation type of split minds, and the lie detector found her answer to the question that she was not at the scene when the crime happened showed what she said is true, "No, I did not."

Her trouble is brought up mainly because of her mental disease, incubation type of split mind. Claudia is different, as she can always be herself even she is in a great pressure, but she will be losing a collect criterion to judge what kind of situation she is in. For example, when she was caught in jail, she truly thought that she was in a middle of movie taking and she was playing her rolls of main heroine. "Suddenly she put the smile on her face and said 'I never thought that I could have a great chance like this,' She leaned her head on the wall.'I've always thought of having a chance to do a big act like a big actress. I do have some experience of acting in few films as a supporting player, but if I play this murderess act, maybe I can be very famous.' Dye stared at her and asked, 'You think we are making a film right now?' She slapped his hand softly, smiling, 'Oh Dye, you have seen all those cameras at the corridor and those of TV's. I hope I can have a deal with a lot of money coming in, you know it is kind of hard to act.'

As you can see above, by the shock she got from been captured by police, her mind had made an escape way from pain by believing that all the stuff going is an act and not a real deal. This is very close to what Billy has done to himself; only the difference is that fortunately, Claudia was not getting shocked when she was before teenager, but after she became an adult. I think that this is the reason why she was quite right in condition even though she had some mental problems since she was fourteen and had been looked after by a psychologist. Her case is still, with a great trouble, that in such a hard circumstance like in the police office, she would be nervous and will not be able to say what she really wants to.

As she says in Unveiling Claudia, "If I am lying to you right now, that is anything but my will. She is telling the truth here that her mind is trying to protect herself by not telling the truth about the matter, and she cannot help it. It is rather an act of her instinct, to let the shock coming above her because of telling and remembering the truth softer in order to not breakdown for it.

This has been appearing in the way of making the book. As she was making the confession about the murder, she always kept telling a one big story with half lie and half-truth. As you will find later that the truth was such a hard one that it was too much for her to remember it and telling it to the person who you met one or two years ago. This can be seen in Unveiling Claudia, " 'Claudia, I don't know what I should believe in you.' She put her hand on my shoulder and looked into my eye. 'I'm sorry Dan. I do trust you more than before. But not enough.'" This conversation was held more than two years past after they have met, and as you can see that she is very careful about telling the truth and that is why she kept telling lie, or something that she believed it was a truth and unfortunately it was not. Although she is always careful about telling the truth, she is always an easy person to make believe. If someone tells her that she has a superstitious power, she believes it and so on. This has prevented her from stopping the murder, because she had known that the real suspects of the case had planned to proceed the crime week before the murder. However, she was busy and also her weak mind was scared with the pressure what if she tell it to the victim and the what if the suspects would know about it and come after her? In the way of her mind escaping from the reality, she started to believe that it was an oracle, and she could not stop the crime. This story was one of the reason she was arrested once by the story told by her friend that she knew that the crime is going the happen a week before, and the truth was different.

The shocking truth was told on the end, and it was shocking enough for her mind to look for some escape way. On the night when crime has occurred, she was forced to go to the place with a gay, right after the murder had happened. The man was gay but he had a gun in his hand and she could not refuse to go there with him. Their car came in front of the house just in time when two suspects where killing the victim, and after they had gone away, they went to the house's garage where there was a one dead body of a man and one body of woman laying on the floor. Claudia was forced to put her hand into the dead woman's genitals and find a bag of drugs. Now, this is a real hard and sick experience for the twenty-six years old woman, or any other person in the world. She was shocked and her mind could not stand it and she has lost her memories in order to prevent the breakdown.

After few days she found herself knowing about that crime but could not find out why she knows so much about it. She shared that story with police and they misjudged her as a criminal and put her in jail.

What they have to say

Article analysis by Joshua Burke


post by : masliana A128267

I hope this artical can help u all to more understan about split identity.. =)

08 February 2010

this some video 4 split identity.It's awesome!!!!!

Hai u all.we meet again,let's go we see what is the next topic


The diagnosis of Dissociative identity disorder is defined by criteria in the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM). The DSM-II used the term multiple personality disorder, the DSM-III grouped the diagnosis with the other four major dissociative disorders, and the DSM-IV-TR categorizes it as dissociative identity disorder. The ICD-10 continues to list the condition as multiple personality disorder.


The diagnostic criteria in section 300.14 (dissociative disorders) of the DSM-IV require:


• The presence of two or more distinct identity or personality states, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.


• At least two of these identities or personality states recurrently take control of the person's behavior.


• Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.


• The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or a general medical condition (e.g., complex partial seizures). In children, the symptoms are not attributable to imaginary playmates or other fantasy play.A patient history, x-rays, blood tests, and other procedures can be used to eliminate the possibility that symptoms are due to traumatic brain injury, medication, sleep deprivation, or intoxicants, all of which can mimic symptoms of DID.Diagnosis should be performed by a psychiatrist or psychologist who may use specially designed interviews (such as the SCID-D) and personality assessment tools to evaluate a person for a dissociative disorderThe psychiatric history of individuals diagnosed with DID frequently contain multiple previous diagnoses of various mental disorders and treatment failures.



Screening
The SCID-D may be used to make a diagnosis. This interview takes about 30 to 90 minutes depending on the subject's experiences.
The Dissociative Disorders Interview Schedule (DDIS)is a highly structured interview which discriminates between various DSM-IV diagnoses. The DDIS can usually be administered in 30–45 minutes.


The Dissociative Experiences Scale (DES) is a simple, quick, and validated questionnaire that has been widely used to screen for dissociative symptoms. Tests such as the DES provide a quick method of screening subjects so that the more time-consuming structured clinical interview can be used in the group with high DES scores. Depending on where the cutoff is set, people who would subsequently be diagnosed can be missed. An early recommended cutoff was 15-20.and in one study a DES with a cutoff of 30 missed 46 percent of the positive SCID-Ddiagnoses and a cutoff of 20 missed 25%.The reliability of the DES in non-clinical samples has been questioned. There is also a DES scale for children and DES scale for adolescents. One study argued that old and new trauma may interact, causing higher DID item test scores


Differential diagnoses
Conditions which may present with similar symptoms include borderline personality disorder, and the dissociative conditions of dissociative amnesia and dissociative fugue. The clearest distinction is the lack of discrete formed personalities in these conditions. Malingering may also be considered, and schizophrenia, although those with this last condition will have some form of delusions, hallucinations or thought disorder.



SOURCE:WWW.WIKIPEDIA.COM

22 January 2010

2. MEDICATIONS

The use of medication, excepts for the treatment of a cute, spesifis concurrent Axis I disorder, is not not recommended. Maintenance and effective use of presscriptions given the multiple personality states is dificult to attain.If medications is precribeed, it should be carefully monitered.


3. SELF HELP

In a growing trend, people with disorder are starting to come together to form mutual selp-help support groupss within larger communities and virtually, through online communities. There is no overt reasons why a support groups for disorder would not benificial to individuals.

treatment of split identity@way to overcome this issue

Good evening every one.........now i would like to share with you all about this treatment for this issue. Let's enjoy!!!!!!!!


Treatment of split identity


  1. PHSCOTHERAPY

Phsychotherapy is the treatment of choice for individuals suffering from any type of disociative disorder. Aproaches very widely but generally take an individual modality(as opposed to family, groups, or couples therapy) and emphased the integration of the various persoanlity states into one, cohesive whole personality.It should be noted that while it's convenient to talk of people who suffer from disorder as having"multiple personalities" this is just a theoretical construct.People who suffer from disorder believe they have multiple personalities which then take on a life of their own within thw individual(perhaps reinforced by the belief). The new term for disorder in the DSM-IV more acurrentely reflects the problem, the individual suffer from dissociative identities . Their personality is the sum of of these identities, which have been split off at some points in the past, The split is ussually due to soe individual


15 January 2010

Causes of split Identity

b4 we continue to de sign and symtoms, the split identity have a few causes:

- traumatic situation - emotional or psychological injury
  • abuse abuse during childhood,
  • had been victims of rape,
  • faced with the brutal murder.

- stress -term of psychology and biology

  • mental

- genetic - family gen

  • a large role in the appearance and behavior of organisms

- social enviroment - individual interactions

  • likely to mimic

for more information ples visit this website http://www.articleclick.com/Article/Split-Personality---Causes--Symptoms--and-More/1034268

Sign and Symptoms

Hye...!!! I'm yana and I will started this topic with the sign and symptoms the disease..So,anyone who has information that related about this topic can share with me especially my group memeber's and for the public I really hope that..let's check it out..~~


1) What are the symptoms and the sign that can be identified when a person is suffering split identity????

05 January 2010

Introduction to Our Blog


Hi everyone and welcome to our blog, this blog develop to complete course for SKPD1033 English For Social Science and on guidance Mrs Wong Fook Fei in set 10. Our group constitute by 3 person is

Siti Halipah Binti Paijan or KSiti
Nor Masliana Binti Mazrul or Masliana
Norihan Binti Che Nuh or Nori

Discussion its about split personality. I'm excited to be part of this topic, this is about one of the personality problem. A split personality is when a person can be two different personalities at one time. On occasion they can appear nice, helpful, a good friend or even a good lover and without warning they could become selfish, arrogant and cruel. They flip back and forth between the two personalities. Which I hope will be us to share our ideas of how this problem come and what the best solution to soft this problem.