Factitious and Malingered Dissociative Identity Disorder

1. DES scores of 60 or more = genuine

2. Reporting on dissociate symptoms - depersonalization, derealization, identify alteration

3. Time conceptualization

4. Personal self-reference and expression of affect

5. Expression of strong negative affect

6. Items brought to the consultation

7. Overdisclosure/oversharing

8. Disclosure of abuse details, inconsistent medical history

9. Presence of guilt, shame, suffering

10. Involvement in community and self-help groups

11. Presence of PTSD symptoms

12. Motivation for consultation

☆ Main article: Factitious and Malingered Dissociative Identity Disorder. (Thomas, 2001) https://www.ncbi.nlm.nih.gov/pubmed/2... Modern supporting citations by: Brand & Webermann & Frankel (2016) https://www.sciencedirect.com/science... Boskovic (2018) https://researchportal.port.ac.uk/por... Yates, Mulla, Hamilton, Feldman (2018) https://psycnet.apa.org/record/2018-1... ★ Additional references: ★ ☆ A case report. Factitious disorder with psychological symptoms. Is confrontation useful? (Catalina, Ugarte & Moreno, (2009)) https://www.actaspsiquiatria.es/repos... ☆ Challenges in the Treatment of Factitious Disorder: A Case Study (Hagglund, 2009). https://www.sciencedirect.com/science... ☆ Defining Comorbidity: Implications for Understanding Health and Health Services. (Valderas, Starfield, Sibbald, Salisbury, & Roland (2009)). https://www.ncbi.nlm.nih.gov/pmc/arti... ☆ Factitious Disorders. Retrieved online: https://bestpractice.bmj.com/topics/e... ☆ Factitious disorders and malingering: challenges for clinical assessment and management (Bass & Halligan, 2014) https://www.sciencedirect.com/science... ☆ Iatrogenic dissociative identity disorder—An evaluation of the scientific evidence. (Brown, Frischholz, & Scheflin (1999)).