Dissociation : Volume 10, No. 4 (Dec. 1997)
https://scholarsbank.uoregon.edu/xmlui/handle/1794/1660
2024-03-29T04:47:41ZDissociation : Volume 10, No. 4, p. 266-267 : Editorial
https://scholarsbank.uoregon.edu/xmlui/handle/1794/1817
Dissociation : Volume 10, No. 4, p. 266-267 : Editorial
Kluft, Richard P., 1943-
p. 266-267
1997-12-01T00:00:00ZDissociation : Volume 10, No. 4, p. 255-265 : Special case transferences and countertransferences in the treatment of dissociative disorders
https://scholarsbank.uoregon.edu/xmlui/handle/1794/1814
Dissociation : Volume 10, No. 4, p. 255-265 : Special case transferences and countertransferences in the treatment of dissociative disorders
Chefetz, Richard A.
While transference paradigms tend to be unique to each patient's situation, there are repetitive themes in the treatment of survivors of severe abuse which manifest themselves relentlessly. These over-arching exemplars describe the erotic and traumatic nature of abusive experiences. A thorough understanding of these situations is necessary to facilitate a positive outcome in the treatment of persons with dissociative disorders. Non-dynamic approaches to psychotherapy may be especially vulnerable to mistakes and missteps when erotic and traumatic transference themes are robustly present. The vicissitudes of the erotic and traumatic transferences are explored from a psychoanalytic perspective and a vignette is provided for explication of the theoretical material presented.
p. 255-265
1997-12-01T00:00:00ZDissociation : Volume 10, No. 4, p. 246-254 : Therapeutic alliance with abuser alters in DID: the paradox of attachment to the abuser
https://scholarsbank.uoregon.edu/xmlui/handle/1794/1812
Dissociation : Volume 10, No. 4, p. 246-254 : Therapeutic alliance with abuser alters in DID: the paradox of attachment to the abuser
Blizard, Ruth A.
Abuser alters present a dilemma in the treatment of adults with dissociative identity disorder, because they often undermine the therapy as well as re-abuse the patient. They are paradoxical because they were created to help the child survive abuse, but continue to do so by abusing the self. They were often modeled after an abusive primary caretaker to whom the child was attached. Object-relations and attachment theories clarify how creation of the abuser personality serves to preserve the attachment to the abusing caretaker. By understanding how abuser alters function to maintain attachment, contain overwhelming memories, and protect against abuse, therapists can better engage abuser alters in a therapeutic alliance. Empathy, cognitive reframing, and gentle paradoxical techniques can help host and abuser personalities become more empathic toward one another, develop common purpose, and begin integrating. By working through the transference, attachment to the internalized abusive caretaker is replaced by a healthy attachment to the therapist in the therapeutic alliance.
p. 246-254
1997-12-01T00:00:00ZDissociation : Volume 10, No. 4, p. 240-245 : Masochism: a bridge to the other side of abuse
https://scholarsbank.uoregon.edu/xmlui/handle/1794/1809
Dissociation : Volume 10, No. 4, p. 240-245 : Masochism: a bridge to the other side of abuse
Howell, Elizabeth F., 1946-
Masochism is a useful and meaningful term that can and should be rescued from the theoretical morass in which it has been buried. Victim-blaming connotations stemming from its historical linkage to the motivational concept of pleasure in pain disappear when masochism is reframed as an outcome of dissociation rather than of volition. In concert with an ever-increasing understanding of the centrality of dissociation in various types of psychopathology (Ross, 1986; Beahrs, 1982; Davies & Frawley, 1994; Putnam, 1997; Waites, 1993; Watkins & Watkins, 1997), this article presents a view of masochism as dissociation-based. It also describes the emergence of masochism from attachment need (specifically, attachment to the abuser); and how the interaction of attachment need with dissociation is at the heart of the syndrome. It then shows how masochism contains the seeds of its own transcendence.
Recent research (Dell, 1997) and theory (Blizard, 1997; Blizard & Bluhm,1994) suggest that Dissociative Identity Disorder (DID) and Dissociative Disorder NOS (DDNOS) are heavily laden with masochistic (self-defeating) psychopathology. Although masochism is not limited to these diagnoses, dissociative processes appear to be central to the development of masochistic psychopathology.
p. 240-245
1997-12-01T00:00:00Z