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DSM-5-TR Self Reflection: Third Assignment 1
DSM-5-TR Self-Reflection: Third Assignment
School of Behavioral Science, Liberty University
COUC 546
June 22, 2025
Author Note
DSM-4-TR Self Reflection: Third Assignment 2
Worldview
According to the American Psychiatric Association (2022), the DSM-5-TR defines
dissociative disorders as a disruption of or discontinuity in the normal functioning of an
individual's consciousness, memory, identity, emotion, perception, body representation, motor
control, and behavior. The development of dissociative disorders can be caused by trauma that
was experienced at any stage of their life (child, adolescent, and/or adult). The experience is so
traumatic that it interferes with the functioning of an individual. Defining a traumatic experience
depends on the individual, since all individuals process situations differently and tolerate
stressful events differently. When going through a traumatic or stressful event, it is important to
process through it to help with healing and increase coping mechanisms and skills. Faith can play
a crucial role in aiding individuals with dissociative disorders; a lack of faith potentially creates
minimal resources to rely on, possibly increasing dissociative disorder symptoms.
Biases
Some potential biases that come to mind in regards to individuals with dissociative
disorders are that some individuals may be exaggerating their diagnosis, especially those with
Dissociative Identity Disorder. This is due to the lack of understanding and lack of experience
with individuals who have this diagnosis. Most of my knowledge is through the DSM-5-TR, and
any time I have come across these disorders online, I have created a belief that some symptoms
can be untrue or overly exaggerated. Moving forward, it is important to gain further
understanding of the disorder and have proactive conversations with qualified individuals who
can help and teach about the disorder.
ACA Code
Two codes from the American Counseling Association (ACA) (2014) provide
understanding of how to treat the information that the client provides, especially when it is being
shared with others. Section B.7.a titled Respect for Privacy, discusses the importance of
information that is shared within a consulting relationship (ACA, 2014). Any information or data
DSM-4-TR Self Reflection: Third Assignment 3
that is noted should be done in a way that protects the client’s identity to avoid the invasion of
privacy. Section B.7.b titled Disclosure of Confidential Information states that when consulting
with colleagues (other qualified professionals) one must not disclose any information that leads
to identifying the client unless there has been given consent to do so it can’t be avoided (ACA,
2014) Receiving feedback from colleagues and other qualified professionals can create a deeper
understanding of the disorders and can create productive sessions with future clients who have
this diagnosis.
Disposition
The disposition that I will implement when working with individuals who have a
Dissociative disorder diagnosis is the Openness to Feedback. Committing to this disposition is
described as being open and accepting feedback from individuals. In this case, being open to
feedback from supervisors and/or other qualified counselors. Receiving feedback includes
consulting about specific cases, but also about how cases are dealt with and the treatment plans
that are formed specifically for the client. Being open to feedback creates the possibility for
growth and better care for the client.
ASERVIC Competency
The ASERVIC competency that I chose to implement is the Diagnosis and Treatment
competency. I plan on cultivating this competency when working with clients who have
Dissociative disorders by creating treatment plans and guiding sessions based on what the
client’s needs are, rather than what I believe would be best. It is important to ensure that the
diagnosis chosen for the client includes their worldview and spiritual perspective, whether it
enhances their well-being or contributes to the existing symptoms. It is important to include a
theory that best fits the needs of the client, this can be done through research, training, and/or
feedback from colleagues. Lastly, this competency states that counselors must be able to modify
techniques to ensure that the client’s spiritual perspective is considered.
DSM-4-TR Self Reflection: Third Assignment 4
References
American Counseling Association. ACA Code of Ethics. 2014,
www.counseling.org/resources/aca-code-of-ethics.pdf.
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental
Disorders: DSM-5 TR (5th ed. Text Revision). American Psychiatric Press, Inc.
Association for Spiritual, Ethical, and Religious Values in Counseling. (2024). Counselor self-
awareness. Competencies for Addressing Spiritual and Religious Issues in
Counseling
Liberty University. Dispositions Descriptions. [DSM-5-TR Self-Reflection Resources]. School
of Behavioral Sciences, Liberty University, Canvas. https://canvas.liberty.edu/
