A diagnosis of dissociative identity disturbance has been identified for a patient who has stated that he is unable to distinguish between himself and his surroundings. What is an appropriate outcome for this patient?
a. Refers to himself as "the patient"
b. Identifies the onset of increasing anxiety
c. Uses manipulative behaviors to meet needs
d. Displays ability to suppress feelings of dissatisfaction
ANS: B
Dissociative identity disturbance is exacerbated when the patient's anxiety escalates. Identi-fication of increasing anxiety permits the patient to exercise anxiety-management strategies and prevent dissociation. The patient should be expressing such feelings to others. The pa-tient should refer to himself in the first person. Use of manipulative behavior is not desirable in this or any other patient.
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