Dissociation : Volume 10, No. 3 (Sept. 1997)

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Dissociation : Volume 10, No. 3, p. 141-147 : Case study of a Puerto Rican woman with dissociative identity disorder
(Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Martinez-Taboas, Alfonso, 1953-; Rodriguez-Cay, Jose R.
In this case-study the authors present how a typical case of Dissociative Identity Disorder (DID) is treated by two clinicians working with Puerto Rican patients. In the following case, a 28-year-old female patient with DID was treated utilizing a three stage process treatment. In the first stage, the authors confirmed the diagnosis and tried to contact the principal alter identities. The aim here is to try to make a contract and commitment with the patient and her alters about the importance of the therapeutic process. In the second stage, a lot of work was done to debilitate her dissociative defenses and substitute them for more mature ones . Also, pharmacotherapy was initiated during this period. In the last stage, we mainly used cognitive, behavioral, and experiential therapies to consolidate her new self. The authors present clinical and social evidence that sustain their opinion that the patient made striking progress during and after treatment.