ENDING THE PRETENCE Can the diagnostic reliability of Dissociative Identity Disorder be improved?

Laurence, Stephanie (2017) ENDING THE PRETENCE Can the diagnostic reliability of Dissociative Identity Disorder be improved? Undergraduate thesis, University of Chichester.

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Abstract

In this literature review I will explore whether the medical procedures utilised for the diagnosis of Dissociative Identity Disorder can be improved and what impact any improvement might have on the field of social work. Even since its inclusion in the DSM-V, Dissociative Identity Disorder remains a controversial mental health diagnosis and divides psychiatric clinical opinion; it has a widely documented history of possible iatrogenic contamination and of being feigned or malingered.
The objective of my literature review is to distinguish and investigate the advantages and disadvantages of the available diagnostic instruments. I will outline and critically appraise the current procedures for diagnosis, comparing and contrasting available relevant literature alongside seminal works on dissociation. Considering the increasing prevalence of dissociative disorders, many social workers and students, I believe, do not have sufficient knowledge of these conditions. Consequently, they are unable to provide the quality of care required.
From undertaking this study, it has become apparent that a combination of poor diagnostic processes, professional subjectivity and a shortage of medical research has affected the level of interest and funding into dissociative disorders. I discovered that many of the diagnostic measures are self-reported and therefore ultimately unreliable; there is also a wide and obstructive schism of thought concerning dissociative disorders and that more psychobiological (medical) research needs to be commissioned as it achieves the most reputable outcomes. Regardless of personal opinion or psychiatric validity, there are potentially many implications for social workers who work alongside Dissociative Identity Disorder patients, namely concerning the safeguarding of vulnerable individuals and the various moral and ethical issues that such a contentious diagnosis might uncover. In conclusion, I feel that it is vital that these impacts are addressed in order to ensure that social workers feel supported, informed and safe, so that they can deliver the best possible care.

Item Type: Thesis (Undergraduate)
Additional Information: BA (Hons) Social Work
Uncontrolled Keywords: Dissociative Identity Disorder, Validity,Genuine, Malinger,Reliability, Diagnosis
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HV Social pathology. Social and public welfare > HV40 Social service. Social work. Charilty organisation and pracitce
Divisions: Departments > Social Work
Undergraduate Dissertations
Depositing User: Wendy Ellison
Date Deposited: 10 Aug 2017 12:37
Last Modified: 10 Aug 2017 12:37
URI: http://eprints.chi.ac.uk/id/eprint/2890

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