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At least 289 records · Page 16Linked to original sources
PubMed1996

Repressed memories: some clinical data contributing toward its elucidation.

This article offers two case reports that strongly support the clinical notion that under certain circumstances some persons can dissociate from their executive ego traumatic memories of sexual abuse. The patients had absolutely no conscious memory of their childhood abusive experiences and in both cases I obtained definite and clear-cut independent corroboration of the realities of the abuse. I think that a series of several well-documented case reports, like the ones reported in this article, could represent persuasive preliminary evidence for the existence of dissociative memories, at least in some specific cases. I hope that the publication of these two cases will stimulate other clinicians or researchers to report, in as much detail as possible, other similar experiences. Only through the publication of clear-cut cases can the debate about repressed memories be settled in an empirical way.

Adult↗
PubMed1996

Collusion and entanglement in the therapy of a patient with multiple personalities.

S.'s therapy demonstrates some of the ways in which countertransference interferes with therapy of a case presenting with multiple personalities. Fascination with S.'s alter personalities and the desire to prove their genuineness, made her therapist search for them and then repeatedly invoke their appearance. Part of the reason was his inexperience with such cases that induced him to "play it by the book," and use "personality-centered procedures" (looking for a different part, giving it a name, speaking to it, etc.) that have yet to be scientifically validated, instead of adhering to the basic principles of psychotherapy. At a deeper level, however, his excessive preoccupation with S.'s personalities was one kind of collusion with her resistance to deal with the focal issue of her sexual ambivalence. Proof of this resistance also surfaced later as a motivated shift of focus in therapy, and a weakening of the therapeutic alliance. By the time this was evident, sabotage of therapy had already occurred.

Adult↗
PubMed2004

Dissociative processes, multiple personality, and dream functions.

From ancient times on, our dream processes were thought to be the uncovering of unknown connections. It may be that there is some basis to this belief and that dreams truly represent a mirror of our unconscious and not only random processes moving along according to some brain "computation." These ideas are supported by some findings that involve connections among dissociative processes, hypnosis, and multiple personality disorder (MPD). From this point of view, MPD represents a very interesting theoretical problem, which may be understood as an extreme example of the dissociative nature of the human psyche. This in turn leads to an understanding of the complex structure of the human psyche and corresponds perfectly to our experience, which says that the pathological often sheds new light on the normal and physiological.

Dissociative Disorders↗
PubMed1996

On trauma, perversion, and "multiple personality".

The role of perverse sexuality as an organizing influence in "multiple personality" is explored in this paper. Following a brief review of psychoanalytic thinking on sexual trauma and perversion, the author discusses his own views on dissociation and "multiple personality." A clinical case is then presented in which transsexualism, homosexuality, and sadomasochistic heterosexual practices were manifested during altered ego states. Analysis of the transference revealed the centrality of sadomasochism in this patient. It is hypothesized that various perverse structures may be formed within these seemingly autonomous, amnestic states, in order to contain anxiety and encapsulate the aggression which resulted from early psychic trauma. Issues relating to diagnosis, countertransference, reconstruction, and psychoanalytic technique are discussed also.

Adult↗
PubMed1987

Inpatient treatment of multiple personality disorder.

Multiple personality disorder (MPD) was once thought to be rare, but there is increasing evidence that it is relatively common. In a period of a year the author had 73 inpatient admissions under his care, of which 8 were for MPD. Three of the MPD admissions were for previously undiagnosed cases in an unselected general adult population. Thus 4.4% of the author's inpatients, once MPD patients diagnosed prior to admission are excluded, had MPD. The implications of this finding are discussed. The diagnosis and inpatient treatment of MPD are reviewed.

Adult↗
PubMed1991

Abuse histories in 102 cases of multiple personality disorder.

The authors interviewed 102 individuals with clinical diagnoses of multiple personality disorder at four centres using the Dissociative Disorders Interview Schedule. The patients reported high rates of childhood trauma: 90.2% had been sexually abused, 82.4% physically abused, and 95.1% subjected to one or both forms of child abuse. Over 50% of subjects reported initial physical and sexual abuse before age five. The average duration of both types of abuse was ten years, and numerous different perpetrators were identified. Subjects were equally likely to be physically abused by their mothers or fathers. Sexual abusers were more often male than female, but a substantial amount of sexual abuse was perpetrated by mothers, female relatives, and other females. Multiple personality disorder appears to be a response to chronic trauma originating during a vulnerable period in childhood.

Adolescent↗
PubMed2003

Dissociative experiences of women child abuse survivors: a selective constructivist review.

A selective literature review of dissociation in women abuse survivors was under-taken from a feminist, constructivist perspective. Dissociation has been conceptualized many ways historically. Current understandings of dissociative phenomena are diverse, as reflected in the research and treatment literature. Dissociation has been linked to physical and psychological problems, including major mental illnesses, pelvic pain, somatization disorders, and eating disorders. There has been a preoccupation with rare but fascinating extremes of dissociation, such as multiple personality disorder, with less emphasis on more frequently seen types of dissociation, such as depersonalization and derealization. Views of dissociation as it occurs in women child abuse survivors affect their autonomy and perceived credibility and determine treatment trajectories. Questions remain as to what aspects and types of dissociation are "pathological." There is evidence that dissociation may be a commonplace human experience in the general population. Implications for theory, research, and practice are included.

Adaptation, Psychological↗
PubMed1976

Observations on the evolution of the hysterical symptomatology.

A retrospective study of the records of 17,571 psychiatric patients who attended the out-patients department of Eginition Hospital in Athens during three two-year periods (1948-50, 1958-60 and 1969-71) revealed a statistically significant decrease in the frequency of patients diagnosed as suffering from hysteria, a statistically significant decrease in the relative frequency of patients with hysterical fits and with mental conversion symptoms, and a statistically significant increase in the relative frequency of patients with mixed conversion symptoms. The findings confirm the notion that hysteria is still a 'woman's disease', although a statistically significant increase in male participation was noted. The significance of the above findings for the understanding of certain aspects of hysteria is discussed.

Adult↗