Dissociation and Misdiagnosis in Populations Experiencing Chronic Discrimination and Social Defeat

Abstract

The elevated rate of psychotic symptoms in isolated, inner-city Black populations is well established. This presentation will review the available evidence that this amplification in psychosis-like symptoms is mediated by childhood trauma, disorganized attachment, and social defeat. These three variables combine in early childhood to create a pattern of dissociative coping strategies. Undiagnosed dissociative spectrum illness is mediating the increased rate of psychosis-like symptoms in these disadvantaged, minority communities. Case material will be used to highlight this phenomenon.

This session was originally presented as a live conference session in April 2023.

Target Audience

Beginning
Intermediate
Advanced

Learning Objectives

At the conclusion of this session participants will be able to:

  • Summarize the history of racial disparities in the diagnosis of schizophrenia
  • Define Social Defeat and recognize its etiological role in dissociative disorders
  • Describe the role of disorganized attachment in childhood adversity and dissociative disorders
  • Recognize the overlap of symptoms between psychosis and dissociation
  • Design a treatment plan to work with patients suffering from discrimination and social defeat
Course summary
Course opens: 
11/01/2023
Course expires: 
12/31/2050
ISSTD Member cost:
$35.00
Your Price:
$55.00
Rating: 
0
Presenter: Heather Hall, MD
Presenter Bio: Dr. Hall is a board-certified adult psychiatrist with over thirty years of experience. She combines expertise in psychopharmacology and psychotherapy to develop treatment plans tailored to each patient. Before establishing her private practice, Dr. Hall was an associate clinical professor of psychiatry at UCSF and UC Davis. Dr. Hall specializes in the psychiatric treatment of complex trauma. In addition, she has published several papers on the social determinants of Dissociative Disorders, specifically on the role of social defeat. A member of the ISSTD since 2012, she is currently co-chair of the ISSTD Public Health Committee and the Annual Conference Committee chair. Dr. Hall served two terms on the ISSTD Board of Directors. After graduating from Smith College in Northampton, MA., she completed her medical training at Drexel University in Philadelphia, PA, and her psychiatric training at The Institute of Pennsylvania hospital. Dr. Hall lives Northern California, with her husband and two dogs. She has enjoyed playing classical piano for over 50 years and has developed this into a mindfulness practice. A member of the ISSTD since 2012, she is currently co-chair of the ISSTD Public Health Committee and the Annual Conference Committee chair. Dr. Hall served two terms on the ISSTD Board of Directors. After graduating from Smith College in Northampton, MA., she completed her medical training at Drexel University in Philadelphia, PA, and her psychiatric training at The Institute of Pennsylvania hospital. Dr. Hall lives Northern California, with her husband and two dogs. She has enjoyed playing classical piano for over 50 years and has developed this into a mindfulness practice.

Price

ISSTD Member cost:
$35.00
Your Price:
$55.00
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"Your Price" above reflects your final price based on your membership status and career level. 

  • ISSTD defines a student as those enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. 
  • ISSTD defines an emerging professional as mental health professionals who have completed an advanced degree and are in the first three years of their career (or first three years after graduation for researchers).
  • If you do not fall into one of the above categories please register as Professional/Retired. 

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