Dissociation : Vol. 6, No. 2/3 (June/Sept. 1993)
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Item Open Access Dissociation : Vol. 6, No.2/3, p. 077-078 : Guest Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1993-06) Hart, Onno van der, 1941-Item Open Access Dissociation : Vol. 6, No.2/3, p. 102-118 : Multiple personality disorder in Europe: impressions(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1993-06) Hart, Onno van der, 1941-Based on his personal knowledge of the field in the Netherlands and on written reports from colleagues in other European countries, the author presents an impressionistic overview of the state of affairs in the field of diagnosis and treatment of MPD in Europe. His main impression is of the relatively advanced state of affairs in the Netherlands, although many problems are still encountered. In Britain a few serious developments take place, but mainstream psychiatry is unsupportive. In other European countries developments lag behind even more, but there are also signs that changes for the better will occur. Special attention is given to a systematic study regarding Swiss psychiatrists’ familiarity with MPD. Finally, a number of lessons for spreading knowledge about MPD and dissociation and for mutual support among MPD clinicians are presented.Item Open Access 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, PaulThis 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.