Assessment and Treatment of Multiple Personality and Dissociative Disorders
A Practitioner's Resource Series Book



TABLE OF CONTENTS

DISSOCIATION

Dissociation Defined
History
DSM-III Nosology
The Dissociative Continuum
    Multiple Personality Disorder (MPD)
    Ego-State Disorder (ESD)
    Borderline Personality
Dissociation as a Response to Trauma
    Etiology of MPD
    Post-Traumatic Stress Disorder (PTSD)
"Belief" Versus Skepticism

CLINICAL PRESENTATION OF MPD AND DISSOCIATIVE DISORDER

Clinical Signs and Symptoms
Characteristic Presentations - Cases
    MPD
    ESD
Differential Diagnosis
Alter Personalities and Ego States

ASSESSMENT

Interview
    Timing and Rapport-Building
    History
    Interviewing Significant Others
    Hypnotic Inquiry
Testing
Diagnostic Difficulties and Resistance
Dissociative Structure
Malingering
Relationship Between Assessment and Treatment

TREATMENT

Goals
The Therapeutic Stance
Forms of Treatment
Principles of Treatment
    Support and Management
    Relationships with Alters and Ego States
    The Inner Self-Helper (ISH)
    Development of a Sense of Self
    Development of Enhanced Coping Skills
    Integration of Experience
    Modulation of Affect
    Abreaction and Catharsis
    Respecting Resistance and Capacity
    System Balance
    Transference and Countertransference
    The Treatment Process
    Cooperation, Integration, and Unification
    Realistic Expectations and Prognosis
Ego-State Therapy
The Use of Hypnosis in Treatment
Pharmacotherapy
Hospitalization
The Child Client
Effects of Treatment Upon the Treater

SUMMARY

APPENDIX

REFERENCES