Someone who experiences moderate identity alteration may present with mood changes and behaviors that they perceive as uncontrollable. In addition, moderate identity alteration does not always manifest the presence of distinct alter personalities. “By contrast, moderate identity alteration differs from its milder countepart in that the alterations are not always under the person's control. Handbook for the Assessment of Dissociation: A Clinical Guide The clinician should be alert to the presence of this theme in the self-descriptions of all patients endorsing dissociative symptoms, not just in those of patients who completed a college degree or who are accustomed to introspection and self-analysis.” They also look alike, but they look different to me." (SCID-D interview, unpublished transcript)Īs the preceding example indicates, the theme of puzzlement is characteristic of patients at all levels of educational achievement and verbal ability. I look at the rest of my family and I say, "I ain't part of this family, man, this can't be. Patient: Who is ? Who the fuck am I? I don't know. Patient: Yes, for years, and I still can't find out who the fuck am I, man. “Interviewer: Have you ever felt as if there was a struggle going on inside of you as to who you really are?
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