dissociative identity disorder diagnosis clinical features and treatment of multiple personality pdf

Dissociative identity disorder diagnosis clinical features and treatment of multiple personality pdf

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Dissociative Disorders

Stephen R. L. Clark

Many large-scale epidemiological studies led to biased results due to this deficit in their methodology.

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Dissociative identity disorder DID , previously known as multiple personality disorder MPD , [7] is a mental disorder characterized by the maintenance of at least two distinct and relatively enduring personality states. DID is associated with overwhelming traumas, or abuse during childhood. Treatment generally involves supportive care and psychotherapy. DID is controversial within both psychiatry and the legal system. Dissociation , the term that underlies the dissociative disorders including DID, lacks a precise, empirical, and generally agreed upon definition. A large number of diverse experiences have been termed dissociative, ranging from normal failures in attention to the breakdowns in memory processes characterized by the dissociative disorders. Thus it is unknown if there is a common root underlying all dissociative experiences, or if the range of mild to severe symptoms is a result of different etiologies and biological structures.

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Dissociative Disorders

Objective: Some claim that treatment for dissociative identity disorder DID is harmful. Others maintain that the available data support the view that psychotherapy is helpful. Method: We review the empirical support for both arguments. Results: Current evidence supports the conclusion that phasic treatment consistent with expert consensus guidelines is associated with improvements in a wide Dissociative amnesia is classified by the Diagnostic and Statistical Manual of Mental Disorders , 4th Edition, Text Revision, also known as the DSM-IV-TR as one of the dissociative disorders, which are mental disorders in which the normally well-integrated functions of memory, identity, perception, or consciousness are separated dissociated. METHOD: Recent findings in the treatment of patients with this disorder and current considerations with regard to memories of childhood trauma are used to develop recommended approaches.

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Helen M. Formerly called multiple personality disorder, dissociative identity disorder DID is a controversial diagnosis that challenges forensic psychiatrists, other mental health clinicians, legal professionals, the media, and the public. DID cases often present in the criminal justice system rather than in the mental health system, and the illness perplexes experts in both professions. Individuals may commit criminal acts while in a dissociated state. Patients with DID typically have a primary identity that is passive, dependent, guilty, and depressed, and alternate identities with characteristics that differ from the primary identity, commonly in reported age and gender, vocabulary, general knowledge, or predominant affect. Dissociative pathology may result from trauma, comorbid mental illness, or other medical issues, including complex partial seizures. Developmental theorists have proposed that severe sexual, physical, or psychological trauma in childhood predisposes an individual to develop DID.


Like Multiple Personality Disorder, thisupdated volume is an authoritative and Dissociative Identity Disorder: Diagnosis, Clinical Features, and Treatment of.


Stephen R. L. Clark

Readers will find three new chapters covering epidemiology, a sound critique of skeptics of DID, and the problem of attachment to the perpetrator and the locus of control shift. There is also a fresh look at the pathways leading to DID, a discussion of the false memory controversy, and more, with material throughout based on the latest research and the author's extensive clinical and forensic experience. 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.

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