Nursing Care for Dissociative Indentity Disorder

divisible identity disorder is a commonalty mental disorder. Ameri shadow Psychiatric connecter (2000) defines DID as, presence of two or more than distinct identities or personality states that recurrently take control of the individuals behaviour, accompanied by an inability to crawfish of the essence(p) personal information that is as nearly extensive to be explained by average forgetfulness (as cited in Ringrose, 2011, p. 294).Coons (1998) states that an individual twinge from DID shows dissimilar personalities who whitethorn have antithetical ages, names, and functions (as cited in Gentile, Dillon & Gillig, 2013, p. 24). The original personality is legions and genuine personalities atomic number 18 alters who may have different level of conciousness and knowledge (Persin, 2011, p. 58). It is complex attribute of disorder, Briere & Elliott (2003) and Spitzer et al. (2006) estimate that 1 to 3 per centum of total population are slimy from DID in North America (as cited in Gleadhill & Ferris, 2010, p. 3). The complexities in personality of the DID unhurried bump off difficulty in interference however, Chlebowski and Gregory (2012) grapple that sychotherapy, cognitive behavioral therapy, hypnosis, assort and family therapy are common for the treatment methods for DID (p. 165). By fractureing effective foresighted term nurse care plan, and implementing it through the individual, family or classify therapy, nursing intervention can run for important role for the treatment of DID patient of having different symptoms.DID patients may show some(prenominal) symptoms including amnesia, identity disorderliness, identity alteration, regaining of sledding of time and space, flashbacks, nightmares, headache, and emotional instability. Steinbergs (2004) merged clinical interview for the diagnosis of DID identifies the five-spot core symptoms as amnesia, depersonalisation, derealisation, identity con nuclear fusion reaction and identity alteration (as cited in Gleadhill & Ferris, 2010, p. 43).DID patient may also have the symptoms much(prenominal) as affright of others, loneliness, deep danger and lack of a coherent esthesis of self, loss of time and space, flashbacks, nightmares, fragmented and lacking(p) memories, headaches, emotional instability ranging from extremes of rage and fear through to numbing and inability to feel (McAllister, 2000, p. 26). Coons (1998) identifies some somatic symptoms such as pseudoseizures, conversion, and gastrointestinal and genitourinary disturbances (as cited in Gentile, Dillon & Gillig, 2013, p. 24).Coons promote agrues that DID patients usually show the signs such as eye rolling, eye blinking, trancelike behaviour, and changes in posture during changing of personality from host to alter. Some of the DID patients also report divisible symptoms of extrasensory experiences such as hallucinations (Gillig, 2009, p. 26). whatsoever the symptoms the DID patient shows, there are cardinal several traumatic causes for the patient suffering on his/her childhood. DID is acquired in the childhood callable to severe ongoing neglect, physical, emotional, psychological and sexual detestation.Lev-Weisel (2008) states that when child gets abused, mostly sexually abused, he/she thinks the body no longer be a safe home, and thinks to get unfreeze from the abused status (as cited in Gleadhill & Ferris, 2010, p. 43). This situation develops dissociative behaviours in an individual as a coping mechanism. Curtis (1988), and Ross and Fraser (1987) argue that repeatition of abuse strengthens the defense mechnism of dissociation which allows abusive memories to be stored in different reminiscence banks so that alter is formed with different personalities to cut through the abuse (as cited in Precin, 2011, p. 8). Gold, Hill, Swingle and Elphant (1999) and Volkman (1993) state that the gracelessness of the DID depends on childs age at the time of abuse, duration and s everity of abuse, emotional appendix to the abuser, and psychological factors (as cited in Gleadhill & Ferris, 2010, p. 43). In supplement to severe child abuse, Armstrong (1991), and Main and Solomon (1986) position that a disorganized attachment style, and the absence of social as well as familial stick out also develop DID (as cited in Gillig, 2009, p. 24).Several therapies are in practice for the treatment of the DID such as sychotherapy, cognitive behavioral therapy, art therapy, hypnosis, group and family therapy. Among them common treatments for DID identified by Pais (2009) admit individual, family, or group therapy, creative liberal arts therapies, pharmacotherapy and clinical hypnosis (as cited in Gleadhill & Ferris, 2010, p. 44). Due to complexity of disorder and multiple personalities to treat indoors an individual, Weber (2007) reports that its treatment is often long as well as challenging with possibility of remission scarce (as cited in Gleadhill & Ferris, 20 10, p. 3). Chlebowski and Gregory (2012) argue that the treatment computer simulation with the largest empirical basis has been Klufts (1999) individualised and multistaged treatment (p. 167). They state, It involves devising contact and agreement among alters to work towards integration, accessing and bear upon trauma with occasional use of hypnosis, schooling new coping skills, and eventually fusion among the alters and the self (p. 167).OReilly in1996 develops a nursing therapy model for the treatment of DID patient that focuses basically on three stages reassuring present safety, associating important merories by ensuring patient confidence, and listening, applying and sharing the reading material (as cited in McAllister, 2000, p. 31). McAllister et al. after an action search in 2001 find that nurse can reassociate the memory of DID patient by developing effective individualized as well as group therapeutic human relationship with the patient (P. 31).Association of diss ociative memory is quite challenging work among the clinical psychologist however, longitudanal individual and group therapies are tacit considered as effective methods for the treatment of DID. With patients support on treatment, nursing intervention may be effective method for the treatment of DID patient by developing longitudanal, individualized and multistaged effective care plan. Some studies on nursing therapy for DID patient show its potence for the treatment however, further research is required to identify its effectiveness.