Individuals with DA are unable to remember important
information, and the loss of memory is too extensive to have occurred
through normal forgetting. As with other mental disorders, the forgetting
must be extensive enough to cause clinically significant distress or
impairment, and it must not occur because of a more extensive mental
disorder, a physical disorder or trauma, or the effects of drugs. The
memories lost are usually of stressful events, as of battlefield
experiences. It is important to distinguish between DA and Post-Traumatic
Stress Disorder. Diagnoses of DA have increased in recent years,
especially cases of alleged forgetting and later recovery of incidents of
sexual abuse. In these cases, it has been difficult to separate cases of
recovery of genuinely repressed memories from cases of false memories
produced during treatment.
In cases of genuine DA, memories are sometimes recovered
after the individual is removed from the stressful situation that produced
the amnesia. For example, within days after the battle is over, the
soldier may recover his memories of what happened. In other cases,
supportive therapy that includes having the patient free associate about
events that preceded the lost experiences may help in memory recovery. The
same medications that are useful in treating anxiety or depression may be
helpful temporarily for patients with dissociative disorders.
Individuals with DA, as well as those with most other
Dissociative Disorders, tend to be more suggestible, and thus
hypnotizable, than most people. Partly for this reason, hypnosis is also
used fairly frequently in therapy designed to assist with the recovery of
memories. Therapists must be careful in cases of possible sex abuse
not to suggest memories to a patient in therapy, lest false memories be
produced or genuine memories not be admissible in court.
Visit the Dissociative
Disorders web page produced by the National Alliance for the Mentally
Ill.
Last updated 12/19/03