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The Multiscale Dissociation Inventory (MDI) is a comprehensive, self-administered, multiscale instrument developed by Paul F. Dell. [1] It is designed to assess the domain of dissociative phenomena. [2] The MDI measures 14 major facets of pathological dissociation and uses 23 scales to diagnose dissociative disorders. [1] [3]
Dissociation is commonly displayed on a continuum. [18] In mild cases, dissociation can be regarded as a coping mechanism or defense mechanism in seeking to master, minimize or tolerate stress – including boredom or conflict. [19] [20] [21] At the non-pathological end of the continuum, dissociation describes common events such as daydreaming.
It contains twenty-eight questions and returns an overall score as well as four sub-scale results. [1] DES is intended to be a screening test, since only 17% of patients with scores over 30 will be diagnosed with having dissociative identity disorder. [2] Patients with lower scores above normal may have other post-traumatic conditions.
As patients with dissociative disorders likely experienced intense trauma in the past, concomitant dissociative disorders should be considered in patients diagnosed with a stress disorder (i.e. PTSD or acute stress disorder). [50] The diagnosis of depersonalization disorder can be made with the use of the following interviews and scales:
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These factors interact to create a threshold for the development of mental disorders. The types of coping and defense mechanisms used can either contribute to vulnerability or act as protective factors. [37] Coping and defence mechanisms work in tandem to balance out feelings of anxiety or guilt, categorizing them both as a "mechanisms of ...
Developing coping strategies to manage these symptoms of holiday stress is vital for maintaining overall well-being all year long. It might be dealing with intrusive questions about your weight ...
Otherwise, Erkfitz says, “Many therapists offer sliding scales, or your community or state may have options for public services that may be free or low-cost.”