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Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
NRNP 6665 Controversy Associated With Dissociative Disorders

The DSM-5 is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.

In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.

Photo Credit: Getty Images/Wavebreak Media

To Prepare

Review this week’s Learning Resources on dissociative disorders.
Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.
The Assignment (2–3 pages)

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.
By Day 7 of Week 9

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Submit Your Assignment by Day 7 of Week 9

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Week 9 Assignment

Have you ever been driving and realized you don’t remember the last few minutes of driving? Or have you gotten so wrapped up in a book or movie that you lose some awareness of your surroundings? These are examples of common and very mild dissociation, or a disconnect or lack of continuity between thoughts, feelings, actions, and sense of self.

There are three major dissociative disorders defined in the DSM-5: dissociative identity disorder, dissociative amnesia, and depersonalization-derealization disorder. Dissociative disorders may be associated with traumatic events in order to help manage difficult memories or experiences. Patients with these types of disorders are likely to also exhibit symptoms of a variety of other dysfunctions, such as depression, alcoholism, or self-harm and may also be more susceptible to personality, sleeping, and eating disorders.

This week, you will analyze issues related to the diagnosis and treatment of dissociative disorders as well as associated legal and ethical considerations.

Learning Objectives

Students will:

Analyze issues related to the diagnosis and treatment of dissociative disorders
Analyze legal and ethical considerations related to dissociative disorders
Learning Resources

Required Readings (click to expand/reduce)

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.

Chapter 12, “Dissociative Disorders”
Required Media (click to expand/reduce)

Osmosis. (2017, November 20). Dissociative disorders – causes, symptoms, diagnosis, treatment, pathology [Video]. YouTube. https://youtu.be/XF2zeOdE5GY

Mad Medicine. (2019, August 18). Dissociative disorders (Psychiatry) – USMLE Step 1 [Video]. YouTube. https://youtu.be/Iz03M9pwhs0

Grande, T. (2018, October 22). The dissociative identity disorder controversy (Trauma vs. Iatrogenic). [Video]. YouTube. https://www.youtube.com/watch?v=zqTP0CP9aDk

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