Geared to the needs of mental health practitioners unfamiliar with dissociative disorders, this volume presents a comprehensive and integrated approach to diagnosis and treatment. Each step--from first interview to final post-integrative treatment--is systematically reviewed, with detailed instructions on specific diagnostic and therapeutic techniques and examples of their clinical applications. Concise yet thorough, the volume offers expert advice on such topics as how to foster a strong therapeutic alliance, how to manage crises, and what basic errors to avoid.
Morton Prince, a debonair Boston neurologist, established the modern American tradition of psychopathology and psychotherapy in the closing decade of the nineteenth century. Born in 1854, two years before Sigmund Freud and five years before Pierre Janet, he criticized and adapted their work to his own particular interests, which were primarily the exploration of hypnosis, multiple personality, and the unconscious. Prince informally headed the most sophisticated group of psychopathologists in the English-speaking world, which flourished in Boston and Cambridge beginning around 1890. He founded the Journal of Abnormal Psychology in 1906 and the American Psychopathological Association in 1910. The essays in this volume have been chosen by Nathan G. Hale, Jr., to illustrate four major stages in Prince's career. The first, from 1885 to 1898, saw his development of a dynamic psychotherapy, based on the existence of unconscious mental processes. During the second period, from 1898 through 1911, he made intensive studies of multiple personality. In the third, from 1909 through 1924, he confronted psychoanalysis and behaviorism. During the last period, from about 1914 through 1927, he published his final views of the unconscious, hypnotism, and personality. Morton Prince's observations remain important partly because they are so richly detailed, partly because of their dramatic and human interest, but chiefly because they shed light on phenomena that still defy final explanation.
The diagnosis of multiple personality disorder (MPD) entered the clinical mainstream with a rapidity and in a manner atypical for new descriptions of psychiatric illness. This book contains the most up-to-date information on MPD available written by experts in this field. The first section is a memorial to Cornelia B. Wilbur, M.D., a pioneer in MPD treatment. It is full of personal accounts from people who knew her well. The second section deals with general issues in the treatment of MPD. It discusses basic principles in conducting the psychotherapy of MPD, posttraumatic and dissociative phenomena in transference and countertransference, and treatment of MPD as a posttraumatic condition. The third section goes on to give case studies that illustrate the application of techniques, approaches, and insights that are considered important in the treatment of MPD patients but are difficult to learn because they have not been documented in detail in the literature. Methods discussed include the use of Amytal interviews, play therapy, egoûstate therapy, and the use of sand trays. The last section of the book discusses some of the contemporary concerns in the field (including consultation in the public psychiatric sector and the incidence of eating disorders in MPD patients), and on the recent history of the study of MPD.
An accurate description of the problems associated with personality disorders can lead to psychotherapists providing better treatment for their patients, alleviating some of the difficulties associated with handling such disorders. The authors draw on existing therapeutic approaches and concepts to offer a treatment model for dealing with personality disorders. Psychotherapy of Personality Disorders clearly discusses the models for different types of personality disorder, along with general treatment principles, focusing on: principles for identifying and classifying types of disorder theoretical analyses that are characteristic of each type practical therapeutic principals that are grounded in the basic theory. The language is clinician-friendly and the therapeutic model is illustrated with clinical cases and session transcripts making this title essential reading for psychotherapists, personality disorder researchers and cognitive scientists as well as professionals with an interest in personality disorders.
This ground-breaking book examines the role of crime in the lives of people with Dissociative Identity Disorder, formerly known as Multiple Personality Disorder, a condition which appears to be caused by prolonged trauma in infancy and childhood. This trauma may be linked with crimes committed against them, crimes they have witnessed, and crimes they have committed under duress. This collection of essays by a range of distinguished international contributors explores the complex legal, ethical, moral, and clinical questions which face psychotherapists and other professionals working with people suffering from Dissociative Identity Disorder. Contributors to this book are drawn from a wide range of professions including psychotherapy, psychoanalysis, counselling, psychology, medicine, law, police, and social work.
By providing an in-depth examination of this complex illness, Dissociative Identity Disorder not only facilitates a deeper understanding of people who have used dissociation to cope with years of childhood physical, sexual, and emotional abuse, but also reveals new insights into many other psychiatric disorders in which dissociation plays a role. Like Multiple Personality Disorder, this updated volume is an authoritative and indispensable reference for psychiatrists, clinical psychologists, psychiatric nurses, social workers and other mental health professionals, as well as researchers in these fields.
In Rebuilding Shattered Lives, James A. Chu, MD, describes a proven approach to the assessment and treatment of post-traumatic and dissociative disorders developed at the Dissociative Disorders and Trauma Program at McLean Hospital and Harvard Medical School. Drawing on his extensive empirical research and more than a decade's clinical experience specializing in treating survivors of severe abuse, Dr. Chu also offers valuable insights into all the major areas of traumarelated symptomatology and provides the most detailed explanation of dissociative theory currently in print. And, with the help of numerous vignettes and case examples, he clearly illustrates common clinical dilemmas encountered when dealing with survivors of severe abuse as well as the most effective techniques for resolving them. Rebuilding Shattered Lives is an important working resource for mental health workers of all levels of experience. Throughout, the writing style is clear, and complex theories are explained with an emphasis on how they provide the conceptual basis for a rational, responsible, and safe approach to treatment.
