Dissociation : Vol. 1, No. 3 (Sept. 1988)
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Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 013-020 : Observations on Fantasy in the Formation of Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Young, Walter C.This paper presents observations on fantasy as it participates in the formation of multiple personality disorder. It focuses on the function of restitution in the fantasy life of children during the development of the disorder. It is proposed that one pathway to the development of multiple personality disorder utilizes repressed early childhood fantasies of mastery over trauma and that these early fantasies form a psychological structure which is amalgamated with dissociative defenses to evolve the clinical picture of multiple personality disorder.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 047 : Media Review(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 041-046 : The Development of Symptoms of Multiple Personality Disorder in a Child of Three(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Riley, Richard L.; Mead, JohnThe development of multiple personality disorder (MPD) in a three year old girl is described. She had been followed since the age of 14 months. The subject of a custody dispute, she suffered from multiple on-going traumas, which caused a dissociative state to develop. The traumata were separation from the primary love object, physical and sexual abuse, and deliberate attempts by her genetic family of origin to erase her recall of her early history. The development of her MPD is documented on videotapes that begin before an alter personality is fully developed and continue to the time when the alter personality is clearly separate. Finally, they show the treatment phase during which integration occurred. This is probably the earliest documented case of MPD and it gives credence to patients' retrospective reports of the use of this adaptive strategy at such an early age. This case may also indicate that more attention needs to be paid to the impact of ongoing traumas and the development of acute disorders as a means of minimizing post-traumatic damage.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 036-040 : A Reexamination of Freud's Basic Concepts from Studies of Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Bliss, Eugene L.Freud derived his fundamental concepts, which became the basis for his metapsychology, primarily from his early experiences with hysteria. These basic concepts included the unconscious, repression, resistance, the Oedipus complex and psychosexual development. Later speculations were predicated upon these postulates. It is contended that these concepts were faulted by both his failure to accept Breuer 's observations on self-hypnotic (hypnoid) states and by his creation of a fantasy theory of sexual molestation.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 030-035 : On Giving Consultations to Therapists Treating MPD: Fifteen Years' Experience-Part II (The "Surround" of Treatment, Forensics, Hypnosis, Patient-initiated Requests)(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-This paper concludes a review of the author's experience in rendering consultations regarding multiple personality disorder (MPD) over the 15 year period 1973-1988. It describes consultations regarding the "surround" of treatment, the use of hypnosis, forensic concerns, and patient initiated requests. As noted in Part I, which described this study and reviewed experiences rendering consultations with regard to diagnosis and general treatment issues, the publication of several articles and DSM-III in 1980 and the publication of four special journal issues in 1984 were watershed events, and marked notable shifts in its nature of many of the consultation requests that the author received.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 023-029 : On Giving Consultations to Therapists Treating MPD: Fifteen Years' Experience-Part I (Diagnosis and Treatment)(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-This paper reviews the author's experience in serving as a consultant to several hundred colleagues working with patients suffering multiple personality disorder (MPD) over the 15 year period 1973-1988. It discusses general trends in the types of patients with regard to whom consultations were sought and in the types of issues raised, and notes recurrent issues that appear to trouble large numbers of consultees. It also reviews the patient-generated consultation request, which reflects both increased consumerism and the avidity with which MPD patients seek information about their condition. Part I offers a general orientation, outlines the methods of the study, and describes consultations regarding diagnostic and treatment issues. Part II explores consultations regarding the "surround" of treatment, forensic matters, the use of hypnosis, and consultations initiated by patients; it concludes with a brief discussion. In general, the author's experience indicated that the publication of DSM-III in 1980 and the publication four special journal issues in 1984 were watershed events, and marked notable shifts in the nature of many of the consultation requests that he received.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 021-022 : The Dissociative Experience Scale: A Replication Study(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Ross, Colin A.; Norton, G. Ron, 1941-; Anderson, GeriThe authors administered the Dissociative Experiences Scale to medical student controls and patients with multiple personality disorder, schizophrenia, panic disorder, and chemical dependency. Patients with MPD scored significantly higher than the other clinical groups and the medical student controls.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 000 : Cover, table of contents(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09)Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 003-012 : Open Trial Of Clonazepam In The Treatment Of Posttraumatic Stress Symptoms in MPD(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Loewenstein, Richard J.; Hornstein, Nancy L.; Farber, BarbaraFew consistently helpful psychopharmacological interventions have been described in the treatment of multiple personality disorder. We report a successful open trial of clonazepam for posttraumatic stress symptoms in a group of patients with multiple personality disorder. Patients reported notable, sustained improvement in sleep, nightmares, flashbacks, panic attacks and other posttraumatic stress disorder symptoms while undergoing clonazepam treatment. The authors discuss the limitations of the current study and suggest a phenomenological framework for pharmacological interventions in multiple personality disorder.Item access-status.open.access.listelement.badge Dissociation : Vol. 1, No. 3, p. 001-002 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-