Dissociation : Vol. 2, No. 3 (Sept. 1989)
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Item Open Access Dissociation : Vol. 2, No. 3, p. 000 : Cover, table of contents(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09)Item Open Access Dissociation : Vol. 2, No. 3, p. 128-131 : Preliminary observations on MPD in Puerto Rico(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Martinez-Taboas, Alfonso, 1953-A considerable number of cases of multiple personality disorder (MPD) have been reported by clinicians working in the continental United States of America (USA). However, there has never been a documentation of MPD in a Latin American country. Here I report three cases of Puerto Rican patients with MPD whose symptom profile and etiological background are strikingly similar to the ones reported in the USA. It is recommended that Latin American mental health professionals should become more aware of and clinically sensitive to this increasingly recognized conditions.Item Open Access Dissociation : Vol. 2, No. 3, p. 160-168 : Dissociation and state-specific psychophysiology during the nineteenth century(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Alvarado, Carlos S.This paper reviews examples of state-specific psychophysiology in nineteenth century reports of dissociative disorders. These cases occurred in the context of rapid developments both in neurology and in the understanding of phenomena suggesting the possible influence of the mind, emotions, or psychological states on general health and specific bodily functions (e.g., the study of hypnosis and hysteria). It is argued that interest in such cases was part of a general concern with mind-body interactions. The explanations offered to account for these cases reflected different orientations to the mind-body problem prevalent during this era.Item Open Access Dissociation : Vol. 2, No. 3, p. 169-189 : The dissociative disorders interview schedule: a structured interview(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Ross, Colin A.; Heber, Sharon; Norton, G. Ron, 1941-; Anderson, Donna; Anderson, Geri; Barchet, PaulThe Dissociative Disorders Interview Schedule (DDIS), a structured interview, has been developed to make DSM-III diagnoses of the dissociative disorders, somatization disorder, major depressive episode, and borderline personality disorder, Additional items provide information about substance abuse, childhood physical and sexual abuse, and secondary features of multiple personality disorder. These items provide information useful in the differential diagnosis of dissociative disorders. The DDIS has an overall inter-rater reliability of 0.68. For the diagnosis of multiple personality disorder it has a specifify of 100% and a sensitivity of 90%.Item Open Access Dissociation : Vol. 2, No. 3, p. 151-159 : A model for abreaction with MPD and other dissociative disorders(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Steele, Katherine H.A conceptual model for abreactive work with multople personality and other dissociative disorders is presented. The context and process of abreaction are described. the model includes the following components: Providing safety and protection (preparation); eliciting dissociated aspects of the trauma (identification); alleviating the fixation point in existential crisis of the trauma (resolution); creating a gestalt with the dissociated aspects within reconstructed cognitive schema (assimilation); empowering the patient through the return of an internal locus of control, restoration of contiguous consciousness and memory, and assimilation of identity (application).Item Open Access Dissociation : Vol. 2, No. 3, p. 119-127: Dissociative disorders and dissociative symptoms at a community mental health center(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Graves, Stuart M.This paper presents the author's experience with dissociative disorders and dissociative symptoms among 125 patients seen for ongoing pharmacologic treatment at a community mental health center. Eleven were found to have a diagnosable dissociative disorder, and 16 others to have marked dissociative symptoms. The nature of the dissociative symptoms is discussed, as are the implications of these findings, should they prove replicable.Item Open Access Dissociation : Vol. 2, No. 3, p. 144-150 : Normal and pathological dissociations of early childhood(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Albini, Theresa K.; Pease, Terri E.The authors hypothesize that multiple personality disorder is related to the processes that lead to the formation in children of a distinct and cohesive self. Three clinical propositions concerning MPD derived from this hypothesis are: first, multiple personality disorder should be seen as a childhood disorder; second, cohesion of the self is best understood as a developmental achievement mediated by specific experiences in the early years of life; third, some dissociative disorders, including multiple personality disorder, are survivals of an earlier personality organization in which distinct centers of experience and initiative existed Within a single individual.Item Open Access Dissociation : Vol. 2, No. 3, p. 132-137 : Breaking the code: identification of multiplicity through art productions(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Cohen, Barry M.; Cox, Carol ThayerThe authors organized the art productions of clients diagnosed as suffering multiple personality disorder into ten basic categories reflecting thematic, structural, and process elements. These categories were derived from the study of nearly two thousand pictures drawn over a period of nine years. Designed to aid therapists in the identification of multiplicity, these categories can also be used as a framework to help therapists understand the spontaneous artwork of multiples.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. 3, p. 138-143 : Internal self helpers of persons with multiple personality disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1989-09) Adams, M. AnnIn the past, Internal Self Helpers (ISHs) of persons with multiple personality disorder (MPD) have been described by a small number of therapists. This study broadens the base of information relating to ISHs. Forty respondents who collectively had been therapists for a total of 690 MPD patients participated in the study. The findings of this study suggest that a) ISH occurrence within MPD clients is not uncommon; b) ISHs can be valuable assets in the therapeutic process; c) therapists differ in their explanations of and beliefs about ISHs, as well as the manner in which they relate to and utilise ISHs; d) ISHs are reported to be mostly knowledgeable, reliable, and helpful; e) ISHs demonstrate a wide variety of abilities; and f) while there is no one explanation regarding the etiology and nature of ISHs, therapists most commonly tend to describe ISHs as possessing unifying, centering, and protective functions within MPD persons.