Dissociation : Vol. 9, No. 4 (Dec. 1996)

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Browsing Dissociation : Vol. 9, No. 4 (Dec. 1996) by Author "Sar, Vedat"

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    Dissociation : Vol. 9, No. 4, p. 244-252 : Dissociative identity disorder presenting as hysterical psychosis
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1996-12) Tutkun, Hamdi; Yargic, L. Ilhan; Sar, Vedat
    Dissociative identity disorder (DID), formerly known as multiple personality disorder (MPD), usually presents with associated symptoms rather than with the main features of the disorder. It is necessary for the clinician to keep it in mind as a diagnostic probability and to know its various presentations and associated symptoms in order to recognize it. We observed during long-term evaluation of four cases of hysterical psychosis (HP), that they had DID with long-term histories of dissociative symptoms. Patients applying for care who manifest a single dissociative symptom, a dissociative disorder, a severe acute dissociative syndrome with regressive features, or a dramatic and therapy-resistant conversion symptom should be evaluated for other dissociative symptoms and especially for their chronicity. In our experience, one presenting form of dissociative identity disorder is a hysterical psychosis, a type of crisis situation in the context of the longitudinal course of the dissociative identity disorder.
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    Dissociation : Vol. 9, No. 4, p. 253-260 : Dissociative identity disorder in childhood: five turkish cases
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1996-12) Zoroglu, Salih; Yargic, L. Ilhan; Tutkun, Hamdi; Ozturk, Mucahit; Sar, Vedat
    In this paper, the diagnostic processes, previous diagnoses, clinical symptomatology, life events, traumatic experiences, family histories, and treatment of five children (three girls and two boys between five and eleven years of age) with DID are presented. Clinical findings were headaches, aggressive behavior and outbursts, trance-like experiences, amnesias, inconsistent school performance, lying, sleep disturbances, and depressive symptoms. One of the patients had been treated previously under different diagnoses. The number of alter personalities ranged from two to eleven. One of the patients, a ten-year-old girl, had two distinct personality systems. All of the cases presented at least four Schneiderian first-rank symptoms except an eleven-year-old boy who had only one. All of the cases had amnesia between at least two alters during interviews initially, except for a five-year-old case who did not. A ten-year-old girl was treated successfully and her alter personalities integrated. The others discontinued the therapy.