Dissociation : Vol. 4, No. 2, p. 065-073 : Unawareness and denial of pregnancy in patients with MPD

Show full item record

Title: Dissociation : Vol. 4, No. 2, p. 065-073 : Unawareness and denial of pregnancy in patients with MPD
Author: Hart, Onno van der, 1941-; Faure, Henri; Gerven, Marko van; Goodwin, Jean, 1946-
Abstract: In female MPD patients, sexual intercourse and pregnancy are experiences of which only one or a few alter personalities may be aware. When the host personality is amnestic for these dissociated functions, severe complications may arise both for the affected woman and those around her. When the amnesia is lifted, the personalities involved may experience pregnancy and delivery as traumatic, and motherchild attachment may be severely hampered. This paper describes four case examples illustrating these complications. Two of them are classic 19th Century cases, Bellanger'.s (1854) Madame de B. and Azam 's (1887) Felida X. The fact that in the 1854 case it was the treating physician who fathered the child dramatically illustrates Kluft's recent observations that these patients run the risk of sexual abuse by their psychotherapists and other health care professionals. The discussion section deals with: (1) Pierre Janet's views on unawareness and denial in MPD, as illustrated in sexual intercourse, pregnancy, and delivery; (2) the so-called partus stress rearlion, for which MPD patients with a childhood history of sexual abuse may be at risk; (3) trauma-induced psychotic reactions to delivery; (4) techniques for supporting patients with these issues; and (5) sexual abuse of MPD patients by therapists.
Description: p. 065-073
URI: http://hdl.handle.net/1794/1435
Date: 1991-06


Files in this item

Files Size Format View
Diss_4_2_2_OCR_rev.pdf 2.754Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record