Dissociation : Vol. 7, No. 2 (June 1994)

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Browsing Dissociation : Vol. 7, No. 2 (June 1994) by Author "Steinberg, Marlene, 1953-"

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    Dissociation : Vol. 7, No. 2, p. 112-116: Systematic assessment of dissociative symptoms and disorders using the SCID-D in a clinical outpatient setting: three cases
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Hall, Pamela; Steinberg, Marlene, 1953-
    This paper presents three case studies illustrating the range and scope of the clinical applications of the SCID-D, a semi-structured interview for the assessment and diagnosis of dissociative symptoms and disorders according to DSM IV criteria. The studies indicate the effectiveness of the SCID-D in differential diagnosis between medical and psychiatric conditions, in symptom documentation for forensic cases, and in treatment planning for patients previously diagnosed with dissociative identity disorder (DID), formerly multiple personality disorder (MPD), who are experiencing impasses in therapy. Although the SCID-D is not a trauma questionnaire, its ability to elicit spontaneous descriptions of trauma from patients without the use of leading or intrusive questions makes it a valuable instrument for diagnosis and assessment as well as treatment planning and implementation. Early diagnosis of dissociative disorders with the SCID-D can lead to timely and effective treatment for those suffering from DID and the dissociative disorders.
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    Dissociation : Vol. 7, No. 2, p. 117-128 : Systematic assessment of dissociative identity disorder in an adolescent who is blind
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Steinberg, Annie; Steinberg, Marlene, 1953-
    Although the connection between abuse in childhood and later development of multiple personality disorder is increasingly well-documented, few studies exist of dissociative identity disorder (DID) patients drawn from a subpopulation at high risk for child abuse, namely individuals with disabilities. This paper presents the diagnostic assessment of DID in an adolescent who is blind, using the Structural Clinical Interview for DSM-IV Dissociative Disorders (SCID-D), an extensively field-tested semi-structured interview for the detection of dissociative symptoms and disorders. The case study includes a description and analysis of the patient's SCID-D interview and its findings, with emphasis on the similarity of the patient's symptoms to those reported by adult patients without disabilities who suffer from DID. The article concludes with remarks about the need for further research regarding the prevalence of dissociative disorders in a) the adolescent population; and b) the population of individuals with physical or developmental disabilities. In addition, new studies utilizing the SCID-D should facilitate systematic investigation of dissociative symptoms and disorders in the adolescent population.