Dissociation : Volume 10, No. 2 (June 1997)

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Browsing Dissociation : Volume 10, No. 2 (June 1997) by Author "Hart, Onno van der, 1941-"

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    Dissociation : Volume 10, No. 2, p. 091-103 : Time distortions in dissociative identity disorder: Janetian concepts and treatment
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-06) Hart, Onno van der, 1941-; Steele, Kathy
    This paper addresses the time disturbances DID patients may frequently and intensely experience. Time sense is described as a subset of reality perception. In his pioneering work, Pierre Janet analyzed these time disturbances in terms of degrees of perceived reality. His normative hierarchy of time and related experiences (such as fantasies, ideas, and thoughts) is presented. Janet distinguished two basic ways in which patients manifest their disturbance of reality and time sense: placing accounts of episodes too high in the hierarchy, and placing accounts too low. This distinction is utilized in discussing some ways in which DID patients may suffer time disturbances. Special attention is paid to the ways in which reactivated traumatic memories interfere with the experience of a normal sense of reality and time. Therapeutic change is, in essence, the reorganization of the experience of reality and time. In this paper, therapeutic approaches that address this reorganization are presented within the context of a phase-oriented treatment.
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    Dissociation : Volume 10, No. 2, p. 104-113 : The 19th century DID case of Louis Vivet: new findings and re-evaluation
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-06) Faure, Henri; Kersten, John; Koopman, Dinet; Hart, Onno van der, 1941-
    Although not the first patient to be described as a multiple, the French patient Louis Vivet was the first to be explicitly named a multiple personality at the end of the 19th century. Recent critics have disputed the validity of the diagnosis or the number of alter personalities in this widely publicized case, by stating that his alter personalities were iatrogenically created, or by giving credit only to the first publication on Vivet, pertaining to his stay at the asylum of Bonneval during 1880-1881 (Camuset, 1882). The senior author of the present paper recently discovered Vivet's original medical file bearing on the same period. Comparing both sources, we conclude that Vivet manifested at least three personality states during this period and that there is no firm evidence that his situation was iatrogenic.