Trastorno de identidad disociativo: caracterización y tratamiento

Abstract

Introduction: Dissociative Identity Disorder is distinguished by unexpected disturbances of the self and frequent dissociative amnesias, altering functions such as memory, perception, consciousness and identity; in addition, identities generate diverse personal events, experiences, memories and unequal feelings in the patient's life. Objective: The aim of this study was to support the diagnosis of a Dissociative Identity Disorder through the analysis of a cinematographic film for the approach of an intervention program from the cognitive-behavioral approach. Methodology: A bibliographic review with descriptive scope based on updated scientific articles was carried out. Conclusions: The causal factor of dissociative identity disorder was the childhood sexual abuse suffered by the protagonist, and therefore dissociation was a coping mechanism in the face of this traumatic event. The presence of four identities and amnestic episodes was identified. Catatonic schizophrenia with hallucinations, delusions, disorganized speech, decreased interpersonal functioning, catalepsy, waxy flexibility, and mutism; in addition to major depressive disorder were found as associated disorders. In the cognitive-behavioral intervention plan for Dissociative Identity Disorder, CBT techniques rapport, ABCDE, cognitive model, affective communication, diaphragmatic relaxation, thought regulation and logical reasoning, roleplay, Jacobson's progressive breathing, feedback, reframing, cognitive discussion, Socratic dialogue, and cognitive restructuring are used to reduce dissociative