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Full-Text Articles in Psychology

The Effect Of Pet Ownership And Interaction On Stress During The Covid-19 Pandemic, Lucinda Prettyman May 2022

The Effect Of Pet Ownership And Interaction On Stress During The Covid-19 Pandemic, Lucinda Prettyman

Psychological Science Undergraduate Honors Theses

The COVID-19 pandemic has been an unprecedented event in most people’s lives across the entire world. There has not been an event in recent history that has affected the globe in a similar way. This has created a unique opportunity to study the stress that this global event has caused. This exploratory study sought to examine the interplay between stress experience by participants during the COVID-19 pandemic and various aspects of pet ownership. A sample of 743 adult participants was asked to complete several self-report, online measures about their experiences with stress, pets, and interpersonal closeness during the COVID-19 pandemic. …


#Metoo: The Literary And Social Impact Of Sexual Violence Narratives, Aura Comer May 2022

#Metoo: The Literary And Social Impact Of Sexual Violence Narratives, Aura Comer

English Undergraduate Honors Theses

To fully understand the severity of sexual violence and its pervasiveness in America, I will present statistics of rape and sexual assault, as well as available legal court statistics of justice and punishment for offenders (or a lack thereof). However, there must be an acknowledgment of the disparity in information and representation pertaining to indigenous, LGBT+, immigrant, and minor communities. Note that these statistics do not speak to the complete pervasiveness of rape and sexual assault in the United States, given the negligent protection and lack of belief in victims, which results in victim silencing and a lack of reporting.


How Prospective Bias Shapes Children’S Responses To Temporal Location Questions, Tige M. Anderson May 2022

How Prospective Bias Shapes Children’S Responses To Temporal Location Questions, Tige M. Anderson

Student Theses

This study builds on McWilliams (et al., 2019) by analyzing temporal bias among children when making relative temporal judgments using recurring landmarks (e.g., birthday, holidays). Previous research has demonstrated that children display a prospective bias when making these judgments, meaning they tend to date things based on the future occurrence of the landmark (E.g, “it’s ten months until my birthday”) (McWilliams et al., 2019). Adults, by contrast, make relative judgments with landmarks based on the most proximate occurrence of the landmark. In other words, they do not prefer the future or the past (Merriwether et al., under review). Additionally, recent …


Long-Term Effects Of Juvenile Fluoxetine Exposure On Autophagy Induction And Phosphorylated Tau In The Hippocampus And Prefrontal Cortex Of Male Mice, Minerva Rodriguez May 2022

Long-Term Effects Of Juvenile Fluoxetine Exposure On Autophagy Induction And Phosphorylated Tau In The Hippocampus And Prefrontal Cortex Of Male Mice, Minerva Rodriguez

Open Access Theses & Dissertations

Fluoxetine (FLX) represents the antidepressant of choice for the management of pediatric mood-related illnesses. Accumulating preclinical evidence suggests that ontogenic FLX exposure leads to deregulated affect-related phenotypes in adulthood. Mood-related symptomatology constitutes a risk-factor for various neurological disorders, including Alzheimer's disease (AD), making it possible for juvenile FLX history to exacerbate the development of neurodegenerative diseases. Because AD is characterized by the pathological accumulation of hyperphosphorylated Tau - which can result from impaired function of protein degradation pathways, such as autophagy and the ubiquitin-proteasome system (UPS), this thesis evaluated the potential long-term effects of adolescent FLX exposure on these pathways, …


Implications For Global And Local Visual Processing In Individuals With Learning Disabilities, Riya Mody May 2022

Implications For Global And Local Visual Processing In Individuals With Learning Disabilities, Riya Mody

Psychology Student Papers and Posters

Visual processing in humans is done by integrating and updating multiple streams of global and local sensory input. When this is not done smoothly, it becomes difficult to see the “big picture”, which has been found to have implications on emotion recognition, social skills, and conversation skills in individuals with Autism Spectrum Disorder (ASD) and other learning disabilities. Previous research in this field has aimed to direct ASD patients toward normative processing of the global features by developing and evaluating a filter which is intended to decrease local interference, or the prioritization of local details. This work attempts to utilize …


Helping Our Heroes: An Evaluation Of Mental Health And Organizational Policies Surrounding Suicide Prevention And Postvention Strategies For Nebraska First Responders, Maria S. Mickles May 2022

Helping Our Heroes: An Evaluation Of Mental Health And Organizational Policies Surrounding Suicide Prevention And Postvention Strategies For Nebraska First Responders, Maria S. Mickles

Capstone Experience: Master of Public Health

Suicide is ranked as one of the leading causes of death in the United States. Over 40,000 individuals die by suicide each year (Stanley, Hom, & Joiner, 2016; Vigil et al, 2021), and, in 2020, it was ranked in the top 9 causes of death for all ages (10-64), and second for those 10-14 and 25-34 years of age (Centers for Disease Control and Prevention, 2022). These statistics disproportionately reflect first responders (i.e., firefighters, dispatchers, law enforcement, EMS, paramedics, etc.), as they die by suicide more than the general public (National EMS Management Association, 2016). Within their line of work …


Engagement In Consensual Non-Monogamy And Multi-Partner Sex During The Covid-19 Pandemic: Insights From A National Sample Of Single Americans, Kaylie Posen, Manya Dhupar, Amanda Gesselman May 2022

Engagement In Consensual Non-Monogamy And Multi-Partner Sex During The Covid-19 Pandemic: Insights From A National Sample Of Single Americans, Kaylie Posen, Manya Dhupar, Amanda Gesselman

Student Scholar Symposium Abstracts and Posters

For many, the COVID-19 pandemic and social distancing gave people time to think about their sex lives. Previous research by Lehmiller and colleagues (2021), showed correlations between loneliness and stress with increased sexual risk taking and new sexual desires during the pandemic. In the present study, we examined the prevalence of engagement in consensual non-monogamy and multi-partnered sex during the COVID-19 pandemic taking into account sociodemographic factors and living arrangements. We analyzed data from a national sample of people who are currently single in the U.S. as part of The Kinsey Institute’s annual Singles in America study (N = 3,622; …


Exploring Criminal Thinking Patterns And Cognitions In High Risk Sexually And Non-Sexually Violent Offenders, Ruby L. Orth May 2022

Exploring Criminal Thinking Patterns And Cognitions In High Risk Sexually And Non-Sexually Violent Offenders, Ruby L. Orth

Student Theses

The current understanding of shared offense supporting attitudes between different offender types is limited. This study compares criminal thinking styles and rape supportive attitudes between high-risk offenders who have engaged in either sexual or violent behavior. A sample of 237 incarcerated male high risk sexually violent and non-sexually violent offenders participated in a study where they completed a series of self-report questionnaires including the Psychological Inventory of Criminal Thinking Styles (PICTS) (Walters, 1995) and Bumby’s (1996) MOLEST and RAPE scales. Significant differences in criminal thinking between offender types was hypothesized. Significant overlap of rape supporting cognitive distortions, regardless of offender …


Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn May 2022

Providing Effective Assessment Feedback To Patients: Lessons Learned From Feedback After A Severe Injury, Kelsie Mcquinn

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper seeks to articulate lessons learned from feedback received after a severe injury in order to help guide neuropsychologists provide effective feedback to patients. Given that there is no agreed upon conceptual framework for providing neuropsychological assessment feedback, parallels are drawn from what works in clinical psychology – the working alliance. I use personal examples to highlight how the working alliance, as well as other psychological principles, can help inform neuropsychologists provide the most effective feedback to patients.


The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie May 2022

The Necessity Of Trauma-Focused Curricula In Mental Health Graduate Programs: Advocating For Comprehensive Trauma Etiology And Treatment Education With Proposed Course Outline, Aaron S. Gillespie

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

During the past four decades, it has become increasingly clear how prevalent trauma, polytrauma and co-morbid trauma-related disorders are within our shared, global communities. A growing body of research continues to uncover the mind-boggling impact these overwhelming experiences have on individuals, their families, and the communities that support them, including mental health professionals. It behooves us as allied mental healthcare providers to learn what trauma is, how it may affect the individual across the lifespan, as well as how to effectively identify and treat the trauma-related symptoms our clients present with. However, despite a proliferation of research demonstrating the growing …


The Cuban Missile Crisis: Civilian Response And Expectations, Celeste Nunez May 2022

The Cuban Missile Crisis: Civilian Response And Expectations, Celeste Nunez

Electronic Theses, Projects, and Dissertations

On October 14, 1962, an American U-2 spy plane flying over the island of Cuba discovered Soviet missiles being constructed. This discovery led President John F. Kennedy, Soviet Premier Nikita Khrushchev, and Cuban Dictator Fidel Castro into a thirteen-day negotiation period to remove the nuclear missiles from Cuba. During this time, the world was the closest it had ever been to nuclear destruction, causing stress and anxiety to many worldwide, especially the American populace, who believed they were invincible in a home front attack. Throughout this thesis, I aim to examine the Cuban Missile Crisis and nuclear fallout through the …


What About The ‘R’ In Riot? : A Comprehensive Examination Of School Psychologists’ Record Review Processes, Hannah Luken Apr 2022

What About The ‘R’ In Riot? : A Comprehensive Examination Of School Psychologists’ Record Review Processes, Hannah Luken

Thinking Matters Symposium

This poster aimed to describe part of a doctoral dissertation research study that comprehensively investigated school psychologists’ record review practices. Record reviews are a crucial part of the psychoeducational evaluation process (i.e., RIOT method), and there is relatively little previous research literature on this topic. This poster describes the following results: when record reviews are conducted, the amount of time is spent on each part of the RIOT method for initial and reevaluations, and record review approaches. The survey was distributed to school psychologists across the United States via school psychology state associations and Facebook. Results were analyzed via measures …


The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley Apr 2022

The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley

Manuscripts

The mid-1900s was a pivotal moment in reforming mental health treatment in American Psychiatry. This movement becomes particularly clear when examining the championing work of two women, Dr. Thelma V. Owen and Dr. M. G. Stemmermann, at a rural mental health facility located in Huntington, WV: Owen Clinic Institute. While mental health stigma was at an extreme high among the general population, many factors aligned to allow for a new era of mental health care, including deinstitutionalization, World War II, and the advocation of professionals in the field. In West Virginia, no two people were more outspoken and active in …


Perceptions Of Trauma-Informed Care In An Intimate Partner Violence Resource Center, Kailyn Alderman Apr 2022

Perceptions Of Trauma-Informed Care In An Intimate Partner Violence Resource Center, Kailyn Alderman

Honors Theses

Every year, an estimated 10 million people experience intimate partner violence (IPV) in the United States (Huecker et al., 2021). The long-term implications of surviving IPV can be debilitating and limited community resources influence the likeliness of physical and psychological recovery. Trauma-informed care (TIC) is a set of practices that may produce improvements in the quality of life for IPV survivors. There are a variety of definitions of TIC and empowerment, which may serve as a barrier to implementing these practices. The present study examined employee and volunteer perceptions of trauma-informed practices and empowerment at a domestic violence agency. The …


The Mother Of Exiles Is Abandoning Her Children: The Systemic Failure To Protect Unaccompanied Minors Arriving At Our Borders, Rosa M. Peterson Apr 2022

The Mother Of Exiles Is Abandoning Her Children: The Systemic Failure To Protect Unaccompanied Minors Arriving At Our Borders, Rosa M. Peterson

The Scholar: St. Mary's Law Review on Race and Social Justice

Unaccompanied minors arrive at the United States border every day. Many brought by the hope of finding a life lived without fear, a luxury many United States citizens take for granted. Their truths become the barriers and shackles which keep them in detention centers and unaccompanied minor facilities throughout the United States; children find their very words wielded as weapons against them in immigration court. Words often spoken to therapists in perceived confidence, during counseling sessions. This practice is a systemic failure to protect unaccompanied minors arriving at our borders who are seeking protection and help. The United States …


Protocol For An Ehub As An Systemic Intervention For Homeless Shelter Staff And Resident Psychosocial And Behavioral Needs, Celeste Sangiorgio, Cory Crane, Cassandra Berbery, Caroline Easton Apr 2022

Protocol For An Ehub As An Systemic Intervention For Homeless Shelter Staff And Resident Psychosocial And Behavioral Needs, Celeste Sangiorgio, Cory Crane, Cassandra Berbery, Caroline Easton

Frameless

This paper includes a proposal and outline for a one- stop, web-based eHub for homeless shelter workers and residents. The shelter eHub is proposed as a one-stop portal for staff and resident skills acquisition, shelter and community resources, and rehearsal of coping skills. The theoretical and empirical support for eHub contents is reviewed, as well as the structure for evidence-based psychological skills building and gamified and virtual skills rehearsal components.


Bridging The Research-Practice Gap: Development Of A Theoretically Grounded Workshop For Graduate Students Aimed At Challenging Microaggressions In Science And Engineering, Amy C. Moors, Lindsay Mayott, Benjamin Hadden Apr 2022

Bridging The Research-Practice Gap: Development Of A Theoretically Grounded Workshop For Graduate Students Aimed At Challenging Microaggressions In Science And Engineering, Amy C. Moors, Lindsay Mayott, Benjamin Hadden

Psychology Faculty Articles and Research

Efforts to promote diversity and inclusion often lack a theoretical basis, which can unintentionally exacerbate issues. In this paper, we describe the development and evaluation results of a theoretically grounded workshop aimed at reducing microaggressions and promoting ally engagement among graduate students in science and engineering. In Study 1, using a Delphi method, eight science and engineering faculty members with backgrounds in diversity efforts provided feedback on workshop development. In Study 2, 107 graduate and advanced undergraduate students engaged in the 90-minute interactive workshop. Results indicate that attendees found the workshop valuable, developed new skills for ally engagement, and planned …


Acute Stress Disorder: Incidence Findings And Diagnostic Implications For U.S. Active Duty Service Members, Michael A. Schlenk Apr 2022

Acute Stress Disorder: Incidence Findings And Diagnostic Implications For U.S. Active Duty Service Members, Michael A. Schlenk

Symposium of Student Scholars

Acute stress disorder (ASD) is a psychiatric diagnosis that can occur between three days and one month following traumatic events such as injuries, violence, and/or experienced or threatened harm (5th ed.; DSM-5; American Psychiatric Association [APA], 2013). ASD has long been utilized as a predictor of posttraumatic stress disorder (PTSD). However, literature examining ASD elucidates that predication of subsequent PTSD is not as reliable as once thought (Bonnano et al., 2012; Bryant, 2018). Further, there is a dearth of empirical literature examining ASD among active duty service members (SMs). As such, the present study sought to provide epidemiological data by …


Mental Toughness And Athletic Performance: A Meta-Analysis, Dax Mitchell Crum Apr 2022

Mental Toughness And Athletic Performance: A Meta-Analysis, Dax Mitchell Crum

Health, Exercise, and Sports Sciences ETDs

This investigation employed meta-analysis techniques to examine the relationship between mental toughness and athletic performance. A total of 76 studies were systematically analyzed with 470 correlation coefficients (rxy) calculated to determine the mean effect. Fifty-five subject and study variables (age, gender, sport, psychometric instrument, and theoretical definition, etc.) were coded for each correlation to assess changes in the magnitude according to these key characteristics noted within the literature. Overall, the total average correlation produced a small effect size of rxy =.218. However, the effect size varied significantly depending on the definition, measurement, quality of the investigation, …


The Effects Of Imperfect Top-Down Selection On The Accuracy Of The Direct Range Restriction Adjustment, Alma Treon Apr 2022

The Effects Of Imperfect Top-Down Selection On The Accuracy Of The Direct Range Restriction Adjustment, Alma Treon

Masters Theses & Specialist Projects

Accurate assessment of the effectiveness of personnel psychology functions is vital to the field. Many personnel decisions are made based on correlations between predictor variables and measures of job performance; however, those correlations are often affected by range restriction. As encountered in applied practice, range restriction weakens the strength of the correlation. Equations exist to correct for the effects of range restriction on correlations; these equations are widely accepted and used by Industrial-Organizational psychologists today. This study expands on research by Hall (2016), which examined the accuracy of the direct range restriction correction equation provided by Thorndike (1949) under varying …


Free Will Without Consciousness?, Liad Mudrik, Inbal Gur Arie, Yoni Amir, Yarden Shir, Pamela Hieronymi, Uri Maoz, Timothy O'Connor, Aaron Schurger, Manuel Vargas, Tillman Vierkant, Walter Sinnott-Armstrong, Adina Roskies Apr 2022

Free Will Without Consciousness?, Liad Mudrik, Inbal Gur Arie, Yoni Amir, Yarden Shir, Pamela Hieronymi, Uri Maoz, Timothy O'Connor, Aaron Schurger, Manuel Vargas, Tillman Vierkant, Walter Sinnott-Armstrong, Adina Roskies

Psychology Faculty Articles and Research

Findings demonstrating decision-related neural activity preceding volitional actions have dominated the discussion about how science can inform the free will debate. These discussions have largely ignored studies suggesting that decisions might be influenced or biased by various unconscious processes. If these effects are indeed real, do they render subjects’ decisions less free or even unfree? Here, we argue that, while unconscious influences on decision-making do not threaten the existence of free will in general, they provide important information about limitations on freedom in specific circumstances. We demonstrate that aspects of this long-lasting controversy are empirically testable and provide insight into …


Student Intentions To Engage Instructors In Mental Health-Related Conversations: An Application Of The Theory Of Planned Behavior, Allie White, Hannah Ball, Sara Labelle Apr 2022

Student Intentions To Engage Instructors In Mental Health-Related Conversations: An Application Of The Theory Of Planned Behavior, Allie White, Hannah Ball, Sara Labelle

Communication Faculty Articles and Research

Objective

Considering that college students experience mental health issues and college counseling centers are overwhelmed, this study identifies instructors as a potential mental health resource for students. This study utilizes the theory of planned behavior to investigate the relationship between students’ attitudes, injunctive and descriptive norms, perceived behavioral control, and their intentions to engage their instructors in mental health conversations.

Participants

Participants were 311 undergraduate students at a small, private university in Southern California.

Methods

Participants were recruited through a Communication subject pool and completed an online survey about engaging instructors in these conversations.

Results

Results of a regression analysis …


Reformation Within The Nation: Adapting The Nordic Rehabilitation And Reintegration Model To Positively Recondition The United States Criminal Justice System, Jessica Cornell Apr 2022

Reformation Within The Nation: Adapting The Nordic Rehabilitation And Reintegration Model To Positively Recondition The United States Criminal Justice System, Jessica Cornell

Helm's School of Government Conference - 2021-2024

An analytical and statistical based comparison of criminal sentencing, incarceration, rehabilitation and reintegration in the United States of America to those of the five countries which follows those of the Nordic Criminal Justice System.


Manipulating Image Luminance To Improve Eye Gaze And Verbal Behavior In Autistic Children, Louanne Boyd, Vincent Berardi, Deanna Hughes, Franceli L. Cibrian, Jazette Johnson, Viseth Sean, Eliza Delpizzo-Cheng, Brandon Mackin, Ayra Tusneem, Riya Mody, Sara Jones, Karen Lotich Apr 2022

Manipulating Image Luminance To Improve Eye Gaze And Verbal Behavior In Autistic Children, Louanne Boyd, Vincent Berardi, Deanna Hughes, Franceli L. Cibrian, Jazette Johnson, Viseth Sean, Eliza Delpizzo-Cheng, Brandon Mackin, Ayra Tusneem, Riya Mody, Sara Jones, Karen Lotich

Engineering Faculty Articles and Research

Autism has been characterized by a tendency to attend to the local visual details over surveying an image to understand the gist–a phenomenon called local interference. This sensory processing trait has been found to negatively impact social communication. Although much work has been conducted to understand these traits, little to no work has been conducted to intervene to provide support for local interference. Additionally, recent understanding of autism now introduces the core role of sensory processing and its impact on social communication. However, no interventions to the end of our knowledge have been explored to leverage this relationship. This work …


Feeling Socially Anxious At University: An Interpretative Phenomenological Analysis, Jennifer Lee, Daniel Waldeck, Andrew Holliman, Moitree Banerjee, Ian Tyndall Apr 2022

Feeling Socially Anxious At University: An Interpretative Phenomenological Analysis, Jennifer Lee, Daniel Waldeck, Andrew Holliman, Moitree Banerjee, Ian Tyndall

The Qualitative Report

For those with feelings of social anxiety, university can present unique challenges. Socially anxious students can face functional impairments such as interpersonal and academic deficits, as well as social maladjustment due to a shift in their social networks. Despite this, there is surprisingly little research exploring their experiences at university using qualitative designs. The present study set out to explore how a small sample of undergraduate students experienced feeling socially anxious at university. Semi-structured interviews were conducted with eight psychology undergraduates and interpretative phenomenological analysis (IPA) was used to explore their experiences and interpret deeper meaning. Five main themes emerged, …


The Effects Of Analog And Digital Cognitive Offloading On Memory, Olivia Sagely Apr 2022

The Effects Of Analog And Digital Cognitive Offloading On Memory, Olivia Sagely

Digital Studies

This study uses responses from a focus group to examine how college students participate in cognitive offloading, and looks at whether doing so with analog or digital methods effects their memory differently. The results from these focus groups are used to conduct an n-gram analysis.


The Relationship Between Moral Foundations And Substance Abuse Attitudes, Olivia Haffey, Christina Duncan, Samantha Driggers Apr 2022

The Relationship Between Moral Foundations And Substance Abuse Attitudes, Olivia Haffey, Christina Duncan, Samantha Driggers

[Archive] Belmont University Research Symposium (BURS)

Individuals who abuse substances are often morally judged and disregarded in society. The purpose of this study was to investigate the relationship between moral values and attitudes towards substance abuse. Participants were recruited from introductory to psychology courses at Belmont University and given a modified version of the Perceived Substance Abuse Scale and a scale to measure how they value certain domains of morality (harm, ingroup, purity, authority, reciprocity) using the Moral Foundations Questionnaire. We expect to find positive correlations between the harm, purity, ingroup, and authority domains of morality with negative attitudes towards substance abuse. We also expect there …


The Aftereffects Of Corporal Punishment On Adults: Association Of Childhood Spanking With Adult Stress Levels, Marie Sanyang Apr 2022

The Aftereffects Of Corporal Punishment On Adults: Association Of Childhood Spanking With Adult Stress Levels, Marie Sanyang

Senior Theses

Spanking has been an acceptable form of punishment for centuries. Previously thought as effective, studies have now shown the detriments of spanking, including increased aggression, drug abuse, and stress levels. This exploratory study sought to observe the stress levels of adults who experienced childhood spankings. It was hypothesized that those who experienced frequent spankings would report increased anxiety, reduced socialization, and decreased emotional regulation in times of stress. It was also hypothesized that those who reported being spanked would report lower emotional and physical health regulation and higher mental health diagnosis. Fifty-four participants were composed of undergraduate and graduate students …


Evaluating Validity And Deviant Personality: What The Myers Briggs Type Indicator Overlooks, Mikayla Burton Apr 2022

Evaluating Validity And Deviant Personality: What The Myers Briggs Type Indicator Overlooks, Mikayla Burton

Senior Honors Theses

Perhaps the most widely recognized personality assessment in the world, the MBTI has been implemented as a valuable predictive and diagnostic tool by innumerable businesses, coaches, psychologists, and interested individuals. However, recent research has shown that the MBTI is host to a variety of significant validity issues, and the test altogether fails to address any aspects of deviant personality. A review will draw attention to the consequential validity issues of the MBTI, its overlooking of deviant personality characteristics, and the repercussions of using such an unsound and exclusive personality test. The suitability of HEXACO as a viable alternative for the …


The Problem With Dissociative Identity Disorder In The Media: Misrepresentation, Or Inadequate Diagnostic Criteria?, Rebecca Cortez Apr 2022

The Problem With Dissociative Identity Disorder In The Media: Misrepresentation, Or Inadequate Diagnostic Criteria?, Rebecca Cortez

Senior Theses

The highly popularized portrayal of Dissociative Identity Disorder (DID) in mainstream media has often been dubbed inaccurate; blamed on misrepresentations, bad applications of the diagnostic criteria, and the tendency to sensationalize mental illness. Through the analysis of five different depictions of DID in film, I find that all five characters met the minimum criteria for diagnosis according to the most recent edition of the Diagnostic and Statistical Manual (2013). Some depictions of DID predate the publication date of the current diagnostic manual by over 50 years, portraying symptoms that are widely recognized today but were neither accepted nor identified back …