Dissociative Disorders

Dissociative disorders are one of the psychiatric consequences of childhood psychological trauma. While oppression is an aspect of traumatic conditions, dissociation undermines resistance to oppression throughout a person’s lifespan. Neither oppression nor dissociation are restricted to particular cultures, and both can affect the individual as well as societies. This collection engages with the universality of dissociative disorders and their close relationship to oppression. The chapters cover extreme examples such as ongoing incest in adulthood, children and adults forced to kill others, and abusive states in interrogation. Further subjects examined include the utilization of dissociation in postmodern societies to maintain oppression, the oppressive conditions of asylum seekers and the consequences of oppression as they are dealt with in psychotherapy. The final chapter considers how a paedophile pandering network employed multi-layered oppression to prevent the public becoming aware of the widespread and organised abuse of children. This book will engender interactions between trauma investigators – those whose approach is close clinical observation, those who use instruments to survey groups of individuals, those whose research takes the form of investigative journalism, and those who examine the truth embedded or hidden in documents created for multiple, and at times, disturbing political purposes. Portions of this book were originally published as a special issue of the Journal of Trauma & Dissociation. It also includes material from other sources.

Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.

This account of multiple personality disorder (MPD) and related dissociative disorders presents the latest findings leading to a new model of MPD and a new therapeutic approach to its treatment. The book examines the large cluster of symptoms and dysfunctions associated with MPD, focusing on diagnosis, clinical features, and the relationship of MPD to other diagnoses. Data and clinical evidence are presented for a widely-accepted, but as yet unproven hypothesis that MPD arises as a dissociative strategy for coping with severe childhood trauma, usually involving physical or sexual abuse.

This book provides a comprehensive overview of research into dissociation in children and adolescents and challenges conventional ideas about complex behaviours. Offering a new perspective to those who are unfamiliar with dissociation in children, and challenging prevalent assumptions for those who are experienced in the field, the editors encourage the professional to ask questions about the child’s internal experiences beyond a diagnosis of the external symptoms. Chapters bring together a range of international experts working in the field, and interweave theories, practice, and challenging and complex case material, as well as identifying mistakes that therapists can avoid while working with children who dissociate. Filled with practical tools and examples, this book is a vital resource for professionals to enrich their practice with children who dissociate.

Finally, a book that addresses your concerns about DID From Eve to Sybil to Truddi Chase, the media have long chronicled the lives of people with dissociative identity disorder (DID), formerly known as multiple personality disorder. The Dissociative Identity Disorder Sourcebook serves as a much-needed bridge for communication between the dissociative individual and therapists, family, and friends who also have to learn to deal with the effects of this truly astonishing disorder.

This accessible guidebook has been created to be used alongside the picture book, Our House: Making Sense of Dissociative Identity Disorder, as a broad introduction to childhood trauma and its legacies, with a focus on dissociation and DID. This clear and easy-to-read resource offers an insight into trauma, its continuing effects and the continuum of dissociation. Practical exercises and opportunities for reflective discussion are included throughout to encourage personal engagement either individually or through treatment. Written with clinical accuracy, warmth and compassion, it will expand the reader’s knowledge of DID and deepen the understanding, application and usefulness of the picture book. Key features include: Photocopiable and downloadable resources and activities designed to develop a richer and more personal understanding of the development of DID A page-by-page insight into images from the picture book Further reading suggestions and information about treatment and support for survivors, as well as for the family, friends and professionals who journey with them Bringing clarity to a complex issue, this is an invaluable resource for survivors of trauma and for those who support them, counsellors, psychologists, social care workers and other professionals, as well as family and friends.

In Rebuilding Shattered Lives, James A. Chu, MD, describes a proven approach to the assessment and treatment of post-traumatic and dissociative disorders developed at the Dissociative Disorders and Trauma Program at McLean Hospital and Harvard Medical School. Drawing on his extensive empirical research and more than a decade's clinical experience specializing in treating survivors of severe abuse, Dr. Chu also offers valuable insights into all the major areas of traumarelated symptomatology and provides the most detailed explanation of dissociative theory currently in print. And, with the help of numerous vignettes and case examples, he clearly illustrates common clinical dilemmas encountered when dealing with survivors of severe abuse as well as the most effective techniques for resolving them. Rebuilding Shattered Lives is an important working resource for mental health workers of all levels of experience. Throughout, the writing style is clear, and complex theories are explained with an emphasis on how they provide the conceptual basis for a rational, responsible, and safe approach to treatment.

Janet's brain felt foggy and numb. She imagined herself kneeling on a great frozen lake, and she pressed her face against the ice, trying to see through the cloudy surface to the open water below. In fact, she didn't feel any physical sensation at all, just an internal panic. Janet didn't understand these feelings. She just knew that in her frightening daydreams, she was lost above the ice and the knowledge that could save her was trapped in the dark water below. Soon, Janet was forgetting things, missing school, and losing sleep. She'd find notes that she'd written to herself but couldn't remember writing. They said things like, "Janet! Help me!" and "Who are you?" Scariest of all, she began hearing voices in her head that did not sound like her own. When she imagined herself looking down through the barren ice, she thought she saw a little girl looking back at her. Janet was sure the little girl's name was Sara... Have you ever daydreamed, "lost track of time" when you were having fun, or "tuned out" when your parents were scolding you? If so, you were experiencing dissociation. Janet's dissociation, however, is much more severe. She is suffering from dissociative identity disorder. Different parts of her personality have become so separate that they are beginning to seem like different people. A dissociative disorder like Janet's requires medical intervention. Janet's story, and stories like hers, can teach us a lot about how our minds work and how they can be treated. Read Dissociative Disorders and learn more about these psychiatric disorders and the help available for people like Janet.

Amongst Ourselves is a self-help guide written expressly for individuals with DID/MPD--and the first to provide readers with the practical steps they can take to cope with the condition and emerge with greater self-awareness and the skills to live a rich and rewarding life. Authors Tracy Alderman and Karen Marshall explain what DID is and provide a clear account of its underlying causes and symptoms. They describe what it's like to live with DID and make practical suggestions for coming to terms with the condition, managing the confusion and self-destructive behaviors that often accompany it, and deciding to "come out" to others. Karen lends a unique and immensely important perspective, in that she is able to speak as both a therapist and as an individual with DID. Through her insights, as well as guided exercises throughout the text, readers learn: New skills and strategies to help them manage living with DID An appreciation for DID's positive aspects What to expect from therapy and available treatment options How to become more aware of themselves and the ways in which DID affects their lives