Psych Vivas · General adult psychiatry — DID and dissociative amnesia
DID and dissociative amnesia — structured clinical viva
Fellowship viva covering DID and amnesia/fugue, Dalenberg vs Lynn framing, ISSTD phases, TOP DD caveats, suicide risk, and iatrogenic memory-recovery pitfalls.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the psychiatry registrar. A consultant asks you to discuss a 34-year-old patient found after a fugue-like episode who later describes 'alters', intermittent everyday amnesia, childhood abuse, and weekly cutting. She wants hypnosis to 'find all memories' and an MRI to 'prove DID'. Defend nosology of DID vs dissociative amnesia, organic exclusion, trauma vs sociocognitive models, DES/SCID-D, phase treatment, risk, and what you will not do.
Interpretation
Reveal interpretationShowHide
References7ShowHide
- [1]Dorahy MJ, Brand BL, Sar V, et al. Dissociative identity disorder: An empirical overview Aust N Z J Psychiatry, 2014.PMID 24788904
- [2]Dalenberg CJ, Brand BL, Gleaves DH, et al. Evaluation of the evidence for the trauma and fantasy models of dissociation Psychol Bull, 2012.PMID 22409505
- [3]Lynn SJ, Maxwell R, Merckelbach H, et al. Dissociation and its disorders: Competing models, future directions, and a way forward Clin Psychol Rev, 2019.PMID 31494349
- [4]International Society for the Study of Trauma and Dissociation Guidelines for treating dissociative identity disorder in adults, third revision J Trauma Dissociation, 2011.PMID 21391103
- [5]Foote B, Smolin Y, Neft DI, Lipschitz D Dissociative disorders and suicidality in psychiatric outpatients J Nerv Ment Dis, 2008.PMID 18195639
- [6]Staniloiu A, Markowitsch HJ Dissociative amnesia Lancet Psychiatry, 2014.PMID 26360734
- [7]Myrick AC, Webermann AR, Loewenstein RJ, et al. Six-year follow-up of the treatment of patients with dissociative disorders study Eur J Psychotraumatol, 2017.PMID 28680542