Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
John Doe, an unnamed subject of the case, was a 20-year-old Korean national man. John Doe was reportedly enlisting in the military as an accord to his country's mandatory military service
Typology: Study Guides, Projects, Research
1 / 8
This page cannot be seen from the preview
Don't miss anything!
University of Mindanao Digos College College of Arts and Science Psychology Program Roxas Ave., Digos City PSY 22 2 A Case of 20-Year-Old Korean Male With Dissociative Identity Disorder 300.1 4 (F44.81) STEVEN DAVE T. DURADO April, 2021
John Doe: A Case of 20-Year-Old Korean Male With Dissociative Identity Disorder 300.1 4 (F44.81) Diagnostic Profile I. Introduction A. Client’s Profile John Doe, an unnamed subject of the case, was a 20 - year-old Korean national man. John Doe was reportedly enlisting in the military as an accord to his country's mandatory military service. John Doe was mentioned to be given the opportunity pursue his academic voyage overseas, for six (6) years in time frame. The case, however, did not put into details the field of study the subject was taking. The subject’s parents, as reported in the case, expressed and provided a description of him – that is, shy and timid. The case, unfortunately, mentioned limited information about the subject’s parents as well as the subject, himself, and the kind of relationship both parties have. The subject was mentioned to come across with horrendous childhood experiences such as sustained and frequent abuse both physical and emotional. Additionally, the subject was reported to be neglected and disregarded with his own parents.
II. Justifications This psychologist in training was able to come up with a diagnosis on Dissociative Identity Disorder 300.14 (44.81). This is due to the fact that diagnostic criteria for this disorder have been fully satisfied and met. The diagnostic criteria were presented below. Dissociative Identity Disorder 300.14 (F44.81) DIAGNOSTIC CRITERIA GIVEN FACTS CRITERION A Disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession. The disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual.
The 20-year-old Korean male national was referred into a psychiatric facility to emergent psychiatric problems that include manifestations of violent behavior and shift in personality. A month of hospitalization, over the course, the subject was observed to manifest seven alters. One of his alters was John, an English speaking, arrogant, and uncooperative alter. There was also an alter named Cho, a Korean and English speaking alter that claimed to be the subject’s story watcher and teller. There is also an unnamed alter who is characterized as the “violent” alter. Additionally, three other alters were discovered, including a five-year-old boy, a mother-like personality, and a "metro-sexual swagger" alter. Furthermore, the mentioned disruption and shifts in personality great affect the host’s consciousness, memory, behavior, cognition,
and sensory-motor functioning. This was reported in the case through the parents’ narratives and other spectators that observes the subject’s symptoms. CRITERION B Recurrent gaps in the recall of everyday events, important personal information, and/ or traumatic events that are inconsistent with ordinary forgetting.
The case reported through the accounts of the subject’s parents that, the subject had been experiencing forgetfulness when he returned to Korea. Additionally, on an occasion, the subject was found by a police officer in an alley far from his house, the subject expressed no knowledge how he got there. The subject, furthermore, was observed to speak in English which was not his native language on several occasion. CRITERION C The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
The subject was noted to manifest violent behavior which caused injury to his fellow. With this reason, along with the shift of personality, the subject can be terminated from his military service considering that the subject is becoming a threat to himself and to people around him. With this, potential social and occupational function were clearly bruised and affected due to his distress. CRITERION D The disturbance is not a normal part of a broadly accepted cultural or religious practice.
The demonstrated behavior of the subject, in most social, cultural, and religious norms and standard, summoned a clear defiance and abnormality to what is considered as
III. Treatment Recommendation The psychiatric and medical community had expressed that there is not yet available definite cure for Dissociative Identity Disorder, however, there are effective treatments available (Matulewicz, 2018). First, psychotherapy, also known as talk therapy, is a form of treatment that seeks to resolve whatever has caused and continues to cause DID. The goal is to "fuse" the various personality traits into a unified personality capable of controlling the triggers. Family members are often involved in this form of counseling (Mayo Clinic, 2019). As well, hypnotherapy is a form of hypnosis that is used to help. Clinical hypnosis can be used in combination with psychotherapy to help access repressed memories, monitor some of the dysfunctional habits associated with DID, and merge the identities into one (Kluft, 2020). Moreover, adjunctive therapy is a form of treatment that is used in conjunction with other treatments. Art and movement therapy, for example, have been shown to assist individuals in reconnecting with areas of their minds that they have shut off in order to deal with trauma (Subramanyam, et al., 2020). Lastly, DBT (dialectic-behavioral therapy) is a form of psychotherapy for people who have serious personality disorders, which may involve dissociative symptoms that often arise after violence or trauma. Additionally, there is no drug that can be used to treat dissociative disorders. People with dissociative disorders, especially those who have depression or anxiety, may benefit from antidepressant or anti- anxiety medication treatment (Cleveland Clinic, 2019).
IV. Comorbidity The case reported after a through psychological examination administered to the subject, it showed that the subject had no psychiatric comorbidities. V. References Cleveland Clinic. (2019). Dissociative Identity Disorder (Multiple Personality Disorder). Retrieved from https://my.clevelandclinic.org/health/disease s/9792-dissociative-identity-disorder-multiple-personality-disorder Kluft, R. (2020). Hypnosis in the Treatment of Dissociative Identity Disorder and Allied States: An Overview and Case Study. Retrieved from DOI: 10.1177/ Matulewicz, C. (2018). There's No Cure for Dissociative Identity Disorder. Retrieved from https://www.healthyplace.com/blogs/dissociativeliving/ 2018/03/dissociative-identity-disorder-cannot-be-cured Mayo Clinic. (20 19 ). Dissociative disorders. Retrieved from https://www.mayoclinic.org/diseases-conditions/dissociative- disorders/diagnosis-treatment/drc- 20355221 Subramanyam, A., et al. (2020). Psychological Interventions for Dissociative disorders. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/P MC7001344/
