Dissociation : Volume 10, No. 3 (Sept. 1997)

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    Dissociation : Volume 10, No. 3, p. 139-140 : Editorial
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Kluft, Richard P., 1943-
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    Dissociation : Volume 10, No. 3, p. 000 : Cover, table of contents
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09)
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    Dissociation : Volume 10, No. 3, p. 141-147 : Case study of a Puerto Rican woman with dissociative identity disorder
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Martinez-Taboas, Alfonso, 1953-; Rodriguez-Cay, Jose R.
    In this case-study the authors present how a typical case of Dissociative Identity Disorder (DID) is treated by two clinicians working with Puerto Rican patients. In the following case, a 28-year-old female patient with DID was treated utilizing a three stage process treatment. In the first stage, the authors confirmed the diagnosis and tried to contact the principal alter identities. The aim here is to try to make a contract and commitment with the patient and her alters about the importance of the therapeutic process. In the second stage, a lot of work was done to debilitate her dissociative defenses and substitute them for more mature ones . Also, pharmacotherapy was initiated during this period. In the last stage, we mainly used cognitive, behavioral, and experiential therapies to consolidate her new self. The authors present clinical and social evidence that sustain their opinion that the patient made striking progress during and after treatment.
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    Dissociation : Volume 10, No. 3, p. 174-181 : Paranormal and dissociative experiences in Middle-Eastern Jews in Israel: diagnostic and treatment dilemmas
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Somer, Eliezer, 1951-
    Four Israeli Jewish persons of Middle Eastern cultural heritage presented for consultation following unsuccessful helping attempts delivered by various folk and spiritual healers. The four patients suffered from the following DSM-IV defined problems: Post-traumatic Stress Disorder, Dissociative Disorder not Otherwise Specified, Schizophrenia-paranoid type, and Histrionic Personality Disorder coupled with a Conversion Disorder with Seizures. The patients construed their suffering in cultural idioms implicating supernatural experiences. Many of their symptoms resembled dissociative clinical pictures. However, unlike many dissociative disorder patients described in the Western scientific literature, these persons refused to accept any of their possession-like experiences as possible manifestations of their own dissociated ego-states. The paper describes the struggle to find common ground on which significant cross-cultural help could be offered to indigenous people manifesting dissociative and other symptomatology.
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    Dissociation : Volume 10, No. 3, p. 182-189 : Successful integrated hypnotic and psychopharmacological treatment of war-related post-traumatic psychological and somatoform dissociative disorder of two years duration (psychogenic coma)
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Cagiada, Silvana; Candido, Luigi; Pennati, Ambrogio
    This report describes the treatment of Basile, a young African boy who slipped into what might best be described as a psychogenic coma with numerous additional dissociative features of two years' duration after having been kidnapped by bandits and witnessing the wounding and death of a friend who had been kidnapped with him. His treatment by a team of mental health professionals who used psychopharmacology, hypnosis in many forms, and a computer in connection with both hypnotic metaphors and the expressive potential of a graphics program is recounted. Despite profound and longstanding impairment, Basile was able to recover and resume his education. The authors conclude that such patients, despite their complexity and duration, may be accessible to a systematic and determined approach to therapy that mobilizes numerous resources and modalities on their behalf.
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    Dissociation : Volume 10, No. 3, p. 148-156 : Treatment of dissociative identity disorder in Turkey: a case study
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Sar, Vedat; Tutkun, Hamdi
    A 45-year-old housewife diagnosed with DID was treated for 27 months. This patient, one of the first DID cases diagnosed at Istanbul Medical Faculty Hospital, was initially treated mainly under inpatient conditions (six months total hospitalization in three successive admissions). She reached fusion in eight months. The initial presentation form of the patient raised important questions about the interrelationships of hysterical psychosis, childhood trauma, and DID.
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    Dissociation : Volume 10, No. 3, p. 166-173 : Working with dissociative identity disorder in Stavanger, Norway
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Hove, Ingunn; Langfeldt, Tone Sem; Boe, Tor; Haslerud, Jan; Stoerseth, Francoise
    The article gives a short review of how knowledge and competence on dissociative disorders have developed in Stavanger, Norway. The main part of the article describes two patients with dissociative disorders. The first of these cases describes a middle-aged female patient with a long psychiatric history with different psychiatric diagnoses. She was the first among our patients to get the MPD diagnosis in 1992. The other case presents a young man diagnosed with DDNOS during his first stay in the psychiatric department in 1993. The diagnosis later on was changed to MPD. Their treatments within the Norwegian mental health system are illustrated.
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    Dissociation : Volume 10, No. 3, p. 157-165 : Treatment strategies for complex dissociative disorders: two dutch case examples
    (Ridgeview Institute and the International Society for the Study of Dissociation, 1997-09) Hart, Onno van der, 1941-; Boon, Suzette
    In the Netherlands, the diagnosis of dissociative identity disorder (DID) is widely accepted, although skeptics also have made their opinions known. Dutch clinicians treating DID patients generally follow the common three-phase model for treatment of post-traumatic stress. Given the fact that they usually deal with complicated cases and enmeshed patients (cf. Horevitz E. Loewenstein, 1994), most often treatment is restricted to Phase 1: stabilization and symptom reduction. Treatment of higher functioning patients, on the other hand, usually aims at processing of traumatic memories and complete personality integration as well. In this article, two Dutch cases are described in detail, with a special emphasis on the clinical deliberations which, in the first case, led to the decision to proceed to trauma treatment, and which led in the second case to the decision to refrain from it.