Abstract
Dissociative identity disorder (DID) is the most recent renaming by the American Psychiatric Association (1994) of a psychiatric syndrome that has been recorded from the time of Paracelsus (sixteenth century) (Bliss, 1986; Kluft, 1991). Its recognition has waxed and waned more as a function of the socioreligious Zeitgeist and the psychological theory(ies) dominating the era than from actual variations or fluctuations of the disorder itself. The curious archivist and medical historian (Ellenberger, 1970) could readily track the various literature pools and obscure sources to shed some light on the epidemiology of dissociative disorders. More recently, clinicians with an interest in history and psychoarcheology have collected, reexamined, reviewed, and sometimes reinterpreted past misdiagnosed conditions to be dissociative ones (Goodwin, 1993). Skeptics of the existence of dissociative disorders remain: some on politicophilosophical grounds (Orne, 1984a; Orne, Dinges, & Orne, 1984), others because they have never seen them in their practice (Chodoff, 1987), and many because they are repulsed by the possibility that child abuse, which is part of the etiology of DID in 97% of the cases (Putnam, Guroff, Silberman, Barban, & Post, 1986), could be so prevalent. However, an increasing number of men and women are currently being appropriately diagnosed with DID.
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References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders ( 4th ed. ). Washington, DC: Author.
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
Blank, A. S. (1985). The unconscious flashback to the war in VietNam veterans: Clinical mystery, legal defense and community problem. In S. M. Sonnenberg, A. S. Blank, & J. A. Talbott (Eds.), The trauma of war: Stress and recovery in Vietnam veterans (pp. 293–308 ). Washington, DC: American Psychiatric Press.
Bliss, E. (1986). Multiple personality, allied disorders and hypnosis. New York: Oxford University Press.
Braun, B. G. (1988). The BASK model of dissociation. Dissociation, 1, 4–23.
Chodoff, P. (1987). More on multiple personality disorder. American Journal of Psychiatry, 144, 124.
Ellenberger, H. F. (1970). The discovery of the unconscious: The history and evolution of dynamic psychiatry. New York: Basic Books.
Fine, C. G. (1988). Thoughts on the cognitive perceptual substrates of multiple personality disorder. Dissociation, 1 (4), 5–10.
Fine, C. G. (1988c). Mood, cognition and multiplicity. Presented at the World Congress of Cognitive Therapy, Oxford, England.
Fine, C. G. (1989). Treatment èrrors and iatrogenesis across therapeutic modalities in MPD and allied disorders. Dissociation, 2, 77–82.
Fine, C. G. (1990). The cognitive sequelae of incest. In R. P. Kluft (Ed.), Incest related syndromes of adult psychopathology (pp. 161–182 ). Washington, DC: American Psychiatric Press.
Fine, C. G. (1991). Treatment stabilization and crisis prevention: Pacing the therapy of the multiple personality disorder patient. Psychiatric Clinics of North America, 14, 661–675.
Fine, C. G. (1992). Multiple personality disorder. In A. Freeman & E. M. Dattilio (Eds.), Comprehensive casebook of cognitive therapy (pp. 347–360 ). New York: Plenum Press.
Fine, C. G. (1993). A tactical integrationist perspective on the treatment of multiple personality disorder. In R. P Kluft & C. G. Fine (Eds.), Clinical perspectives on multiple personality disorder (pp. 135–153 ). Washington, DC: American Psychiatric Press.
Fish-Murray, C., Koby, E., Van der Kolk, B. (1987). Evolving ideas: The affect of abuse on children’s thought. In B. Van der Kolk (Ed.), Psychological trauma (pp. 89–110 ). Washington, DC: American Psychiatric Press.
Goodwin, J. M. (Ed.). (1993). Rediscovering childhood trauma: Historical casebook and clinical applications. Washington, DC: American Psychiatric Press.
Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In C. Figley (Ed.), Trauma and its wake (pp. 15–35 ). New York: Brumner-Mazel.
Kluft, R. P. (1984). Multiple personality in childhood. Psychiatric Clinics of North America, 7, 121–134.
Kluft, R. P. (Ed.). (1985). Childhood antecedents of multiple personality. Washington, DC: American Psychiatric Press.
Kluft, R. P. (1991). Multiple personality disorder. In A. Tasman & S. Goldfinger (Eds.), American Psychiatric Press review of psychiatry (Vol. 10, pp. 161–188 ). Washington, DC: American Psychiatric Press.
Kluft, R. P. (1993). The treatment of dissociative disorder patients: An overview of discoveries. Dissociation, 6, 87–107.
Kluft, R. P. (in press). An overview of the treatment of patients alleging that they have suffered ritualized or sadistic abuse. In G. A. Frazier (Ed.), The phenomenon of ritualized abuse. Washington, DC: American Psychiatric Press.
Nemiah, J. C. (1991). Dissociation, conversion and somatization. In A. Tasman & S. M. Goldfinger (Eds.), American psychiatric press review of psychiatry (Vol. 10, pp. 248–260 ). Washington, DC: American Psychiatric Press.
Orne, M. T. (1984) Forensic hypnosis. Part I. The use and misuse of hypnosis in court. In W. C. Wester & A. H. Smith (Eds.), Clinical hypnosis: A multidisciplinary approach. New York: Lippincott.
Orne, M. T, Dinges, D. E, & Orne, E. C. (1984) On the differential diagnosis of multiple personality disorder in a forensic context. International Journal of Clinical and Experimental Hypnosis, 32, 118–167.
Piaget, J. (1971). Biology and knowledge: An essay on the relations between organic regulations and cognitive processes. Chicago: University of Chicago Press.
Putnam, F. W, Guroff, J. J., Silberman, E. K., Barban, L, & Post, R. M. (1986). The clinical phenomenology of multiple personality disorder. A review of 100 recent cases. Journal of Clinical Psychiatry, 47, 285–293.
Spiegel, D. (1984). Multiple personality as a post traumatic stress disorder. Psychiatric Clinics of North America, 7, 000–000.
Young, J. E. (1990). Cognitive therapy for personality disorders: A schema focused approach. Sarasota, FL: Practioner’s Resource Series, Professional Resource Exchange.
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Fine, C.G. (1996). A Cognitively Based Treatment Model for DSM-IV Dissociative Identity Disorder. In: Michelson, L.K., Ray, W.J. (eds) Handbook of Dissociation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0310-5_19
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DOI: https://doi.org/10.1007/978-1-4899-0310-5_19
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