Browsing by Author "Kluft, Richard P., 1943-"
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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.Item Open Access Dissociation : Vol. 1, No. 2, p. 001 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 2, p. 052 : Book Review(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 3, p. 001-002 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 3, p. 023-029 : On Giving Consultations to Therapists Treating MPD: Fifteen Years' Experience-Part I (Diagnosis and Treatment)(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-This paper reviews the author's experience in serving as a consultant to several hundred colleagues working with patients suffering multiple personality disorder (MPD) over the 15 year period 1973-1988. It discusses general trends in the types of patients with regard to whom consultations were sought and in the types of issues raised, and notes recurrent issues that appear to trouble large numbers of consultees. It also reviews the patient-generated consultation request, which reflects both increased consumerism and the avidity with which MPD patients seek information about their condition. Part I offers a general orientation, outlines the methods of the study, and describes consultations regarding diagnostic and treatment issues. Part II explores consultations regarding the "surround" of treatment, forensic matters, the use of hypnosis, and consultations initiated by patients; it concludes with a brief discussion. In general, the author's experience indicated that the publication of DSM-III in 1980 and the publication four special journal issues in 1984 were watershed events, and marked notable shifts in the nature of many of the consultation requests that he received.Item Open Access Dissociation : Vol. 1, No. 3, p. 030-035 : On Giving Consultations to Therapists Treating MPD: Fifteen Years' Experience-Part II (The "Surround" of Treatment, Forensics, Hypnosis, Patient-initiated Requests)(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-This paper concludes a review of the author's experience in rendering consultations regarding multiple personality disorder (MPD) over the 15 year period 1973-1988. It describes consultations regarding the "surround" of treatment, the use of hypnosis, forensic concerns, and patient initiated requests. As noted in Part I, which described this study and reviewed experiences rendering consultations with regard to diagnosis and general treatment issues, the publication of several articles and DSM-III in 1980 and the publication of four special journal issues in 1984 were watershed events, and marked notable shifts in its nature of many of the consultation requests that the author received.Item Open Access Dissociation : Vol. 1, No. 3, p. 047 : Media Review(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-09) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 4, p. 001-002 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1988-12) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 4, p. 047-058 : The phenomenology and treatment of extremely complex multiple personality disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1988-12) Kluft, Richard P., 1943-Contemporary reports indicated that the average number of personalities in recently reported patients with multiple personality disorder (MPD) is larger than that reported in the older literature. A minority of these recent patients demonstrate extreme complexity. A group of 26 patients with 26 or more personalities and under observation for a minimum of three years was studied. Their presentations, the reasons that appeared to underlie their complexity, and their courses of treatment are reviewed. Findings indicate that this group of patients is diverse, with some proving readily treatable, and others proving quite refractory. Observations that appear constructive for the treatment of such patients are offered. The concept of personality is discussed and an alternative description is explored. The usefulness of the paradigms and metaphors of splitting and division as heuristics for the understanding of MPD is challenged, and a paradigm/metaphor of redoubling and reconfiguration is offered for further study.Item Metadata only Dissociation : Vol. 1, No. 4, p. 061-062 : Media review(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1988-12) Kluft, Richard P., 1943-; Coons, Philip M.Item Open Access Dissociation : Vol. 2, No. 1, p. 001-002: Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-03) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 2, No. 1, p. 045-051: Multiple personality disorder: phenomenology of selected variables in comparison to major depression(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-03) Schultz, Rosalyn; Braun, Bennett G.; Kluft, Richard P., 1943-Various findings from a retrospective survey of 355 multiple personality disorder (MPD) patients and 235 major depression patients, who served as a comparison group, are discussed. The survey was completed by 448 independent clinicians, 142 of whom contributed information on both an MPD and a major depression patient. The study confirms recent findings in the literature that MPD is not a rare disorder, its sufferers include a preponderance of females, and it is highly correlated with childhood trauma, especially sexual and physical abuse. In addition, the study indicates that clinicians who diagnose MPD perceive clinical phenomena in a manner similar to those clinicians who have not yet made this diagnosis.Item Open Access Dissociation : Vol. 2, No. 2, p. 059-060 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-06) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 2, No. 2, p. 083-091 : Iatrongenic creation of new alter personalities(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-06) Kluft, Richard P., 1943-The initial assessment of a patient suffering multiple personality disorder (MPD) rarely discloses the full complexity of that patient's system of personalities. Like most other mental disorders, MPD reveals its inner structure gradually, in the course of the uncovering process of therapy. This common sense observation, however, is often disregarded due to the widespread concern that the very procedures designed to alleviate and integrate MPD may augment rather than reduce its complexity. This paper will review factors inherent in the treatment, the patient, and the therapist that may contribute to an actual increment in the patient 's complexity or to the appearance that this has occurred. Most apparent creations of new alter personalities reflect the use of personality formation to cushion the traumatic impact of the treatment, which is inherently painful, or to protect against intercurrent traumata. Others (the majority) represent in fact the discovery of preexisting but previously unrecognized alters. Some alters emerge in response to therapists' errors in technique or inappropriate behaviors.Item Open Access Dissociation : Vol. 2, No. 3, p. 117-118 : Editorial: Excerpts from the editor's notebook(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 2, No. 4, p. 191-193 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-12) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 2, No. 4, p. 243-249 : The Rehabilitation of Therapists Overwhelmed by Their Work with MPD Patients(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-12) Kluft, Richard P., 1943-It is generally recognized that the treatment of multiple personality disorder (MPD) may prove an arduous undertaking for patient and therapist alike. The literature is replete with descriptions of the impact of treatment upon MPD patients, but has been understandably circumspect about the effects of this process upon therapists. This discrete silence belies the intense concentration upon this aspect of work with MPD patients in workshop and consultation settings. Although the number of new therapists in the field continues to expand, it is well known that there is a much smaller, but not inconsiderable stream of clinicians who exit the field, and discontinue working with MPD patients. Furthermore, a larger group continues to work with MPD patients, but at a diminished level of effectiveness. This presentation will review some of the stressors inherent in work with MPD patients, and describe characteristic sequences in the reactions of those who work with MPD (e.g., front fascination with MPD and MPD patients to various expressions of withdrawal, the breakdown of empathy and rapport, the loss of an optimal therapeutic stance, and acting out in the countertransference). Several patterns of therapist distress will be noted. A model for diagnosing the problem areas of overwhelmed therapists will be described, and types of interventions targeted at the alleviation of the problem areas will be noted. Corrective measures will be outlined, in the framework of educational domains. Observations on the effect of rehabilitating the therapist upon the therapist's patients will be offered.Item Open Access Dissociation : Vol. 3, No. 1, p. 001-002 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Kluft, Richard P., 1943-