Dissociation : Vol. 1, No. 2 (June 1988)
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Item Open Access Dissociation : Vol. 1, No. 2, p. 052 : Book Review(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 2, p. 048-051 : A Case Of Concurrent Multiple Personality Disorder And Transsexualism(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Schwartz, Pearl G.A transsexual patient suffered a coexisting multiple personality disorder that was not diagnosed until after the completion of sexual reassignment surgery. This report reviews this patient 's history and experiences in psychotherapy. It is important to consider the possibility that the patient who presents with the features of a gender identity disorder may have a concomitant dissociative disorder. It is highly questionable whether a patient with both types of disorder should receive sexual reassignment surgery until the dissociative disorder has been treated to a successful resolution.Item Open Access Dissociation : Vol. 1, No. 2, p. 043-047 : The Core Self: A Developmental Perspective On The Dissociative Disorders(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Fink, David L.Multiple Personality Disorder and the Dissociative Disorders are characterized by the subjective experiences of extreme fragmentation, disorganization, and disintegration. While our current system of classifications identifies these experiences as central to dissociation, clinicians have been limited in their ability to describe the nature of these states specifically. Recent findings from developmental psychology and infant research provide observational data which describe stages of self development. The careful focus in this work on defining and describing the domains of self experience provides a useful framework for studying Dissociative Disorders.Item Open Access Dissociation : Vol. 1, No. 2, p. 039-042 : Multiple Personality Disorder Patients With A Prior Diagnosis Of Schizophrenia(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Ross, Colin A.; Norton, G. Ron, 1941-The authors collected a series of 236 cases of multiple personality disorder patients reported to them by 203 clinicians throughout North America. The series included 81 patients who had received a past diagnosis of schizophrenia and 96 who had not. The patients with a past diagnosis of schizophrenia were more self-destructive and spent more time in the mental health system prior to diagnosis. During this period they received more other psychiatric diagnoses and treatments. They had more Schneiderian first-rank symptoms but did not have more auditory hallucinations.Item Open Access Dissociation : Vol. 1, No. 2, p. 034-038 : Some Aspects Of Resistence In The Treatment Of Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Chu, James A.Therapists who treat patients with Multiple Personality Disorder (MPD) commonly experience discomfort and frustration. This paper contends that the most significant cause of therapist discomfort is the particular resistances encountered in the treatment of MPD. In- MPD, etiologic childhood traumatic experiences are defensively repressed and dissociated. In addition, the normal ability to engage in trusting interpersonal relationships is disrupted. Thus, a psychotherapy which requires the retrieval of past traumas in the context of an interpersonal therapeutic relationship is tremendously threatening to the patient with MPD. In the normal course of the psychotherapy of MPD, intense resistances are encountered at every stage. This paper outlines the nature of resistance in the treatment of patients with MID, presents a number of clinical examples, and discusses the importance of understanding and working with resistance as an intrinsic part of the treatment.Item Open Access Dissociation : Vol. 1, No. 2, p. 027-033 : Diagnosis Of Covert And Subtle Forms Of Multiple Personality Disorder Through Dissociative Signs(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Franklin, JeanThere are different forms of multiple personality disorder (MPD) that vary on a dissociative continuum from subtle forms in which the alters are not very distinct or elaborated and often influence each other without assuming full control, to patients with fully developed AIPD, whose alters are distinct, elaborated, assume full control, and emerge covertly. Most MPD patients present covertly, and some patients with covert presentations will later show overt classic symptoms, while those with subtle forms will often remain mild and subdued. Most MPD patients hide or disguise their condition, while their alters express their thoughts and feelings through subtle dissociative signs that occur when the alters influence each other, partly emerge, or subtly shift. These signs consist of frequent, sometimes sudden, fluctuations in affects, thoughts and behaviors, transferences, developmental levels, and psychiatric symptoms, and marked discrepancies in memories, viewpoint, and attitudes, which may indicate the possible presence of alters and of MPD or Dissociative Disorder Not Otherwise Specified : variants of MPD. The case of a subtle form of MPD is presented which illustrates some of the subtle signs of dissociation and other dissociative symptoms often seen in these patients.Item Open Access Dissociation : Vol. 1, No. 2, p. 024-026 : Determining Prognosis In The Treatment Of Multiple Personality Disorder(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Caul, DavidDetermining the prognosis of a multiple personality disorder (MPD) patient has received little systematic attention in the literature. Drawing on clinical experience, the author offers sixteen questions that he finds useful in gauging whether or not an MPD patient is likely to have a good or poor prognosis for a relatively straightforward, psychotherapy and constructive outcome. In the author's experience, patients who have less favorable prognoses in terms of these questions generally will have difficult and prolonged therapies, and are more likely to interrupt treatment, reach a stalemate in treatment, or fare poorly.Item Open Access Dissociation : Vol. 1, No. 2, p. 016-023 : The Bask Model Of Dissociation: Part II- Treatment(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Braun, Bennett G.This article is a continuation of the BASK Model of Dissociation: Part I, which discussed the phenomena and theory of dissociation. It uses the previously described BASK Model (Behavior, Affect, Sensation, Knowledge levels within a time continuum) and applies it to treatment. Since treatment is a dynamic concept and knowledge is a static term, BASK is changed to BATS, wherein the active term "thought" is substituted for "knowledge." The interrelationship of the various dimensions of the BATS model is demonstrated and described. The BASK format is used to describe how a behavior, affect, thought and/or sensation clue is used to track down and synthesize the BASK/BATS components in psychotherapy through work with different personalities and/or fragments. A main thesis is that congruence of the BASK/BATS levels across the space/time continuum is required for healthy functioning. It is hoped from this discussion that the reader will get a sufficient understanding of the practical use of the BASK model and that he/she might apply it to her/his school and practice of psychotherapy.Item Open Access Dissociation : Vol. 1, No. 2, p. 002-015 : Toward A Psychobiological Theory Of Borderline Personality Disorder: Is Irritability the Red Thread that Runs Through Borderline Conditions?(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Stone, Michael H.This paper proposes a psychobiological model of the borderline conditions that explores the role of a hyperirritability that may either antedate parent-child interactions or stand apart from traditional developmental stages. It suggests that one pathway toward this hyperirritability is the traumatic effect of abuse, which may alter the neuroregulatory response system in ways that cannot be accounted for in purely developmental models. The therapeutic implications of this model are reviewed.Item Open Access Dissociation : Vol. 1, No. 2, p. 001 : Editorial(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06) Kluft, Richard P., 1943-Item Open Access Dissociation : Vol. 1, No. 2, p. 000 : Cover, table of contents(Ridgeview Institute and the International Society for the Study of Multiple Personality & Dissociation, 1988-06)