Dissociation : Vol. 1, No. 1 (March 1988)
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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.