Author Question: The client experienced severe physical, sexual, and emotional abuse in childhood. Today, she ... (Read 116 times)

rayancarla1 · **on:** Jul 19, 2018

The client experienced severe physical, sexual, and emotional abuse in childhood. Today, she believes there are two other people living in my body. She has been diagnosed with

1. identity diffusion.
2. dissociative amnesia.
3. depersonalization disorder.
4. dissociative identity disorder.

Question 2

When a patient with a personality disorder uses manipulation as a way of getting needs met, the staff agree to use limit setting as an intervention. How does limit setting work to reduce manipulation?

a. Limit setting indulges the patient's desire for attention from staff.
b. It gives the patient a different concern on which to focus his anger.
c. External controls provide security while internal controls are developing.
d. When staff limit the patient's behavior, he is no longer anxious about it.

flannelavenger · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Dissociative identity disorder develops as a defense against prolonged and inescapable trauma.

Answer to Question 2

C
A lack of internal controls leads to manipulative behaviors such as lying, cheating, conning, and flattering. To protect the rights of others, external controls are implemented until the patient is able to develop internal controls (i.e., to control his behavior on his own). Properly implemented, limit setting does not provide the patient with undue attention. Although patients may become angry when limits are set, limits are not designed to draw the focus of a patient's anger off some other target. Limit setting can sometimes reduce patient anxiety but in other cases can temporarily increase it.