Dissociation : Vol. 3, No. 1 (Mar. 1990)
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Item Open Access Dissociation : Vol. 3, No. 1, p. 048-053 : Dissociative Disorders in Impaired Psychiatry Residents and Graduate Students in Psychology(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Kluft, Richard P., 1943-Although the dissociative disorders remain controversial entities within American psychiatry, they are being recognized and treated with increasing frequency. In recent years the recognition of such conditions in very high functioning individuals, including physicians and psychologists, has been reported. The current communication describes the occurrence of dissociative disorders in distressed psychiatry residents and graduate students in psychology. Illustrative vignettes are offered, and the manner in which these individuals may demonstrate suggestive signs of such conditions is discussed. The optimistic prognosis for high-functioning dissociative disorder patients and the likelihood of prolonged difficulties if such conditions are not recognized makes it useful to have a high index of suspicion for such conditions in the troubled resident or graduate student.Item Open Access Dissociation : Vol. 3, No. 1, p. 031-033 : Transcultural Issues in Psychiatry: The Ataque and Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Steinberg, Marlene, 1953-Due to the difficulty in detection of multiple personality disorder (MPD), this dissociative disorder is frequently misdiagnosed and ineffectively treated. In this case report of MPD in a Hispanic woman, the author compares and contrasts her presentation of symptoms with those of the culturally accepted ataque de nervios, or "Puerto Rican syndrome. " It is theorized that the similarities may increase the incidence of misdiagnosis of MPD in Hispanics and it is recommended that the diagnosis of MPD be considered in Hispanics with histories of ataque.Item Open Access Dissociation : Vol. 3, No. 1, p. 022-030 : Multiple Personality Disorder and Satanic Ritual Abuse: The Issue of Credibility(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Van Benschoten, Susan C.The issue of satanic ritual abuse has gained widespread public and professional attention in the past 10 years. During therapy, many adult MPD (multiple personality disorder) patients describe memories of such abuse beginning in childhood. Simultaneously, there are pre-school children reporting current incidents of sexual and physical abuse involving satanism in day care settings. Professionals specifically addressing the day care cases have attempted to delineate features which distinguish ritual abuse from traditional conceptualizations of child abuse. The characteristics of ritual abuse which they have identified are presented, as well as similarities and differences between the child and adult MPD patients' reports. Inevitable questions regarding the validity and accuracy' of MPD patients' satanic abuse memories are explored. The substantiated occurrence of ritual abuse in contemporary, non-satanic, dangerous cults is discussed as a framework for considering the authenticity of MPD patients' satanic abuse accounts. It is proposed that an attitude of critical judgement concerning reports of satanic ritual abuse is necessary, to avoid either denying the issue or over-generalizing the nature and extent of the problem.Item Open Access Dissociation : Vol. 3, No. 1, p. 038-047 : Dreams and Dissociation Theory: Speculations on Beneficial Aspects of Their Linkage(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Gabel, StewartThe linkage between dreams and various dissociative phenomena has often been noted on an intuitive or clinical basis. Dream theory during this century, however, has been associated with and helped to provide the framework for psychoanalytic theory, not dissociation theory. In recent years interest in dissociation theory and dissociative phenomena has grown. This has also been true of the interest in dreams as understood from vantage points that dispute classical psychoanalytic views on dreaming and that emphasize a role for dreaming in learning and adaptive behavior. This paper reviews some of these issues in greater detail. It emphasizes the apparent linkage between dream phenomena and particular dream theories with dissociation theory. Possible benefits to dream theory and to dissociation theory when dreams are considered within a broader framework of dissociation are discussed from several viewpoints.Item Open Access Dissociation : Vol. 3, No. 1, p. 034-037 : Contemporary Interest in Multiple Personality Disorder and Child Abuse in the Netherlands(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Hart, Onno van der, 1941-; Boon, SuzetteInterest in multiple personality disorder (MPD) as well as sexual child abuse is rapidly growing in the Netherlands, perhaps more so than in other European countries. Clinical, theoretical, and research developments in these respects are outlined, and it is mentioned that patients stating that they have been victims of satanic cult abuse are also encountered in the Netherlands. The need for more international cooperation is expressed.Item Open Access Dissociation : Vol. 3, No. 1, p. 015-021 : The Evolution of Post-Traumatic Behavior: Three Hypotheses(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Beahrs, John O., 1940-Catastrophic stressors regularly lead to the often-disabling symptoms of the post-traumatic stress disorders (PTSD). With resulting impairment in both personal survival skills (heightened vulnerability, self-destructive behavior) and reproductive capacity (disturbed relationships, sexual dysfunction), PTSD symptoms should be strongly selected against by natural evolution. Their wide prevalence thus presents an anomaly for the evolving paradigms of evolutionary biology. Three hypotheses may help to resolve this anomaly: (1) The same psychodynamic features that are maladaptive in a rapidly changing milieu like today's technological societies (dissociation, blurred interpersonal boundaries, cognitive distortion, rigidification, and affect-driven behavior), may ensure personal survival and family bonding in a comparatively stable milieu where threats are catastrophic but infrequent and stereotyped; e.g., that within which homo sapiens probably evolved. (2) Spontaneous hypnotic dissociation often accompanies the experience of trauma, which may (a) promote immediate survival; (b) permit later growth and development, at cost of perpetuating some impairment; and (c) facilitate deception of others by deception of self. (3) Traumatic affect may provide a driving force for ongoing cultural evolution.Item Open Access Dissociation : Vol. 3, No. 1, p. 010-014 : The Need for Marriage Therapy in the Treatment of Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Panos, Patrick T.; Panos, Angela; Allred, G. HughMost literature that examines MPD focuses on the treatment of individual clients and only occasionally discusses the use of marital therapy as a supplemental form of treatment. We propose that marital therapy is a critical part of working with MPD patients in that it increases the speed and effectiveness of individual therapy and solidifies gains made with integration. The fallowing specific marital issues are examined: (1) educating the spouse, (2) understanding seepage (affective pervasion), (3) handling conflicting demands of alters, (4) responding to child alters, (5) supporting the sexual relationship, (6) adjusting to integrations, and (7) having patience with the therapeutic process. In addition, both marital therapy techniques and goals are examined in detail.Item Open Access Dissociation : Vol. 3, No. 1, p. 003-009 : Diagnosis of Childhood Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03) Peterson, GaryFrom the recent surge of interest in multiple personality disorder (MPD), proliferation of clinical and scientific publications on the subject has emerged. MPD is understood to have its roots in childhood; however, little is known about this condition in youth. In many of the reports of childhood MPD the subjects fall short of meeting the full criteria as applied to adults. In this paper checklists of signs and symptoms of MPD in youth are compared. These checklists are organized into symptom groups. Case vignettes of childhood MPD which recently have been reported by several authors are compared to these signs and symptoms. Most significantly, a set of diagnostic criteria which may be applied to children and adolescents with dissociation and major behavior disturbances and who may or may not have MPD have been proposed. The suggested designation for these diagnostic criteria is dissociation identity disorder.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-Item Open Access Dissociation : Vol. 3, No. 1, p. 000 : cover, table of contents(Ridgeview Institute and the International Society for the Study of Multiple Personality and Dissociation, 1990-03)