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Establishing Safety with Patients with Dissociative Identity Disorder.

Bethany Brand1

  • 1a Towson University , Towson , MD , USA.

Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)
|February 2, 2018
PubMed
Summary

Patients with dissociative disorders often experience self-harm and suicidal thoughts. This article offers clinicians practical steps for managing safety, understanding self-destructive behaviors, and identifying contributing factors in dissociative patients.

Keywords:
Self-injurydissociative identity disorderself-harmself-mutilationsuicidality

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Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Neuroscience

Background:

  • High incidence of self-mutilation and suicidality in dissociative disorders.
  • Clinical necessity for effective safety management strategies.
  • Understanding the complex nature of self-destructive behaviors in this population.

Purpose of the Study:

  • To provide clinicians with a structured approach to patient safety.
  • To explore the underlying functions of self-destructiveness in dissociative disorders.
  • To identify specific patient experiences and cognitive patterns linked to self-harm.

Main Methods:

  • Presentation of a sequential, step-by-step safety protocol.
  • Discussion on the psychological functions served by self-destructive actions.
  • Overview of contributing experiential and cognitive factors.

Main Results:

  • Clinicians can utilize a basic safety framework for dissociative patients.
  • Self-destructiveness serves various psychological functions.
  • Specific patient experiences and thought patterns are linked to increased risk.

Conclusions:

  • Effective safety management is crucial for dissociative disorder patients.
  • Understanding the functions and triggers of self-harm is key to intervention.
  • This article provides a foundational guide for clinical practice.