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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.
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.
This account of multiple personality disorder (MPD) and related dissociative disorders presents the latest findings leading to a new model of MPD and a new therapeutic approach to its treatment. The book examines the large cluster of symptoms and dysfunctions associated with MPD, focusing on diagnosis, clinical features, and the relationship of MPD to other diagnoses. Data and clinical evidence are presented for a widely-accepted, but as yet unproven hypothesis that MPD arises as a dissociative strategy for coping with severe childhood trauma, usually involving physical or sexual abuse.
In "Multiple Personality Disorder from the Inside Out," 146 people who have MPD and their siginficant others reveal the complex issues of diagnosis, therapy, and maintaining personal relationships. These writings have been gathered into a compelling and practical volime for anyone interested in improving the support network for individuals who suffer with MPD.
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.
Why do we find multiple personality disorder (MPD) so fascinating? Perhaps because each of us is aware of a dividedness within ourselves: we often feel as if we are one person on the job, another with our families, another with our friends and lovers. We may fantasize that these inner discrepancies will someday break free, that within us lie other personalities - genius, lover, criminal - that will take us over and render us strangers to our very selves. What happens when such a transformation literally occurs, when an alter personality surfaces and commits some heinous deed?
In 1989, Robert B. Oxnam, the successful China scholar and president of the Asia Society, faced up to what he thought was his biggest personal challenge: alcoholism. But this dependency masked a problem far more serious: Multiple Personality Disorder. At the peak of his professional career, after having led the Asia Society for nearly a decade, Oxnam was haunted by periodic blackouts and episodic rages. After his family and friends intervened, Oxnam received help from a psychiatrist, Dr. Jeffrey Smith, and entered a rehab center. It wasn't until 1990 during a session with Dr. Smith that the first of Oxnam's eleven alternate personalities--an angry young boy named Tommy--suddenly emerged. With Dr. Smith's help, Oxnam began the exhausting and fascinating process of uncovering his many personalities and the childhood trauma that caused his condition. This is the powerful and moving story of one person's struggle with this terrifying illness. The book includes an epilogue by Dr. Smith in which he describes Robert's case, the treatment, and the nature of multiple personality disorder. Robert's courage in facing his situation and overcoming his painful past makes for a dramatic and inspiring book.
Do people with multiple personalities have more than one self? The first full-length philosophical study of multiple personality disorder, First Person Plural maintains that even the deeply divided multiple personality contains an underlying psychological unity. Braude updates his work in this revised edition to discuss recent empirical and conceptual developments, including the charge that clinicians induce false memories in their patients, and the professional redefinition of "multiple personality disorder" as "dissociative identity disorder."