CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

      Explain the controversy that surrounds dissociative disorders. Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature. Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder. Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Sample Solution

    Dissociative disorders are a group of mental health conditions that are characterized by disruptions in consciousness, memory, identity, or emotion. Dissociative disorders can cause a wide range of symptoms, including amnesia, depersonalization, and multiple personality disorder (also known as dissociative identity disorder).

Full Answer Section

      Dissociative disorders are controversial for a number of reasons. First, they are relatively rare and difficult to diagnose. Second, the symptoms of dissociative disorders can overlap with the symptoms of other mental health conditions, such as post-traumatic stress disorder (PTSD) and schizophrenia. Third, there is some debate about whether dissociative disorders are real or if they are simply coping mechanisms for trauma. Professional beliefs about dissociative disorders I believe that dissociative disorders are real and that they are caused by trauma. Trauma can be any event that is overwhelming or threatening, such as physical or emotional abuse, neglect, or a natural disaster. When people experience trauma, they may dissociate as a way to cope with the pain and distress. There is a growing body of research that supports the existence of dissociative disorders. For example, studies have shown that people with dissociative disorders have different brain activity than people without dissociative disorders. Studies have also shown that people with dissociative disorders are more likely to have experienced trauma. Scholarly references Here are three scholarly references from the literature that support my professional beliefs about dissociative disorders:
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
This is the official diagnostic manual for mental health disorders in the United States. The DSM-5 includes dissociative disorders as a category of mental disorders.
  • van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York: Viking.
This book is a comprehensive overview of trauma and its impact on the mind and body. Van der Kolk argues that trauma can lead to a variety of mental health conditions, including dissociative disorders.
  • Herman, J. L. (1992). Trauma and recovery. New York: Basic Books.
This book is a classic text on trauma and its treatment. Herman argues that trauma can have a profound impact on a person's life, and that recovery is possible. Strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder Maintaining a therapeutic relationship with a client who may present with a dissociative disorder can be challenging. However, there are a number of strategies that therapists can use to build trust and rapport with these clients. One important strategy is to create a safe and supportive environment for the client. This means providing the client with a sense of control over their therapy and respecting their boundaries. It is also important to be patient and understanding, as it may take time for the client to trust the therapist. Another important strategy is to use techniques that help the client to integrate their dissociated parts. This can be done through a variety of methods, such as grounding exercises, ego strengthening exercises, and eye movement desensitization and reprocessing (EMDR). Ethical and legal considerations related to dissociative disorders There are a number of ethical and legal considerations that therapists need to be aware of when working with clients who have dissociative disorders. One important ethical consideration is the need to protect the client's privacy. Therapists should not disclose the client's diagnosis to anyone without the client's consent. Therapists should also be careful not to reveal any identifying information about the client in their case notes or other documentation. Another important ethical consideration is the need to avoid retraumatizing the client. Therapists should be mindful of the client's triggers and should avoid using techniques that could retraumatize the client. In terms of legal considerations, therapists need to be aware of the laws in their jurisdiction regarding confidentiality and reporting. Therapists may be required to report certain information about the client to authorities, such as if the client is a danger to themselves or others. Conclusion Dissociative disorders are complex and challenging conditions. However, with the right treatment, people with dissociative disorders can recover and live full and productive lives. Therapists who work with clients with dissociative disorders need to be aware of the controversy surrounding these disorders, as well as the ethical and legal considerations involved in treating them.  

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