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The Differences Between Schizophrenia and Dissociative Identity Disorder

The Differences Between Schizophrenia and Dissociative Identity Disorder

A lot of the time, people confuse two uncommon mental disorders: Schizophrenia, and Dissociative Identity Disorder (DID), also known as multiple personality disorder. Other than the fact that many people who have these disorders are stigmatized by society, they both have little in common.

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    Schizophrenia

    Schizophrenia[1] is a mental disorder characterized by hallucinations (seeing and hearing things and people that are not there), delusions, abnormal behavior, and failure to understand what is real and what is not real. It is usually diagnosed in the late teens or early to late 20’s, and has been found to occur more in men than women. Schizophrenic people often find it difficult to live normal lives and conduct normal activities, such as interacting with others or holding down a job; they can also be depressed because they hear voices they do not recognize in their head.

    Schizophrenia is difficult to treat because schizophrenic people have difficulty maintaining the treatment regimen, which usually involves medications and psychotherapy.

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    Dissociative Identity Disorder (Multiple Personality Disorder)

    Dissociative identity disorder (DID),[2] also known as multiple personality disorder, is characterized by two or more distinct identities or personalities that exist within a person. These identities are often formed as a coping mechanism due to traumatic experience(s). Sometimes, a person with DID will lose track of time or will be unable to account for some period of time during their day. This usually occurs when identities or personalities within the individual takes control of them.

    Contrasting the Two

    While trauma is associated with both disorders, the traditional difference is that with schizophrenia, trauma tends to be a consequence of the illness and not causative. Trauma doesn’t make someone have schizophrenia, whereas for almost everyone with DID, it has been found to be a reaction to trauma. Schizophrenia is classified as a psychological disorder, and managed mostly with drugs, whereas DID is considered a developmental disorder that is more responsive to behavioral modifications and psychotherapy.

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    The difference between the two disorders seems clear cut, but psychiatrist Brad Foote of the Albert Einstein College of Medicine warns his peers that it is possible to confuse the two conditions early in the course of treatment.

    Schizophrenic people usually have a more difficult time functioning in society, and have an even harder time with social relationships such as family, work, and friends because of the nature of the disorder. However, if they have strong family and community support, they can do well, and can lead fulfilling, happy, and healthy lives, with rewarding social and family relationships.

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      People with dissociative identity disorder can also often lead successful, “normal” lives, and healthy, happy relationships with others. While, like with schizophrenia they can “hear voices” in their head, the voices are that of different identities or personalities within them. Such personalities or identities may help or allow the person function in life with only momentary disruptions. However, others with DID may have a more difficult time, because the identities continually take over parts of their life, often making them lose track of time.  The struggle of trying to cope with the disorder may cause them to become depressed.

      While both schizophrenia and dissociative identity disorder are serious and chronic mental health disorders, the differences between the two disorders are stark. People with schizophrenia hear, see and believe things that aren’t real, and have trouble distinguishing reality from hallucination; they do not have multiple identities or personalities. People with DID do not have delusions or see things that aren’t there; the only voices they hear or talk to are their other personalities or identities.

      Featured photo credit: WiseGeek via wisegeek.org

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      Elise Bauer

      Freelance Writer, Lawyer & Blogger

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      Published on October 5, 2020

      What Are Creative Problem Solving Skills (And How To Improve Yours)

      What Are Creative Problem Solving Skills (And How To Improve Yours)

      I think we’re all familiar with that feeling of needing to solve a problem, trying way too hard, getting frustrated, and then throwing our hands up in defeat. For example, when my editor assigned me this topic, the structure and concept of the piece weren’t instantly clear to me. I had to problem-solve to figure out how to even begin. But problem-solving isn’t quite so linear. It’s not just a matter of brute force. You can’t just muscle your way through. This is where creative problem solving comes in.

      Creative problem solving is about using what we know about how the brain works to come up with outside-the-box solutions to creative problems. Sure, we can do things the same way we’ve always done them. Or we can try creative problem solving, which means we spend time ideating (a.k.a. brainstorming), collaborating, ruminating, and refining to land on better and more novel solutions than we could have if we tried to force or rush a solution.

      Stages of Creative Problem Solving

      There’s no right or wrong way to try creative problem solving, but there are some stages that can help you integrate it into your creative process. Here are the 4 stages of creative problem solving

      1. Ideating/Brainstorming

      If we’re using creative problem solving, we’re not just going with the first idea that pops into our heads. Brainstorming is crucial to come up with more novel solutions.

      One of the most important things to keep in mind during brainstorming is that this is not the time to evaluate or judge ideas. The goal of ideating is to come up with as many ideas as possible.

      There’s an improvisation rule called “Yes, And” or the rule of agreement that can help you get the most out of your brainstorming sessions.[1] The idea is simple. If you’re brainstorming in a group and someone tells you an idea, you need to go along with that idea. That’s the “Yes” part of “Yes, And.” Then, you can take it a step further by trying to add to that person’s idea.

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      Let’s say you and your team are trying to figure out how to rebrand your shoe company. Your colleague says you could use a mascot. If you’re using improv’s “Yes, And” rule, you might agree and say that the mascot could be a shoe or a sock or a lonely sock looking for a shoe.

      During the ideation stage, no one should be worried about which ideas are good and which are bad. Everyone is trying to come up with as many ideas as possible, and everyone should be trying to make the most of everyone else’s ideas.

      “Yes, And” can also work if you’re creative problem solving alone. Instead of discarding ideas, you should be saying yes to your ideas, writing them all down, and trying to make all of them as workable as possible. But before you get too far in your creative process, it’s important to run your ideas by someone else.

      2. Collaboration

      I know sometimes you don’t want to share your ideas with other people. Maybe you’re self-conscious or you just don’t think that your idea is ready for prime time. However, it’s important to step out of your comfort zone and let other people join your creative process if you want to reach the best possible creative solution.

      When we’re working in a team, it’s important to not judge each other’s ideas until we’re safely in the final stage of the creative problem-solving process. That means no critiques, no evaluations, and no snarky comments. Not yet, at least.

      The reason to hold off on evaluating ideas at this stage is that some people tend to shut down if their ideas are judged too early. There’s a concept called creative suppression that occurs when people stop a creative pursuit temporarily due to feeling judged, shamed, or embarrassed.[2] Even worse, creative mortification is when judgment, shame, or embarrassment makes you quit your creative pursuit altogether.

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      When you’re collaborating with others while creative problem solving, you don’t want to shut anyone down. The more people who are actively engaged in the creative process the better.

      In improv, there’s something called “group mind.” The basic idea is that a group can come up with a better solution than any single individual. It makes sense since each person in the group enters the creative process with their own strengths, knowledge, background, experience, and ideas. That means that when the group is working harmoniously, the best contributions of each individual will be reflected in the team’s solution, making that solution far better than what any individual could have come up on their own.

      So, find someone you trust and lay the ground rules for your collaboration. Tell each other that you won’t be judging each other’s work just yet to bring out the best and make it as creative and effective as possible.

      3. Pause

      It can seem counterintuitive to pause during the creative process. But to tap into the creative unconscious parts of your brain, you need to stop forcing it and let your mind wander.

      The part of your brain that you’re using to understand this article right now is not necessarily the part that’s going to come up with the most novel solution to your problem. To start using your creative unconscious brain, you need to take a break.

      Have you ever had that experience of struggling with a problem and then effortlessly figuring it out while you were showering or walking the dog? That’s your unconscious brain doing the heavy lifting.

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      This part of the brain can’t be forced into creative problem solving, so stop consciously obsessing about your problem for a while. Take a walk. Go for a drive. Let your mind wander. Dream. This gives your unconscious mind a chance to sort information and come up with some truly novel solutions.

      The bonus to letting your unconscious take over is that it’s effortless. Conscious thought requires you to burn lots of energy, while unconscious doesn’t. So, stop trying so hard and let ideas come to you.

      4. Refine

      At some point, you’re going to have to start evaluating, eliminating, and refining your ideas to get to the best solution. But if you’ve brainstormed, collaborated, and ruminated enough, you should have plenty of material to work with.

      An Example of Creative Problem Solving

      I think it’s helpful to walk through an example of creative problem-solving in action. Let’s go back to the example of me writing this article.

      First, I was presented with the problem, so I started brainstorming and “Yes, And”-ing myself. I thought about everything I already know about creative problem solving and did some preliminary research, but I still didn’t have a structure or theme to tie my ideas together.

      Once the problem was marinating in my mind, I started talking to people. I talked to an old friend about my initial ideas about the article, but I still didn’t have any words on the page just yet.

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      Then, one morning, the article seemed to come fully formed while I was showering. I could see which examples would work best and how to structure the article. So, I sat down to write and refine the ideas. During the refining stage, I swung back to the collaboration stage when my editor further refined and improved my ideas.

      It’s important to remember that these four stages of creative problem solving aren’t linear. They’re circular. After I refine an idea, I can go back to brainstorming, collaborating, and pausing as needed to develop and improve that idea.

      Bottom Line

      Creative problem solving is, first and foremost, creative. You have to give yourself time and space to be able to reflect and ruminate. It’s also important to collaborate as necessary to improve your ideas with the help of other people.

      The most important thing to keep in mind is that you can’t force creative problem-solving. Forcing it only leads to frustration and failure, so give yourself some time and a team you trust to come up with the best possible solution to your problem.

      More About Creative Problem Solving

      Featured photo credit: Per Lööv via unsplash.com

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