• 1991 112pp paperback ISBN: 9780943158679
• A Practitioner's Resource Series Title
A classic work. Focuses on dissociative disorders (post-traumatic stress
disorder, psychogenic amnesia, depersonalization disorder, etc.) and the
dissociative nature of behaviors such as child abuse.
Defines the
characteristics, etiology, and differential diagnosis of dissociative, multiple
personality, and ego state disorders. Advises on interview techniques
and strategies, testing adaptations, special treatment problems, and child
treatment issues.
"Dr. Bloch has succeeded in crafting an excellent introduction to
multiple personality disorder and allied conditions. The strengths
of his contribution are the breadth of the issues that he addresses and his
ability to achieve a synthesis of newly-emerging findings in the dissociative
disorders with traditional psychotherapeutic observations. This book
is an excellent bridge by which the traditionally-trained psychotherapist
can come to an understanding of the major concerns of the dissociative disorders
literature."
-Richard P. Kluft, MD, Director,
Dissociative Disorders Program, The Institute of Pennsylvania Hospital; Clinical Professor of Psychiatry,
Temple University School of Medicine
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
About the Author
James P. Bloch, PhD, is a licensed clinical
psychologist in independent practice in Louisville, Kentucky. He has
20 years of experience in community mental health practice, supervision,
and administration. Formerly a member of the faculty in the psychology
doctoral program at Spalding University, Dr. Bloch has also helped develop
a consortium internship program in clinical psychology and has presented
extensively in regional training events. His areas of practice include
cognitive/dynamic individual psychotherapy, marital therapy, and clinical
supervision. Prior to completing his work on this book, the author
had contributed two articles on the diagnosis and treatment of multiple
personality disorder and dissociative disorder to the Innovations in Clinical
Practice: A Source Book series, also published by the Professional Resource
Press. Dr. Bloch is a member of national and local psychology associations,
a registrant of the National Register of Health Service Providers in Psychology,
and a member of the American Society of Clinical Hypnosis and the International
Society for the Study of Multiple Personality and Dissociation.
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