Do talk out loud to yourself. In fact, Christians

Do the questions appear to be consistent with a DSM-5 diagnosis of dissociative disorder? Why or why not?According to the (American Psychiatric Association, 2013) dissociative disorders are categorized by the disturbance and or discontinuance of thought processes, memory loss, self-identity, emotion, self-representation, depression, and anxiety. The Dissociative Experiences Scale is a highly used screening tool for diagnosing dissociative disorders according to (Bernstein & Putnam, 1986). After analyzing the dissociative experiences scale questions I was able to see that the questions are in fact, consistent with the Diagnostic and Statistical Manual of Mental Disorders-Five diagnosis. It allows the participant to rate their experiences by using percentages. The Diagnostic and Statistical Manual of Mental Disorders-Five diagnosis are based on the disruption of psychological functioning. The 28-questions are based on experiences and how often specific experiences happen.Are there any questions that may not be culturally sensitive? Why or why not?Individuals that are aware of other cultural preferences that exist among people without placing judgment refers to cultural sensitivity.The Dissociative Experiences Scale is broad and unspecific. It appears that not all questions are culturally sensitive. This could depend on the client’s beliefs, culture and or religion. For example, one question presented “when they are alone they talk out loud to themselves.” Some religions believe that it is acceptable to pray or talk out loud to yourself. In fact, Christians believe that it is of great benefit to praying out loud due to “ever-increasing faith.” according to (Germaine, 2017). It is essential to know that dissociative disorder symptoms can present as “normal” depending on specific beliefs, cultures and or religious according to (Lyons, 2015). Helping professionals should always be able to understand the aspects of other cultures. According to National Association of Social Workers, helping professionals should understand and recognize the strengths that exist in all cultures.As a social worker working with a client, when would you decide it is necessary to use this scale?As a social worker, I would assess a client by using the biopsychosocial approach. According to the National Alliance of Mental Illness, traumatic events can result in dissociative disorders.  I would be able to assess the client holistically by gaining client’s background information, past medical history, and family history. The biopsychosocial approach would help me become more competent with the client’s health and assist me with implementing treatment. For example, having a client that complains of constant of out-of-body experiences, detachment from emotions or keeping memories under control would cause me to use the scale. When an individual’s chief complaint falls along the lines of periodic memory loss, suicidal ideations, lack of self-identity, and or depression are all symptoms of dissociative disorders according to the National Alliance of Mental Illness. The Dissociative Experiences Scale is a useful tool for helping professionals who have clients battling with dissociative disorder symptoms according to (Bernstein & Putnam, 1986). Most importantly, it helps to be competent of the Dissociative Experiences Scale because if a client is struggling with substance abuse results can be affected (Bernstein & Putnam, 1986).Based on the DSM-5 criteria, are there questions you would add to this scale?Based on the Diagnostic and statistical manual of mental disorders edition-five criteria, I do not see a need to add questions to this scale. The Dissociative Experiences Scale has been beneficial and consistently effective. According to (Carlson et al., 1986), the Dissociative Experiences Scale displayed internal consistency and reliable scores in various studies. In addition, (Carlson et al., 1986) validation studies displayed correlations between ages and socioeconomic status. The Dissociative Experiences Scale contains useful information reliability, validity, and structural ranges of scores according to (Carlson et al., 1986).


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