GudOnya
Club Legend
- Joined
- May 15, 2017
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- Tasmania
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- Carlton, Tennessee Titans
Just to clarify I'm not a clinician myself, I was in a management position, but I did have quite a few interactions with the patient as they had particular needs that had to be handled carefully when it came to the admin side.Is that so? Happy to take your word as someone with professional experience. That’s interesting.
Let’s say diagnosis over time has been problematic as potential sufferers are sometimes believed to have developed the more extravagant features as a result of overzealous treatments, hypnotherapy in a less than professional setting, suggestion etc and various cases shown to be malingering (given a dissociative disorder presents opportunities to claim no recollection of periods of time, and as an explanation for bizarre or even criminal conduct). I believe another problem with certainty around the disorder is the substantial increase in presenting patients around those times where the disorder appeared in popular movies.
Given your experience, I’ll accept there are genuine sufferers albeit few. My less than perfect recall is that the identity dissociation is thought to stem from hideous and prolonged abuse in early formative years - so the worst possible ongoing cruelty in early childhood.
Hideous as Sayer’s claim about the causes of his wife’s purported instability, it’s not what I understand to be the pattern. Also, a useful claim (albeit idiotic) if you think your wife will be questioned and convincingly denies the allegations. You could just say she wouldn’t know because dissociating or some such. I’m definitely not buying it.
I don’t suppose there might be any other health professionals who might explain the medical purpose for photographing your penis while lying in bed because that one seems a mystery.
This patient was essentially untreated due to the age that they first presented to the health system and the complexity of their case, they had seen probably 5 different Psychiatrists prior to us and only ever for one or two appointments as each one basically said they had no idea how to treat them.
Without going into too much detail this patient and specifically what they had to endure in their early life (they only escaped their situation in their 30's) was one of the main reasons I left that industry. You are also correct about the cause in this particular example. The end result for them was admittance to an in-patient facility and at that time there were no expectations of release, it was going to essentially be palliative care for a very extended period of time. It was a voluntary admission.

