PSYC 1 Lecture Notes - Lecture 27: Personality Disorder, Bulimia Nervosa, Bethlem Royal Hospital

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Conscious awareness becomes separated (dissociated) from previous memories, thoughts, and feelings. Dissociative identity disorder (did) (formerly multiple personality disorder) Rare dissociative disorder in which a person exhibits two or more distinct and alternating personalities--formerly called multiple personality disorder. Disruptive, inflexible, and enduring behavior patterns that impair social functioning. This disorder forms three clusters, characterized by anxiety, eccentric or odd behaviors, and dramatic or impulsive behaviors. Lack of conscience for wrongdoing, even toward friends and family members; impulsive, fearless, irresponsible; some genetic tendencies, including low arousal. Genetic predispositions may interact with the environment to produce the altered brain activity associated with antisocial personality disorder. Person (usually an adolescent female) maintains a starvation diet despite being significantly underweight. Person alternates binge eating (usually of high-calorie foods) with purging (by vomiting or laxative use), fasting, or excessive exercise. Significant binge eating, followed by distress, disgust, or guilt, but without the purging, fasting, or excessive exercise that marks bulimia nervosa.

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