Dissociation : Vol. 7, No. 2 (June 1994)

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    Dissociation : Vol. 7, No. 2, p. 129-133 : EMDR treatment of phobic symptoms in multiple personality disorder
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Young, Walter C.
    Two multiple personality disorder patients with severe, persistent phobias were treated using Eye Movement Desensitization/Reprocessing (EMDR). Both patients achieved significantly beneficial results with a single session in one patient and two sessions in another. Each patient confronted the previously phobic object successfully showing an objective measure of success and results were maintained at six months follow-up. Caution should be exercised from generalizing the use of EMDR for specific target symptoms to using it as a total treatment technique. Further research is needed to determine the efficacy of EMDR as a treatment procedure in general and its role in the overall treatment of dissociative conditions.
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    Dissociation : Vol. 7, No. 2, p. 104-111 : A group for partners and parents of MPD clients part II: themes and responses
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Benjamin, Lynn R.; Benjamin, Robert
    Over more than seven years, common themes have emerged in an adjunctive group for partners and parents of MPD clients. Those themes include: the diagnosis, how the family member "ought " to behave, anger, the sense and fear of loss, self-caring and setting limits, how much to trust the MPD client, the struggle to avoid becoming a "therapist' family member, how to deal with the outside world, marital and sexual issues, how the therapeutic relationship of the MPD client affects the non-MPD group member, family of origin issues, credibility of the MPD client, the non-MPD family member as "monster," existential and spiritual issues, and changes in the relationship upon recovery. This paper examines these themes and therapist responses to the issues of self-care and exploitation, sexual dysfunction, sadistic ritual abuse, the repressed memory controversy, criticism of the MPD client's therapist and parenting.
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    Dissociation : Vol. 7, No. 2, p. 117-128 : Systematic assessment of dissociative identity disorder in an adolescent who is blind
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Steinberg, Annie; Steinberg, Marlene, 1953-
    Although the connection between abuse in childhood and later development of multiple personality disorder is increasingly well-documented, few studies exist of dissociative identity disorder (DID) patients drawn from a subpopulation at high risk for child abuse, namely individuals with disabilities. This paper presents the diagnostic assessment of DID in an adolescent who is blind, using the Structural Clinical Interview for DSM-IV Dissociative Disorders (SCID-D), an extensively field-tested semi-structured interview for the detection of dissociative symptoms and disorders. The case study includes a description and analysis of the patient's SCID-D interview and its findings, with emphasis on the similarity of the patient's symptoms to those reported by adult patients without disabilities who suffer from DID. The article concludes with remarks about the need for further research regarding the prevalence of dissociative disorders in a) the adolescent population; and b) the population of individuals with physical or developmental disabilities. In addition, new studies utilizing the SCID-D should facilitate systematic investigation of dissociative symptoms and disorders in the adolescent population.
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    Dissociation : Vol. 7, No. 2, p. 112-116: Systematic assessment of dissociative symptoms and disorders using the SCID-D in a clinical outpatient setting: three cases
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Hall, Pamela; Steinberg, Marlene, 1953-
    This paper presents three case studies illustrating the range and scope of the clinical applications of the SCID-D, a semi-structured interview for the assessment and diagnosis of dissociative symptoms and disorders according to DSM IV criteria. The studies indicate the effectiveness of the SCID-D in differential diagnosis between medical and psychiatric conditions, in symptom documentation for forensic cases, and in treatment planning for patients previously diagnosed with dissociative identity disorder (DID), formerly multiple personality disorder (MPD), who are experiencing impasses in therapy. Although the SCID-D is not a trauma questionnaire, its ability to elicit spontaneous descriptions of trauma from patients without the use of leading or intrusive questions makes it a valuable instrument for diagnosis and assessment as well as treatment planning and implementation. Early diagnosis of dissociative disorders with the SCID-D can lead to timely and effective treatment for those suffering from DID and the dissociative disorders.
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    Dissociation : Vol. 7, No. 2, p. 101-103 : Convergent validity of the new form of the DES
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Ellason, Joan W.; Ross, Colin A.; Mayran, Lawrence W.; Sainton, Kelly
    The line and circle farms of the Dissociative Experiences Scale (DES I and DES II) were administered to 65 subjects in the general population, 87 subjects with a clinical diagnosis of dissociative identity disorder, and 26 subjects with a diagnosis of chemical dependency. In all three samples the DES II showed excellent validity when compared to the original line form of the DES.
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    Dissociation : Vol. 7, No. 2, p. 092-100 : Initial development and validation of the Phillips Dissociation Scale (PDS) of the MMPI
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Philips, David W.
    Previous research supports the view that dissociative tendencies in adulthood are linked to a history of childhood trauma. Such trauma are known to have a persistent affective impact which is reflected symptomatically. Taking symptoms of unresolved grief as an example of the affective consequences of childhood trauma, this study sought to use grief symptoms as predictors of dissociative tendencies in a sample of Australian adults. In conjunction with the basic demographic factors of age and gender, a standardized inventory of grief symptoms accounted for more than half of the variance of dissociation scores. The efficacy of this regression analysis compares very favorably with analyses using childhood trauma as predictor variables. The data are interpreted as supportive of the value of measures of the affective outcomes of childhood trauma in the statistical prediction of dissociation in adulthood.
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    Dissociation : Vol. 7, No. 2, p. 086-091: Affective predictors of dissociation-I: the case of unresolved grief
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Irwin, H. J. (Harvey J.)
    Previous research supports the view that dissociative tendencies in adulthood are linked to a history of childhood trauma. Such trauma are known to have a persistent affective impact which is reflected symptomatically. Taking symptoms of unresolved grief as an example of the affective consequences of childhood trauma, this study sought to use grief symptoms as predictors of dissociative tendencies in a sample of Australian adults. In conjunction with the basic demographic factors of age and gender, a standardized inventory of grief symptoms accounted for more than half of the variance of dissociation scores. The efficacy of this regression analysis compares very favorably with analyses using childhood trauma as predictor variables. The data are interpreted as supportive of the value ofmeasures of the affective outcomes of childhood trauma in the statistical prediction of dissociation in adulthood.
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    Dissociation : Vol. 7, No. 2, p. 081-085 : Factitious or malingered multiple personality disorder: eleven cases
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Coons, Philip M.; Milstein, Victor
    Of 112 consecutive admissions to a dissociative disorders clinic, 10% of patients with symptoms characteristic of MPD ultimately were discovered to have factitious disorder or were malingering. They were compared with 50 MPD patients previously reported. There were few differences in demographic variables, presenting symptoms, or characteristics of alter personalities between the groups. The use of electroencephalograms and the Minnesota Multiphasic Personality Inventory was not helpful in differentiating the two groups. There was a striking difference, however, between genuine MPD and simulators for the presence of symptoms characteristic of either malingering or factitious disorder. Although some cases of simulated MPD are easy to discern, others may be extremely difficult, even for the experienced clinician. The use of collateral interviews and probing for symptoms common to factitious disorder and malingering are invaluable aids in the differential diagnosis of genuine from simulated MPD.
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    Dissociation : Vol. 7, No. 2, p. 000 : Cover, table of contents
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06)
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    Dissociation : Vol. 7, No. 2, p. 079-080 : Editorial: Building upon our foundations
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1994-06) Kluft, Richard P., 1943-