A Cognitively Based Treatment Model for DSM-IV Dissociative Identity Disorder

  • Catherine G. Fine


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.


Cognitive Therapy Schema Compensation Cognitive Schema Therapeutic Alliance Cognitive Distortion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Catherine G. Fine
    • 1
  1. 1.Dissociative Disorders UnitInstitute of Pennsylvania HospitalPhiladelphiaUSA

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