The Dissociative Identity Disorder Discussion Paper
Dissociative identity disorder also known as multiple personality disorder is a condition wherein the identity of a person is divided into two or more personalities that are distinctively present (Dorahy et al, 2014)The Dissociative Identity Disorder Discussion Paper. The people who suffer from this mental illness are generally the targets of severe bullying and abuse. The following essay deals with the portrayal of dissociative identity disorder in the movie Split. The essay proceeds to discuss the issues presented by the illness worldwide as well as the concerned country. It also discusses the socio-cultural impacts of the disease on the individual suffering from the condition as well as their families and their workplaces. The essay also attempts to find out some ways of treating and managing the illness. The essay concludes with the recommendations towards the clients on the ways to manage the mental condition.
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The movie talks about the central character Kevin. The psychological horror-thriller deals with the 23 different types of personalities that exist in the same person (Www.youtube.com, 2017)The Dissociative Identity Disorder Discussion Paper. The person is shown to have kidnapped three girls who are in their teenage years. They had been imprisoned in an underground facility and had been kept isolated from the outer world. The three girls were meant to serve as offerings to the dark powers.
The mental illness that is described in the movie is commonly known as Dissociative identity disorder or DID. In the storyline of the movie is found that the protagonist suffers from the condition. The victims of Kevin learn about this character trait of the person only after their kidnapping and imprisonment. The doctor who had been dealing with the case of Kevin had reported to have identified 23 different personalities within the same person. According to the doctor Dr. Fletcher, the different personalities can be viewed as sitting in chairs in a room inside the mind of Kevin. They wait for their turns in order to take control over the body of Kevin. The major dominating personality is that of Barry and this is the persona that is found deciding on which personality should be taking control of the physical attributes of Kevin at a given point of time. The doctor identifies that these personalities had risen to power in order to help the protagonist to cope up with the abuses that were inflicted upon him during his childhood by his mother who suffered from the obsessive-compulsive disorderly state of mind.
The dissociative identity disorder is mainly characterized by two or more split or distinct personalities of the same person (Paris, 2012)The Dissociative Identity Disorder Discussion Paper. These personalities continuously control the behaviour of the person. As a result, the patients who suffer from this disorder are unable to remember any of the personal information. This forgetfulness is not similar to the simple forgetfulness that people face in their daily lives (Staniloiu & Markowitsch, 2014). The person may experience memory variations that are highly distinct and fluctuate with the split personalities that are resident within the mind of the concerned person. The different personalities of the person may belong to different ages, racial divisions and even may have different genders. All these personalities may have different behavioural patterns like gestures, postures and the way of speech even. The identities may be imaginary people or even animals. The different identities reveal themselves and take control over the thoughts and behaviours of the concerned individual. This process is known as switching and may take days, minutes or even seconds to take place. The person suffering from dissociative identity disorder may face a number of symptoms such as tendencies towards committing suicide, symptoms inclusive of visual and auditory hallucinations that are similar to psychotics, feelings of depression and anxiety, disorders of sleep and eating, drug and alcohol abuse (Ross, Ferrell & Schroeder, 2014)The Dissociative Identity Disorder Discussion Paper.
Dissociative identity disorder had been considered to be a rare phenomenon in the earlier days. However, in the modern times, the disorder is considered to be a more commonplace occurrence than it was earlier. The number of reported incidents of childhood abuse has seen a rapid increase in the recent times as compared to the number of reported cases in the past. People who are diagnosed with the dissociative identity disorder may be loving towards their children. The chronic defensive nature of the dissociation identity disorder may cause serious malfunctions in the spheres of society, family, work, and other day-to-day activities. The repetition in the dissociations may lead to a series of separate mental states or entities. The trauma survivor takes these identities to be his own identity at the given point of time (Markowitsch & Staniloiu, 2012)The Dissociative Identity Disorder Discussion Paper. The victim keeps switching between these identities from time to time. The parent who has grown up in an abusive environment may display the characteristics of the violence he has experienced during his growing years from his own parents.
It may also be that this disorder of the parent comes to the forefront as the child grows up to attain the age when the parent was traumatised. The appearance, age and behaviours of the child may serve as a trigger to the parent, thereby reminding him of the abuse he had faced during his childhood days (Www.sidran.org, 2017). The parent may subconsciously act in a way that may prove to be non-nurturing for the child. The alternative personalities of the person are manifestations of the same person and not separate persons. The children may be abused or deliberately hurt by the parents. The parent who has been brought up in the abusive environments may under the influence of these identities wrongly perceive their kids to be someone else thus treat them with hostility. There may also be incidents wherein an alternate aggressive identity turns hostile towards the child. This behavioural tendencies may also lead to development of the similar conditions in the child. In the places of work too, the people suffering from dissociative identity disorder may lead to the suffering of the co-workers of the concerned person.
The most common methods for the nursing of dissociative identity disorder include hypnosis, psychotherapy, family and group therapy and the cognitive behavioural therapy (Krakauer, 2013). Identity confusion, amnesia, alteration of identity, flashbacks, headaches, nightmares, emotional instability are several symptoms that a patient of dissociative identity disorder may portray (Gentile, Dillon & Gillig, 2013)The Dissociative Identity Disorder Discussion Paper. The patients may also face certain somatic conditions that may include genitourinary and gastrointestinal disturbances. Family and group therapy requires the involvement of the family of the patient suffering from the condition in order to bring about change in the condition of the patient. This therapeutic process includes the identification of the situation that the victim is facing and passing on the same towards their family and closed ones. The rationale behind this theory rests in the fact that the first care givers in case of mental illnesses are the family members. The family members are the ones who provide the victim with the primary support. Cognitive behavioural therapy aims to change the dysfunctional feelings, thinking patterns and behaviours of the person suffering from the condition (Brand et al, 2012. The common interventions of this therapy include the identification of the situations that are generally avoided and the identification of and the challenging of the negative thought-processes (Chlebowski & Gregory, 2012). The patients are fully informed of their conditions and only then is the treatment started.
There are certain issues that a person might face while undergoing the recommended treatment for the mental illness. The individual outpatient psychotherapy is considered to be one of the primary modalities for the dissociative personality disorders. The characteristics and abilities of the patient, the clinician’s preferences as well as the external factors such as availability of the skilled therapists, insurances and other similar financial resources pose a hindrance in the way of the treatment needs to be meted out to the patients (Ross, et al., 2008). In conclusion to the above discussion, some recommendations might be put forward in order to help the patients suffering from the mental condition. The patients must be dealt with very carefully so as to help in reduction of the split in their mental conditions. They should be treated with regular counselling and hypnosis sessions so as to help them overcome the trauma that may have been deep-rooted in their memories (International Society for the Study of Trauma and Dissociation, 2011)The Dissociative Identity Disorder Discussion Paper. The victims must be helped to free themselves from the clutches of the trauma that they might have been facing which may have resulted in the mental illness of dissociative identity disorder in them.
Dissociative identity disorder can effectively be controlled using the specific and recommended nursing diagnosis and interventions. While the diagnosis of the condition has been a subject of discussion due to lack of conclusive way of diagnosis; there is no denying that the condition seriously affects the affected people. The utmost interventions are needed to control the effects of the disease.
The recommended diagnosis of DID is the presence of the two or more distinct personality traits or behavioural patterns being exhibited differently by the affected individuals. The clinician should note the number of the personalities or the identities that takes control of the patient’s behaviours. The presence of more than two personality traits results in the twisted way a patient perceives almost everything and in this case, the behavioural patterns changes rapidly.
The nurse should also look at the patient’s inability to remember very crucial information, the extraordinary forgetfulness that cannot be explained. The nurse should also consider the fact that this illness is not associated with the patient’s abuse of any kind of drug substances such as alcohol or any form of hard drugs (Klanecky, Harrington, & McChargue, 2008)The Dissociative Identity Disorder Discussion Paper. It is also important for the professional nurses to gather important information about the history of the patient and detect all the important aspects in comparison, that might lead to the conclusion of DID detection.
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The recommended nursing interventions in terms of treatments for DID incorporate a variety of means (Peterson, 2010). Psychotherapy is the commonly and the widely used treatment for dissociative identity disorder. In treating the DID patients using this method, the therapists should strive to help the patients develop good relationships with other people, open up their minds to feel in the way they have never felt before and even being open about their past history. This method should be best done by the aid of the family or group psychotherapy or the combination of both and it is carefully paced to prevent the patient from being overwhelmed by anxiety.
Since DID may be accompanied by other mental conditions such as depression and excessive expression of anger and anxiety, certain medication can be used to control these conditions. However, there must be extra caution especially with the dissociative identity disorder patients because any medication that alters their feeling patterns may lead them to think that they are being controlled. And that feeling leads them back into the DID trauma once more much easily. The Dissociative Identity Disorder Discussion Paper