NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

Walden University NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS                       

Whether one passes or fails an academic assignment such as the Walden University NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS                       

The introduction for the Walden University NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS                       

After the introduction, move into the main part of the NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS                       

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS                       

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Controversy Associated with Dissociative Disorders

The controversy surrounding dissociative disorders, such as dissociative identity disorder (DID), formerly known as multiple personality disorder, stems from several key areas of debate and skepticism within the field of psychology and psychiatry.Dissociative disorders are a group of mental health conditions characterized by disruptions or discontinuities in a person’s memory, identity, consciousness, or perception of their surroundings. The purpose of this paper is to discuss the controversy surrounding these disorders.

Controversy Surrounding Dissociative Disorders

Some experts question the validity of dissociative disorders as legitimate psychiatric diagnoses. Critics argue that other mental health conditions, such as amnesia, identity fragmentation, and depersonalization, can better explain the symptoms associated with dissociative disorders, such as mood disorders or trauma-related disorders (Blihar et al., 2020). This skepticism is fueled by the lack of clear diagnostic criteria and objective measures for diagnosing dissociative disorders, leading some to question the accuracy and reliability of the diagnosis.

The link between dissociative disorders and trauma, particularly childhood trauma, is a subject of ongoing debate. Proponents of the trauma theory argue that dissociative disorders result from severe trauma, often experienced during childhood, and are a coping mechanism to escape from overwhelming psychological pain (Temple, 2019). However, some critics challenge this theory, suggesting that therapists may construct or suggest the concept of dissociation and the memories of trauma, leading to the iatrogenic creation of false memories.

There is often an overlap of symptoms between dissociative disorders and other mental health conditions, such as personality disorders, mood disorders, and anxiety disorders, leading to questions about the distinctiveness of dissociative disorders. Additionally, co-morbidity, or multiple mental health conditions in the same individual, is common in dissociative disorders, further complicating accurate diagnosis and assessment. Dissociative amnesia, a core symptom of dissociative disorders, involves memory loss for crucial personal information (Temple, 2019). Some critics question the validity of dissociative amnesia, arguing that it may result from other factors, such as stress, neurological conditions, or malingering, rather than a genuine psychological phenomenon.

Professional Beliefs about Dissociative Disorders

My personal belief is that dissociative disorders are real and valid psychiatric conditions (Ross et al., 2020).Dissociative disorders, including dissociative identity disorder (DID), are recognized as legitimate psychiatric disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) published by the American Psychiatric Association. They are not considered as mere fabrications or feigning of symptoms, but rather as genuine psychological conditions that require clinical attention and treatment.

I also have a strong conviction that childhood trauma is a significant risk factor as demonstrated by Imperatori et al (2023). There is strong evidence linking childhood trauma, including physical, sexual, or emotional abuse, to the development of dissociative disorders. Research published in reputable journals, such as the Journal of Trauma & Dissociation and the Journal of Nervous and Mental Disease, has consistently shown that a history of childhood trauma is a significant risk factor for the development of dissociative disorders.

Maintaining A Therapeutic Relationship With A Client With A Dissociative Disorder

Establishing trust and creating a safe therapeutic environment is crucial when working with clients with dissociative disorders. These clients may have a history of trauma and struggle with trust and safety issues. It is essential to approach therapy with empathy, non-judgment, and unconditional positive regard. This can be achieved by using trauma-informed approaches, such as establishing clear boundaries, being transparent about the therapeutic process, and using grounding techniques to help the client feel safe and present at the moment (Dodier, 2019).

Collaborative treatment planning involves involving the client in decision-making regarding their treatment goals and strategies. This helps to empower the client and gives them a sense of ownership over their therapeutic journey. Collaborative treatment planning may involve developing a shared understanding of the client’s symptoms and their meaning, exploring coping strategies, and identifying triggers and warning signs for dissociation (Miller et al., 2019).

Grounding and stabilization techniques are essential in working with clients with dissociative disorders. These techniques help clients manage dissociative symptoms and enhance their capacity to stay in the therapeutic relationship. Grounding techniques, such as breathing exercises, mindfulness, and sensory awareness, can help the client to feel more connected to their body and the present moment. Stabilization techniques, such as emotional regulation, self-soothing, and internal communication skills, can help clients manage distress and stabilize their emotions (Gentile et al., 2020).

Ethical and Legal Considerations in Dissociative Disorders

As a mental health practitioner, knowing and understanding the ethical and legal considerations related to dissociative disorders is essential to provide responsible and effective care to individuals with such conditions. The following are three crucial ethical and legal considerations that should be brought into practice. Dissociative disorders can manifest differently in individuals from diverse cultural backgrounds, and cultural factors may impact the diagnosis, treatment, and understanding of dissociative disorders (Miller et al., 2019). Mental health practitioners should be sensitive to cultural differences and consider the influence of culture on the presentation and treatment of dissociative disorders.

Conclusion

Dissociative disorders are complex and controversial conditions that continue to be debated among mental health professionals, researchers, and advocates. Dissociative disorders’ controversies encompass diagnosis and validity, trauma and memory, sociocultural factors, treatment approaches, and legal and forensic issues. Further research, clinical expertise, and interdisciplinary collaboration are needed to advance our understanding of these conditions and their clinical management.

References

Blihar, D., Delgado, E., Buryak, M., Gonzalez, M., & Waechter, R. (2020). A systematic review of the neuroanatomy of dissociative identity disorder. European Journal of Trauma & Dissociation, 4(3), 100148.

Dodier, O. (2019). A bibliometric analysis of the recovered memory controversy in the 21st century. Applied Cognitive Psychology, 33(4), 571-584.

Gentile, J. P., Dillon, K. S., & Camelo, L. (2020). Treating complex trauma and dissociation: A practical guide to navigating therapeutic challenges. Springer Publishing Company.

Imperatori, C., Barchielli, B., Corazza, O., Carbone, G. A., Prevete, E., Montaldo, S., … & Bersani, F. S. (2023). The Relationship Between Childhood Trauma, Pathological Dissociation, and Behavioral Addictions in Young Adults: Findings from a Cross-Sectional Study. Journal of Trauma & Dissociation, 24(3), 348-361.

Lebois, L. A., Kaplan, C. S., Palermo, C. A., Pan, X., & Kaufman, M. L. (2022). A grounded theory of dissociative identity disorder: Placing DID in mind, brain, and body. In Dissociation and the Dissociative Disorders (pp. 392-408). Routledge.

Miller, A., Foote, B., & Osborne, V. (2019). A contemporary approach to the psychotherapy of dissociative identity disorder: Theoretical and treatment implications. Journal of Trauma & Dissociation, 20(2), 246-261

Ross, C. A., Ridgway, J., & George, N. (2020). Maladaptive daydreaming, dissociation, and the dissociative disorders. Psychiatric Research and Clinical Practice, 2(2), 53-61.

Temple, M. J. (2019). Understanding, identifying and managing severe dissociative disorders in general psychiatric settings. BJPsych Advances, 25(1), 14-25.

Sample Answer for NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS Included

NRNP 6665 CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

The DSM-5-TR is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5-TR, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.

In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE

  • Review this week’s Learning Resources on dissociative disorders.
  • Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.

THE ASSIGNMENT (2–3 PAGES)

  • Explain the controversy that surrounds dissociative disorders.
  • Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
  • Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
  • Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

BY DAY 7 OF WEEK 9

Submit your Assignment

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Rubric

NRNP_6665_Week9_Assignment_Rubric
NRNP_6665_Week9_Assignment_Rubric
Criteria Ratings Pts
In 2–3 pages, address the following:• Explain the controversy that surrounds dissociative disorders.

15 to >13.0 pts

Excellent
The response includes an accurate and concise explanation of the controversy within the field related to dissociative disorders.

13 to >11.0 pts

Good
The response includes an accurate explanation of the controversy within the field related to dissociative disorders.

11 to >10.0 pts

Fair
The response includes a somewhat vague or inaccurate explanation of the controversy within the field related to dissociative disorders.

10 to >0 pts

Poor
The response includes a vague or inaccurate explanation of the controversy within the field related to dissociative disorders. Or the response is missing.
15 pts
• Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.

25 to >22.0 pts

Excellent
The response includes a thorough and well-organized explanation of the student’s professional beliefs about dissociative disorders. Rationale demonstrates critical thinking and is strongly supported with three scholarly references.

22 to >19.0 pts

Good
The response includes a well-organized explanation of the student’s professional beliefs about dissociative disorders. Rationale is clear and appropriately supported with three scholarly references.

19 to >17.0 pts

Fair
The response includes a somewhat vague explanation of the student’s professional beliefs about dissociative disorders. Rationale is somewhat unclear and references either provide weak support for the rationale or are not scholarly/current.

17 to >0 pts

Poor
The response includes a vague explanation of the student’s professional beliefs about dissociative disorders. Rationale is unclear and references are inappropriate. Or the response is missing.
25 pts
• Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

30 to >26.0 pts

Excellent
The response includes an accurate and concise explanation of strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

26 to >23.0 pts

Good
The response includes an accurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

23 to >20.0 pts

Fair
The response includes a somewhat vague or incomplete explanation of strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.

20 to >0 pts

Poor
The response includes a vague or inaccurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder. Or the response is missing.
30 pts
• Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

15 to >13.0 pts

Excellent
The response includes an accurate and concise explanation of ethical and legal considerations related to dissociative disorders that are important to clinical practice and why they are important.

13 to >11.0 pts

Good
The response includes an accurate explanation of ethical and legal considerations related to dissociative disorders that are important to clinical practice and why they are important.

11 to >10.0 pts

Fair
The response includes a somewhat vague or incomplete explanation of ethical and legal considerations related to dissociative disorders that are important to clinical practice and why they are important.

10 to >0 pts

Poor
The response includes a vague and inaccurate explanation of ethical and legal considerations related to dissociative disorders that are important to clinical practice and why they are important. Or, response is missing.
15 pts
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.5 pts

Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive.

3.5 to >3.0 pts

Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 pts

Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
5 pts
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent
Uses correct grammar, spelling, and punctuation with no errors

4 to >3.5 pts

Good
Contains one or two grammar, spelling, and punctuation errors

3.5 to >3.0 pts

Fair
Contains three or four grammar, spelling, and punctuation errors

3 to >0 pts

Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
5 pts
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent
Uses correct APA format with no errors

4 to >3.5 pts

Good
Contains one or two APA format errors

3.5 to >3.0 pts

Fair
Contains three or four APA format errors

3 to >0 pts

Poor
Contains many (five or more) APA format errors
5 pts
Total Points: 100

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