4. Feeling of unreality; detachment from a stressful situation— 3. Assumption of additional identities within the personality; 1. Impairment in recall. 2. Sudden travel away from familiar surroundings; assumption ● method of dealing with stressful situations.behavior involves transition from one identity to another as a AND OBJECTIVE DATA) b. Inability to recall any of one’s past life, including one’s a. Inability to remember specifiof new identity, with inability to recall past.^ SYMPTOMATOLOGY (SUBJECTIVE gested that the number of an individual’s alternate per-sonalities may be related to the number of different types of abuse he or she suffered as a child. Individuals with by any means other than dissociation. These experiences into adolescence.usually take the form of severe physical, sexual, and/or psychological abuse by a parent or signifimany personalities have usually been severely abused well child’s life. DID is thought to serve as a survival strategy for the child in this traumatic environment, whereby he or she creates a new being who is able to experience the overwhelming pain of the cruel reality, while the primary self can then escape awareness of the pain. It has been sug-identity. c incidents.Dissociative Disorders cant other in the ●^193
2 2506_Ch10_191-200.indd 0193 506 Ch 10 191 - 200 .indd inpatient and partial hospitalization, community outpatient clinic, [Childhood abuse]●home health, and private practice.) [Childhood trauma](Interventions are applicable to various health-care settings, such as [Severe level of anxiety, repressed]Common Nursing Diagnoses and InterventionsPossible Etiologies (“related to”)available resources adequate choices of practiced responses, and/or inability to use 0 Defi 1 93 a disturbance in the subjective sense of time (APA, 2000).INEFFECTIVE COPINGmay be accompanied by dizziness, depression, obsessive ru-mination, somatic concerns, anxiety, fear of going insane, and nition: Inability to form a valid appraisal of the stressors, in- 1 10/1/10 9:35:31 AM 0 / 1 / 10 9 : 35 : 31 AM
