Dissociation : Vol. 6, No. 2/3 (June/Sept. 1993)

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Browsing Dissociation : Vol. 6, No. 2/3 (June/Sept. 1993) by Author "Boon, Suzette"

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    Dissociation : Vol. 6, No.2/3, p. 126-135 : The differentiation of patients with MPD of DDNOS from patients with a cluster B personality disorder
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1993-06) Boon, Suzette; Draijer, Nel, 1950-
    Because of similarities in presentation, multiple personality disorder (MPD) and dissociative disorder not otherwise specified (DDNOS) can be misdiagnosed as borderline personality disorder (BPD) or another cluster B personality disorder. In order to find distinguishing symptoms, four groups of patients are compared: DDNOS patients (N=24); MPD patients (N=49); patients with BPD or histrionic personality disorder, referred for evaluation of dissociative pathology (N=21); control patients with a cluster B personality disorder (N=19). All patients were interviewed with the Structured Clinical Interview for DSM-III-R Dissociative Disorders (SCID-D) and the Structured Trauma Interview (STI). Although there are many areas of overlap in the phenomenology of patients with MPD or DDNOS and patients with a "cluster B" personality disorder, we clearly found that these groups can be differentiated by the severity and cluster of dissociative symptoms, the prevalence of some Schneiderian symptoms, and the severity of childhood trauma.
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    Dissociation : Vol. 6, No.2/3, p. 162-180 : The treatment of traumatic memories: synthesis, realization, and integration
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1993-06) Hart, Onno van der, 1941-; Steele, Katherine H.; Boon, Suzette; Brown, Paul
    This paper is based on Pierre Janet's dissociation theory and his concept of the non-realization of a traumatic event. A model of treatment that integrates Janet's dissociation-integration theory with contemporary trauma-based models of therapy is delineated. The nature of traumatic memories is described, and a stage-oriented model for their treatment in patients with multiple personality disorder (MPD) is presented. Ideally a discrete phase in the overall treatment of MPD, this phase can itself be subdivided into the following stages: (1) preparation; (2) synthesis; and (3) realization/integration. Although a number of treatment recommendations are offered, the emphasis here is more on clarifying concepts than on the description of techniques.