Intercultural contact may also influence the characteristics of other identities. In settings where possession is part of cultural beliefs, the fragmented identities of a person who has DID may take the form of spirits, deities, demons or animals. In the case of dissociative identity disorder and dissociative amnesia, patients may present with unexplained, non-epileptic seizures, paralyses or sensory loss. Many features of dissociative disorders can be influenced by a person’s cultural background. If physical causes are ruled out, a mental health specialist is often consulted to make an evaluation. A doctor may perform tests to rule out physical conditions that can cause symptoms such as memory loss and a sense of unreality (for example, head injury, brain lesions or tumors, sleep deprivation or intoxication). Diagnosisĭoctors diagnose dissociative disorders based on a review of symptoms and personal history. Natural disasters and combat can also cause dissociative disorders. Dissociative disorders most often form in children exposed to long-term physical, sexual or emotional abuse. This can lead to elevated false negative diagnosis.ĭissociative disorders usually develop as a way of dealing with trauma. Men are more likely to deny symptoms and trauma histories, and commonly exhibit more violent behavior, rather than amnesia or fugue states. Women are more likely to be diagnosed, as they more frequently present with acute dissociative symptoms. People with DID will experience gaps in memory of every day events, personal information and trauma. Often these identities may have unique names, characteristics, mannerisms and voices. A person may feel like one or more voices are trying to take control in their head.
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