Dissociation : Vol. 1, No. 1 (March 1988)
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Item Open Access Dissociation : Vol. 1, No. 1, p. 002-003 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-03) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 1, p. 039-046 : DSM-III-R Revisions in the Dissociative Disorders: An Exploration of their Derivation and Rationale(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-03) Kluft, Richard P., 1943-; Steinberg, Marlene, 1953-; Spitzer, Robert L.The authors describe and explore changes in the dissociative disorders included in the new DSM-III-R. The classification itself was redefined to minimize inadvertent areas of overlap with other classifications. Recent findings have necessitated substantial revisions of the criteria and text for multiple personality disorder. Ganser's Syndrome, listed as a factitious disorder in DSMIII, is reclassified on the basis of recent research as a dissociative disorder not otherwise specified. The examples for dissociative disorder not otherwise specified have been expanded to better accommodate recognized dissociative syndromes that do not fall within the four formally defined dissociative disorders. Several novel diagnostic entities and reclassifications were proposed that were rejected for DSM-III-R because there is insufficient supporting data at this point in time. These proposals identify issues that will require reconsideration for DSM-IV.Item Open Access Dissociation : Vol. 1, No. 1, p. 077-083 : Multiple Personality Disorder Misdiagnosed as Mental Retardation: A Case Report(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-03) Atlas, Gail; Fine, Catherine G., 1950-; Kluft, Richard P., 1943-A woman was diagnosed as mentally retarded when she was five years of age and spent the next 35 years so classified. She also was considered schizophrenic. Incongruities in her clinical presentation ultimately led to the suspicion that she suffered multiple personality disorder. It was found that she had retreated into an adaptation consistent with the superficial manifest appearance of mental retardation, and that the intrusion of her dissociative psychopathology was mistaken for schizophrenia. Correctly diagnosed and treated, she has made noteworthy gains. Selected issues relevant to the misdiagnosis of MPD are discussed.