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Controversy Associated with Dissociative Disorders NRNP 6665

 

Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment – Step-by-Step Guide

The first step before starting to write the Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

 

How to Format the Reference List for Controversy Associated with Dissociative Disorders NRNP 6665 Week 9 Assignment

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

Controversy Associated with Dissociative Disorders NRNP 6665 Instructions and Example Solutions Included

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-TR: 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.

Controversy Associated with Dissociative Disorders NRNP 6665

  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
    • Chapter 11, “Dissociative Disorders”

Controversy Associated with Dissociative Disorders NRNP 6665 Example Paper

Dissociative disorders involve problems with behavior, sense of self, memory, identity, perception, and emotion. Dissociative disorders include conditions such as dissociative amnesia and dissociative identity disorder.

Controversy.

Most of the controversy Dissociative Identity Disorder (DID) is whether it is a real disorder. This is despite the availability of research to validate this disorder. Dissociative identity disorder is listed as an official mental disorder in the DSM-5.

Another controversy arises from the confusion in diagnosing dissociative and personality disorders, especially borderline personality disorders. Both of these disorders have some similarities in symptoms.

The controversy around the causality of DID is also common. Many people believe that the disorder exists but is not caused by trauma but by sociocultural factors, sometimes called iatrogenic factors (Şar et al., 2017). People who believe in the existence of the disorder agree that the symptoms can be observable.

However, the side is inclined towards sociocultural factors as the causality argues that sometimes these symptoms are being faked, and patients give in to social influence. It is called iatrogenic because it is believed that clinicians could be causing the symptoms and reward patients when they manifest these symptoms.

DID is also mischaracterized in the media. In movies and TV shows, characters usually have an extreme characterization of DID, with characters showing extremely distinct personalities that operate for days on end. They typically have characteristics that are markedly different from the primary personality. DID used to be referred to as multiple personality disorder, which may have contributed to the mischaracterization and misunderstanding of this disorder.

Professional beliefs about dissociative disorders.

Dissociative disorders are not easy to diagnose. A disruption of normal identity, memory, consciousness, and behavior classically characterizes these disorders. Persons with DID are often misdiagnosed with other personality disorders, especially borderline personality disorder (Joos et al., 2017).  This is because of the overlap in the symptoms seen in both dissociative and personality disorders.

The criteria for the diagnosis of DID include the existence of more than one distinct personality state. Changes in memory, thinking, and behavior accompany these personalities. Another criterion is the presence of persistent gaps in memory, which are recurrent in nature. Another criterion is the presence of significant impairment in social, occupational, and other areas of functioning (Mychailyszyn et al., 2021)

Patients diagnosed with dissociative disorders have been exposed to extreme trauma and abuse coupled with some form of denial of the trauma (Lyssenko et al., 2018). Diagnosis of DID requires experienced psychiatric practitioners and psychologists. Diagnosis of these disorders involves assessment over a long period of time. A detailed history should be taken from the patient as well as from other sources, e.g., close friends and relatives.

Maintaining the Therapeutic Relationship.

Patients with DID tend to be very sensitive to interpersonal trust and rejection issues. Therefore, long-term treatment in an outpatient setting is ideal for handling such patients. Therapists who treat DID patients should see them once or twice weekly. This should go on for years, with the primary goal being the fusion of the personality states.

Cognitive-behavioral therapy (CBT) can effectively communicate with the alters and help the patient find better coping strategies than switching between alters (Ganslev et al., 2020).

Ethical and legal considerations

Diagnosis of Dissociative disorders requires experienced psychiatric practitioners. Therefore, a referral is necessary to avoid a misdiagnosis whenever the DID diagnosis is unclear. The patient should be informed once the correct diagnosis has been made. Because patients with DID have multiple alters, education must be done with all the alters. Patients’ privacy must be respected, and their diagnoses should not be shared publicly.

References

Ganslev, C. A., Storebø, O. J., Callesen, H. E., Ruddy, R., & Søgaard, U. (2020). Psychosocial interventions for conversion and dissociative disorders in adults. The Cochrane Database Of Systematic Reviews, 7(7), CD005331. https://doi.org/10.1002/14651858.CD005331.pub3

Joos, A., Baumann, K., Scheidt, C. E., Lahmann, C., König, R., Busch, H. J., & Schulze-Bonhage, A. (2017). Differenzialdiagnose dissoziativer Anfälle [Differential diagnosis of dissociative seizures]. Der Nervenarzt, 88(10), 1147–1152. https://doi.org/10.1007/s00115-017-0401-4

Lyssenko, L., Schmahl, C., Bockhacker, L., Vonderlin, R., Bohus, M., & Kleindienst, N. (2018). Dissociation in Psychiatric Disorders: A Meta-Analysis of Studies Using the Dissociative Experiences Scale. The American Journal Of Psychiatry, 175(1), 37–46. https://doi.org/10.1176/appi.ajp.2017.17010025

Mychailyszyn, M. P., Brand, B. L., Webermann, A. R., Şar, V., & Draijer, N. (2021). Differentiating Dissociative from Non-Dissociative Disorders: A Meta-Analysis of the Structured Clinical Interview for DSM Dissociative Disorders (SCID-D). Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 22(1), 19–34. https://doi.org/10.1080/15299732.2020.1760169

Şar, V., Dorahy, M. J., & Krüger, C. (2017). Revisiting the etiological aspects of dissociative identity disorder: a biopsychosocial perspective. Psychology Research And Behavior Management, 10, 137–146. https://doi.org/10.2147/PRBM.S113743

NRNP 6665 Week 9 Assignment: Controversy Associated with Dissociative Disorders Example

Controversy Associated with Dissociative Disorders

Dissociative disorders are the subject of intense debate due to questions about their legitimacy and origins. Some argue that these disorders are culturally constructed or influenced by suggestive therapeutic techniques rather than being genuine psychiatric conditions. The infamous case of Sybil, based on Shirley Mason’s life, has become a symbol of this controversy.

In the 1970s, Mason was diagnosed with multiple personalities by her psychiatrist, Dr. Cornelia Wilbur, and her case became the basis for a bestselling book and movie (Dodier et al., 2022). However, later evidence suggested that Mason may have fabricated symptoms under pressure from her therapist. Critics use this case to highlight how suggestible patients may adopt dissociative symptoms during therapy (Young et al., 2024). This fuels skepticism about whether dissociative disorders are real or if they result from social influences, media portrayals, and flawed diagnostic practices.

Supporters of the validity of dissociative disorders argue that these conditions are legitimate responses to severe trauma, particularly during early childhood. Research indicates that dissociative symptoms often emerge in individuals with histories of extreme abuse or neglect, suggesting that these disorders are adaptive mechanisms for coping with overwhelming stress. Neurobiological studies provide evidence of measurable differences in the brains of individuals with dissociative identity disorder, such as alterations in the hippocampus and amygdala, which are involved in memory and emotion regulation (Lynn et al., 2022).

Furthermore, many patients with dissociative disorders exhibit distinct physiological responses associated with different identity states, reinforcing claims of their authenticity. Advocates also emphasize the importance of recognizing and treating dissociative disorders to provide relief for those who suffer from these often debilitating conditions. However, despite such evidence, the lack of consensus within the psychiatric community ensures that dissociative disorders remain one of the most debated diagnoses in mental health.

My Professional Beliefs about Dissociative Disorders

Dissociative disorders are complex mental health conditions that warrant careful consideration and nuanced understanding. I believe these disorders are legitimate psychiatric conditions often rooted in severe trauma, particularly during early childhood, when the brain is still developing and highly susceptible to stress. Dissociation, as a coping mechanism, serves to protect individuals from overwhelming psychological pain by compartmentalizing traumatic experiences (Dodier et al., 2022).

This process can lead to symptoms such as memory gaps, identity fragmentation, and altered perceptions of reality. While skepticism exists, the subjective nature of these disorders does not diminish the genuine distress they cause. The growing body of neurobiological evidence, such as differences in brain structures and activity patterns in individuals with dissociative identity disorder, supports their validity.

At the same time, I acknowledge the challenges and controversies surrounding the diagnosis and treatment of dissociative disorders. Misdiagnosis and the potential for iatrogenic effects, where symptoms are inadvertently induced during therapy, are valid concerns. It is essential to approach these cases with an open mind while relying on thorough assessments and evidence-based practices. As a professional, I believe in the importance of providing trauma-informed care, which recognizes the impact of past experiences on present symptoms and promotes safety, trust, and collaboration in treatment (Dodier et al., 2022). Whether through psychotherapy, medication management, or supportive interventions, the goal should be to empower individuals to understand and manage their symptoms.

Maintaining the Therapeutic Relationship

Maintaining a therapeutic relationship with a client presenting with a dissociative disorder requires consistency, empathy, and a trauma-informed approach. Building trust is paramount, as clients with these disorders often have histories of trauma and may struggle with feelings of vulnerability. Consistent communication, clear boundaries, and a nonjudgmental attitude help create a sense of safety. Validating their experiences without pressuring them to recall or process traumatic memories prematurely fosters a collaborative dynamic.

Using grounding techniques can help clients stay present during sessions, reducing the likelihood of dissociation (Young et al., 2024). Flexibility in adapting to different identity states or emotional presentations is crucial, along with focusing on the person as a whole rather than specific symptoms. Encouraging self-awareness and providing tools for self-regulation can empower the client, strengthening their trust in the therapeutic process and in their own recovery.

Ethical and Legal Considerations

Working with clients who have dissociative disorders requires addressing both legal and ethical considerations with care. Confidentiality is a cornerstone of practice, particularly given the sensitive and trauma-laden nature of the disclosures these clients often share. Upholding informed consent involves more than just outlining treatment options; it is about ensuring the client’s understanding and comfort in navigating their care.

Ethical responsibility also extends to the methods used, avoiding any interventions that might lead to harm, such as suggestive techniques that could distort memories or exacerbate symptoms. Practitioners must also handle mandatory reporting delicately, prioritizing the client’s safety and well-being. Balancing these considerations creates a therapeutic space that fosters trust, respects client autonomy, and ensures adherence to professional and legal standards.

References

Dodier, O., Otgaar, H., & Lynn, S. J. (2022). A critical analysis of myths about dissociative identity disorder. In Annales Médico-psychologiques, Revue Psychiatrique 180(9), 855-861. https://doi.org/10.1016/j.amp.2021.10.007

Lynn, S. J., Polizzi, C., Merckelbach, H., Chiu, C. D., Maxwell, R., van Heugten, D., & Lilienfeld, S. O. (2022). Dissociation and dissociative disorders reconsidered: Beyond sociocognitive and trauma models toward a transtheoretical framework. Annual Review of Clinical Psychology18(1), 259-289. https://doi.org/10.1146/annurev-clinpsy-081219-102424

Young, M., Almaskati, M., Vrabtchev, S., & Kuruvilla, T. (2024). Dissociative identity disorder: A review of the diagnosis that divides. Progress in Neurology and Psychiatry28(2), 23-27. https://doi.org/10.1002/pnp.834

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