Posted: February 18th, 2022

Explain the controversy that surrounds dissociative disorders.

Discussion: Dissociative Disorders

Explain the controversy that surrounds dissociative disorders.

Dissociative identity disorder (DID) is one of the most controversial; it is disputed and debated among psychiatrists. The controversies are related to validity of diagnosis. For instance, first-person reports of the disorder are often based on existing diagnostic scales which are invalid due to the creation of such scales. Another critical aspect of the DID which makes it difficult to understand is the theory of its causality and the possibility of remembering childhood experiences that may never have actually taken place. However, the sensationalized media propagated controversies lack scientific basis to substantiate the claims. 

Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.

DID describes a mental health condition. An individual with DID has multiple, distinct personalities. An individual’s behavior is a product of various identities at different times throughout one’s lifespan. Some conditions lead to memory loss, delusions or depression. Some of the most common causes of DID include trauma. The condition is mostly common among children exposed to chronic physical, sexual or emotional abuse. The occurrence of natural disasters and traumatic experiences for individuals working in the army can also cause DID. Irrespective of the mental condition being a critical concern in psychiatry and practical nursing practice, the majority of people tend to under the mental condition as a rather way of coping with the past traumatic experiences. DID can provide the only way an individual can cope with the ongoing or past trauma while adapting to current life circumstances. DID as a mental condition entails affected individuals experiencing increased disconnection and lack of congruency of thoughts, surroundings, actions, memory, and identity.

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

The therapist must maintain a positive client-therapeutic alliance when providing essential psychiatric services. DID can present an insurmountable challenge to a therapist, especially in understanding the patient’s cultural perspective. It is crucial to understand and appreciate the patient’s presenting clinical symptoms. The therapist should show compassion and care to the client by encouraging the need to continue with the ongoing therapy. Such interventions are critical in ensuring improved adherence to the suggested clinical interventions. Secondly, it is essential to avoid being too much judgmental in evaluating patients’ characteristics, including cultural perspectives. The therapist should also help the client with memory gaps. 

Explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Numerous aspects of ethical and legal frameworks affect the administration of psychiatric services, especially for the clients with DID. Professional therapists have primary responsibility for maintaining and upholding ethical standards in care provision. In this case, informed consent is critical, particularly at the start of therapeutic session. Client’s parents should sign the written informed consent when the therapist is dealing with minors. Most critically, therapists should also align care provision with the professional code of conducts such as American Nurse Association (ANA) Code of conducts to avoid or limit ethical concerns or lawsuits. 

Nonetheless, professional psychiatrists should align psychiatric services with the existing legal frameworks. The current legal framework allows therapists to admit patients with mental disorders with legal guidelines. Such requirements do not take into consideration the medical specialization of the physicians. Therapists violating fundamental rights of the clients can risk withdrawal of licensure, lawsuits, and dismissal from the workplace 

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