Psych 380 1nd Edition Lecture 9Outline of Current Lecture I. Dissociative DisorderII. Moodle vocabularyCurrent LectureKey terms & concepts from today's lecture:- Dissociative Identity Disorder- a mental disorder on the dissociative spectrum characterized by at least two distinct and relatively enduring identities or dissociated personality states that alternately control a person's behavior, and is accompanied by memory impairment for important information not explained by ordinary forgetfulness.- Iatrogenic- any consequence of medical treatment or advice to a patient- False memory- the psychological phenomenon in which a person recalls a memory that did not actually occur.- Malingering- fabricating or exaggeratingthe symptoms of mental or physical disorders for a variety of "secondary gain" motives, which may include financial compensation (often tied to fraud); avoiding school, work or military service; obtaining drugs; getting lighter criminal sentences; or simply to attract attention or sympathy- Factitious Disorder- is a condition in which a person acts as if they have an illness by deliberately producing, feigning, or exaggerating symptoms. Textbook Terms from Chapter 9:- Dissociative Amnesia- is amemory disorder characterized by sudden retrogradeautobiographical memory loss, said to occur for a period of time ranging from hours to years- Conversion Disorder- causes patients to suffer from neurological symptoms, such as numbness, blindness,paralysis, or fits without a definable organic cause. It is thought that symptoms arise in response to stressful situations affecting a patient's mental health- Illness Anxiety Disorder- refers to excessive preoccupancy or worry about having a serious illness. This debilitating condition is the result of an inaccurate perception of the condition of body or mind despite the absence of an actualmedical conditionThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- Problem-focused coping & emotion-focused coping- is expending conscious effort to solve personal and interpersonal problems, and seeking to master, minimize or tolerate stress or conflict.[1][2][3][4][5] The effectiveness of the coping efforts depend on the type of stress and/or conflict, the particular individual, and the circumstances.- Behavioral medicine- an interdisciplinary field combining both medicine and psychology and is concerned with the integrationof knowledge in the biological, behavioral, psychological, and social sciences relevant to health and illness.- Dissociative Identity Disordero Identity disruption 2+ personality states discontinuity in sense of self, changes in:- affect (emotional state)- behavior- consciousness- memory- cognition- perception- sensory motor functiono gaps in recall of events, personal info, and/or traumatic eventso distress/impairment- Many people experience days where they “are not themselves”o You may be irritable, in a fog (altered state)o Become altered existenceo Odd emotions, depersonalized- Story:o Former president of American University Distinguished scientisto He was arrested for making obscene telephone calls from his officeo He was calling mothers who had placed babysitting advertisements in the newspapero He would ask them about the responsibilities and then begin to ask sexual questionso One woman called the police/FBI. They tracked the call back to his office and arrested him.o She was concerned that he was doing this to other people and didn’t want any children to be hurto How did this happen? He went into treatment at Johns Hopkins in Baltimore He said he had high levels of stress, it was like it as another person doing the bad behaviors He had memories of him being a child – his mother used to bring him into bed with her boyfriends and involve him in sexual activities. The telephone calls were a regression into childhood when he was exploited by his own mother- Dissociative disorder is very controversial in court because people will try to fake it and use it as defense.o Ex. Kenneth Bianci & his cousin – hill side stranglerso Tried to claim he was under another personality when he murdered & raped those women- Case study; Fredo Living in the woods with animalso Hung out with the bears, talked to the fox, walked with the deer, felt like he could fly with the birdso Reclusive – didn’t want to be near peopleo “I am a nonhuman animal – I am one of them”o very wealthy, had a nice homeo public issue: feeding the bears domesticates them and therefore he is endangering himself and others.- Video:o Timothy Treadwello Grizzly mano Went to Alaska every summer for many yearso Would live with the bears and took hundreds of videos of themo Became so arrogant – transgressed into the bears’ realm without permissiono Was eventually killed by a bear along with his girlfriend.- Fred’s son called Dr. Halgin asking for him to see his fathero His life is in danger, more than spending time with animalso He tries to tell him other wise but he responds with get out of my life, leave me aloneo What do I care if you have this delusion? Is he psychotic? Schizophrenic? Delusional? Hallucinating? Psychosis?o Challenges: Getting him to come into Amherst He’s going to think that you think he is crazy He also hates people He agrees to come in escorted by his sono Initial encounter; Very hostile “I’m a nonhuman animal and I don’t like people” Same path as Andrew, Dr. Halgin shows that he accepts Fred “I don’t want a son, family, or relatives… I’m happy not liking people” is this disturbed? Not necessarily pathological – there are many people who don’t like other peopleo they start talking about hibernation he says he spends $50,000/year on food for animals bears like apple pie, foxes like raw chickeno do you mind if I meet them? Absolutelyo Fred takes him home, he lives in a very wooded areao There are bear droppings everywhere, the deer come up to them, same with the foxeso He has a studio that is extremely clean – there are sanitary pads on the ground to clean up any droppings- What is there to treat?o Need to stop him from feeding the bears – It is against the law- Fred says, “ You’re not bad, I’ll come in every week”- Every animal has a name, talks about