S45: “Can I speak to Sam now please?” Co-designing supports for working with Dissociative Identity Disorder.

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By September 26, 2017 No Comments

Authors: Karen Thomas-Goldsmith

Year: 2017

Event: 2017 TheMHS Conference

Subject: Trauma-informed care,Lived Experience, Recovery,Research & Evaluation Informing Practice

Type of resource: Conference Presentations and Papers

Abstract: "Sam, who's Sam?" she said with a grin on her face, "Sam is a conglomerate of all my others, she isn't a real person on her own, It makes me laugh when you talk to Sam, because you are really talking to Dawnie” (Sam, 2017).

This simple exchange started a long conversation, one fully informed by the experiences of Sam. We had been working with Sam for a period of time and were aware of her diagnosis of Disassociated Identity Disorder (*DID), however we had inadvertently driven the support type she received. We were focusing all of our support on 'Sam'. This presentation will showcase our work with Sam, as a case study of applying person centred practise. Connections continues to work on designing “a continuous process of developing person-centred cultures”.

Implementing the National Disability Insurance Scheme will require services to undertake a rigorous review of how they work with people, and to ensure that person centred practise is imbedded in all models of support.

*DID is characterized by the presence of two or more distinct identities or personality states that recurrently take control of the individual’s behaviour, dissociated states are not fully-formed personalities, but rather represent a fragmented sense of identity.

Learning Objectives
Learning Objective 1: The audience will leave with;
- A sense of self reflection that challenges their current person centred practises.
- An example of how person centred practise can be achieved and how the whole team can learn from it.
- Learnings of what activities/behaviours and actions worked or did not work in applying person centred practice.

Learning Objective 2:
- Increased insight and understanding of working with a person with DID
- Understanding person centred practise in the world of NDIS for people with a psycho-social disability

Manley, B. McCormack, & V. Wilson (eds.), 2008, International Practice Development in Nursing and Healthcare (pp 379-395). Oxford: Blackwell.
Putman, R.W (1985), Disassociation as a response to extreme trauma. In R.P Kluft (Ed.) Childhood antecedents of multiple personality (p65-97) Washington DC: American Psychiatric Press
American Psychiatric Association, 2000; Fine, 1999; Frey, 2001; Kluft, 1999; Kluft, Steinberg & Spitzer, 1988; Maldonado et al., 2002; Spiegel & Cardeña, 1991; Steinberg et al., 1993. sourced 13the March 2017 at http://www.isst-d.org/?contentID=76

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