Dissociation : Vol. 5, No. 2 (June 1992)

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    Dissociation : Vol. 5, No. 2, p. 087-090 : Differentiating multiple personality disorder and dissociative disorder not otherwise specified
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Ross, Colin A.; Anderson, Geri; Fraser, George A.; Bjornson, Lynda; Miller, Scott D.; Reagor, Pamela A.
    The authors interviewed 166 patients with clinical diagnoses of multiple personality disorder and 57 with diagnoses of dissociative disorder not otherwise specified with the Dissociative Experiences Scale and the Dissociative Disorders Interview Schedule. The findings supported the concept of a spectrum of dissociation, with increasingly complex and symptomatic forms of dissociation related to increasingly severe childhood trauma.
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    Dissociation : Vol. 5, No. 2, p. 123-124 : Book review
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Jacobs, Richard L.; Weinstein, Harvey
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    Dissociation : Vol. 5, No. 2, p. 091-097 : The Children’s Perceptual Alteration Scale (CPAS): a measure of children’s dissociation
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Evers-Szostak, Mary; Sanders, Shirley
    The Children's Perceptual Alteration Scale (CPAS) was developed as a standardized, self-report measure of children's dissociative experiences. Fifty-three children between the ages of eight and twelve completed the CPAS. This included 21 children (17 boys and 4 girls) seen for psychological evaluation or treatment and 32 children (20 girls and 12 boys) in the normal group. Parents of the children in the clinical group completed the Achenbach Child Behavior Checklist and the Eyberg Child Behavior Inventory. Children in the clinical group scored higher on the CPAS than did those in the normal group. Total CPAS score was also found to correlate significantly with Eyberg Intensity, and the Obsessive-Compulsive and Aggressive scales of the CBC. Split-half reliability of the CPAS was good (r = .75, p < .001). The CPAS appears to be a valid measure of children's dissociative experiences and may be useful in the study of normal development and childhood psychopathology.
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    Dissociation : Vol. 5, No. 2, p. 098-103 : Empathic confrontation in the treatment of childhood abuse survivors, including a tribute to the legacy of Dr. David Caul
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Chu, James A.
    Patients who are survivors of severe childhood abuse may present with complex post-traumatic and dissociative symptoms, as well as significant disturbance of characterologic development. These difficulties may lead patients to use a variety of dysfunctional and self-destructive patterns of behavior, many of which may be ingrained coping mechanisms which were developed in response to early abusive experiences. Dysfunctional behaviors which interfere with psychological growth and healing must be confronted to allow the therapeutic process to continue. However, patients are often quite resistant to letting go of their painful but familiar coping mechanisms. In addition, the often tenuous therapeutic alliance between abuse survivor patients and their therapists makes the necessary confrontations even more difficult. This discussion examines the nature of therapeutic confrontation and presents a model of empathic confrontation. Finally, this paper presents summary materials drawn from the late Dr. David Caul's use of empathic confrontation, and his unpublished writings on relating to patients with multiple personality disorder.
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    Dissociation : Vol. 5, No. 2, p. 120-122 : On the nature of memories: response to “A reply to Ganaway”
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Ganaway, George K.
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    Dissociation : Vol. 5, No. 2, p. 117-119 : A reply to Ganaway: the problem of using screen memories as an explanatory device in accounts of ritual abuse
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Smith, Martin R.
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    Dissociation : Vol. 5, No. 2, p. 104-108 : Psychodramatic treatment of multiple personality disorder and dissociative disorders
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Altman, Kerry Paul
    Psychodramatic group psychotherapy has been an integral part of an inpatient intensive treatment program for adult survivors of childhood abuse, many of whom are diagnosed with multiple personality disorder or a dissociative disorder. This paper presents a general introduction to the psychodramatic approach to treatment of this population. Some broad theoretical and methodological principles are presented, providing a framework for understanding two case examples.
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    Dissociation : Vol. 5, No. 2, p. 111-116 : Dream wars: a case study of a woman with multiple personality disorder
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Paley, Karen Surman, 1947-
    This paper is an addition to the limited literature on the use of dream work with patients having multiple personality disorder (MPD). Dreams can be used in clinical practice to: aid in the breakdown of barriers erected to block memories of childhood abuse, recognize alter personalities, control malevolent alters, and identify and reduce conflicts among personalities. An illustrative case report of the treatment of an alleged satanic ritual abuse survivor demonstrates the vitiation of a perpetrator alter through dream work. The balance of power within the host personality shifted as non-perpetrating personalities lined up to isolate the abuser.
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    Dissociation : Vol. 5, No. 2, p. 073-079 : Psychogenic amnesia: a clinical investigation of 25 cases
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Coons, Philip M.
    Although there have been eight descriptive studies on patients with psychogenic amnesia between 1935 and 1962, this is the first such study in thirty years. Using an extensive clinical history, mental status examination, collateral interviews, neurological examination, electroencephalogram (EEG), intelligence testing, Minnesota Multiphasic Personality Inventory (MMPI), and the Dissociative Experiences Scale (DES), the authors examined twenty-five consecutive psychogenic amnesia patients diagnosed with modified DSM-III-R criteria. In most cases the amnesia was selective, chronic, and not of sudden onset. A few cases were repetitive. There were multiple stressful psychological precipitants. There were many similarities to patients with multiple personality disorder, providing further proof that dissociative disorders occur along a dissociative spectrum. Psychogenic amnesia is probably the most common dissociative disorder diagnosis. It is frequently overlooked because the symptoms are subtle, and other primary diagnoses are often present.
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    Dissociation : Vol. 5, No. 2, p. 000 : Cover, table of contents
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06)
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    Dissociation : Vol. 5, No. 2, p. 109-110 : “We don’t have that problem here”: MPD in New Zealand
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Altrocchi, John
    In 1990, the opinion of several mental health professionals in three universities in New Zealand was that "We don't have multiple personality disorder (MPD) here." While in New Zealand for four months in 1992, the author contacted therapists who dealt with victims of abuse and was able to quickly locate a number of cases of MPD and to carry out some training. The "explosion" of awareness of MPD has evidently begun there.
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    Dissociation : Vol. 5, No. 2, p. 080-086 : Development and validation of a scale measuring childhood dissociation in adults: the childhood dissociative predictor scale
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Branscomb, Louisa P.; Fagan, Joen
    The sharp increase in our understanding of dissociation, particularly as manifested in multiple personality disorder (MPD) and post-traumatic stress disorder (PTSD) has resulted in the need for a psychometric instrument to permit replicable studies of variables associated with the development of dissociation. The Childhood Dissociative Predictor Scale is a 14-item, self-report scale with items relating to childhood abuse and childhood dissociative behaviors answered on a five-point scale. The scale yields a total score and subscale scores on dissociation items and abuse items. The scale was normed on 161 subjects including sixty-six normals and ninety-five psychiatric patients. Of clinical populations, only the MPD and PTSD groups scored significantly higher than normals. This significant elevation occured on Total Score, the Dissociation Subscale, and the Abuse Subscale. Results support the initial validity and utility of the scale.
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    Dissociation : Vol. 5, No. 2, p. 071-072 : Editorial
    (Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1992-06) Kluft, Richard P., 1943-