| Abstract [eng] |
Dissociative Identity Disorder is a severe condition where a person's identity shows significant inconsistency, manifesting as the presence of two or more distinct personalities that alternate control over the individual's behavior. This disorder is characterized by recurring episodes of amnesia that cannot be attributed to normal forgetfulness. The primary contributing factor to Dissociative Identity Disorder is believed to be childhood experiences of high stress, often associated with abuse, emotional neglect, and attachment issues. Dissociation is seen as a coping mechanism to manage overwhelming stress resulting from traumatic events. While the current evidence supports this theory, further research is needed to explore this disorder comprehensively and foster innovative approaches. Diagnosing Dissociative Identity Disorder can be challenging due to nonspecific symptoms resembling those of other disorders, necessitating a thorough differential diagnosis. Presently, there are no specific medications available to directly address dissociative symptoms, making treatment complex and time-consuming. The primary form of treatment is psychotherapeutic counseling. This thesis examines a case of a 15-year-old female patient diagnosed with Dissociative Identity Disorder, exhibiting various symptoms characteristic of this disorder. The patient experiences episodes of disruption of and/or discontinuity from own thoughts, emotions, and identity, presence of distinct personality states, and encountering memory impairment following these episodes. The literature review in this thesis encompasses recent scientific findings on the epidemiology, etiopathogenesis, clinical presentation, diagnosis, differential diagnosis of the other disorders and simulated, imitated cases, treatment approaches of Dissociative Identity Disorder. |
