Understanding and Treating Dissociative Identity Disorder: A Relational Approach PDF
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Understanding and Treating Dissociative Identity Disorder Relational PeRsPectives Book seRies Volume 49 RELATIONAL PERSPECTIVES BOOK SERIES LEWIS ARON & ADRIENNE HARRIS Series Editors The Relational Perspectives Book Series (RPBS) publishes books that grow out of or contribute to the relational tradition in contemporary psychoanalysis. The term “relational psychoanalysis” was first used by Greenberg and Mitchell (1983) to bridge the traditions of interpersonal relations, as developed within interpersonal psychoanalysis and object relations, as developed within contemporary British theory. But, under the seminal work of the late Stephen Mitchell, the term “relational psychoanalysis” grew and began to accrue to itself many other influences and developments. Various tributaries—interpersonal psychoanalysis, object relations theory, self psychology, empirical infancy research, and elements of contemporary Freudian and Kleinian thought—flow into this tradition, which understands relational configurations between self and others, both real and fantasied, as the primary subject of psychoanalytic investigation. We refer to the relational tradition, rather than to a relational school, to highlight that we are identifying a trend, a tendency within contemporary psychoanalysis, not a more formally organized or coherent school or system of beliefs. Our use of the term ‘relational’ signifies a dimension of theory and practice that has become salient across the wide spectrum of contemporary psychoanalysis. Now under the editorial supervision of Lewis Aron and Adrienne Harris, the Relational Perspectives Book Series originated in 1990 under the editorial eye of the late Stephen A. Mitchell. Mitchell was the most prolific and influential of the originators of the relational tradition. He was committed to dialogue among psychoanalysts and he abhorred the authoritarianism that dictated adherence to a rigid set of beliefs or technical restrictions. He championed open discussion, comparative and integrative approaches, and he promoted new voices across the generations. Included in the Relational Perspectives Book Series are authors and works that come from within the relational tradition, extend and develop the tradition, as well as works that critique relational approaches or compare and contrast it with alternative points of view. The series includes our most distinguished senior psychoanalysts along with younger contributors who bring fresh vision. RELATIONAL PERSPECTIVES BOOK SERIES LEWIS ARON & ADRIENNE HARRIS Series Editors Vol. 49 Vol. 40 Understanding and Treating Dissociative The Analyst in the Inner City, Second Identity Disorder: Edition: A Relational Approach Race, Class, and Culture Through a Elizabeth Howell Psychoanalytic Lens Neil Altman Vol. 48 Toward Mutual Recognition: Vol. 39 Relational Psychoanalysis and the Christian Dare to be Human: Narrative A Contemporary Psychoanalytic Journey Marie T. Hoffman Michael Shoshani Rosenbaum Vol. 47 Vol. 38 Uprooted Minds: Repair of the Soul: Metaphors of Surviving the Politics of Terror in the Transformation Americas in Jewish Mysticism and Psychoanalysis Nancy Caro Hollander Karen E. Starr Vol. 46 Vol. 37 A Disturbance in the Field: Adolescent Identities: Essays in Transference-Countertransference A Collection of Readings Engagement Deborah Browning (ed.) Steven H. Cooper Vol. 36 Vol. 45 Bodies in Treatment: First Do No Harm: The Unspoken Dimension The Paradoxical Encounters of Frances Sommer Anderson (ed.) Psychoanalysis, Warmaking, and Resistance Adrienne Harris & Steven Botticelli (eds.) Vol. 35 Comparative-Integrative Psychoanalysis: Vol. 44 A Relational Perspective for the Discipline’s Good Enough Endings: Second Century Breaks, Interruptions, and Terminations Brent Willock from Contemporary Relational Perspectives Jill Salberg (ed.) Vol. 34 Relational Psychoanalysis, V. III: New Voices Vol. 43 Melanie Suchet, Adrienne Harris, & Lewis Invasive Objects: Minds Under Siege Aron (eds.) Paul Williams Vol. 33 Vol. 42 Creating Bodies: Sabert Basescu: Eating Disorders as Self-Destructive Survival Selected Papers on Human Nature and Katie Gentile Psychoanalysis George Goldstein & Helen Golden (eds.) Vol. 32 Getting From Here to There: Vol. 41 Analytic Love, Analytic Process The Hero in the Mirror: Sheldon Bach From Fear to Fortitude Sue Grand RELATIONAL PERSPECTIVES BOOK SERIES LEWIS ARON & ADRIENNE HARRIS Series Editors Vol. 31 Vol. 21 Unconscious Fantasies and the Looking for Ground: Countertransference Relational World and the Problem of Value in Psychoanalysis Danielle Knafo & Kenneth Feiner Peter G. M. Carnochan Vol. 30 Vol. 20 The Healer’s Bent: Relationality: Solitude and Dialogue in the Clinical From Attachment to Intersubjectivity Encounter Stephen A. Mitchell James T. McLaughlin Vol. 19 Vol. 29 Who is the Dreamer, Who Dreams Child Therapy in the Great Outdoors: the Dream? A Relational View A Study of Psychic Presences Sebastiano Santostefano James S. Grotstein Vol. 28 Vol. 18 Relational Psychoanalysis, V. II: Objects of Hope: Innovation and Expansion Exploring Possibility and Limit in Lewis Aron & Adrienne Harris (eds.) Psychoanalysis Steven H. Cooper Vol. 27 The Designed Self: Vol. 17 Psychoanalysis and Contemporary Identities The Reproduction of Evil: Carlo Strenger A Clinical and Cultural Perspective Sue Grand Vol. 26 Impossible Training: Vol. 16 A Relational View of Psychoanalytic Psychoanalytic Participation: Education Action, Interaction, and Integration Emanuel Berman Kenneth A. Frank Vol. 25 Vol. 15 Gender as Soft Assembly The Collapse of the Self and Its Therapeutic Adrienne Harris Restoration Rochelle G. K. Kainer Vol. 24 Minding Spirituality Vol. 14 Randall Lehman Sorenson Relational Psychoanalysis: The Emergence of a Tradition Vol. 23 Stephen A. Mitchell & Lewis Aron (eds.) September 11: Trauma and Human Bonds Susan W. Coates, Jane L. Rosenthal, & Vol. 13 Daniel S. Schechter (eds.) Seduction, Surrender, and Transformation: Emotional Engagement in the Analytic Vol. 22 Process Sexuality, Intimacy, Power Karen Maroda Muriel Dimen RELATIONAL PERSPECTIVES BOOK SERIES LEWIS ARON & ADRIENNE HARRIS Series Editors Vol. 12 Vol. 6 Relational Perspectives on the Body The Therapist as a Person: Lewis Aron & Frances Sommer Anderson Life Crises, Life Choices, Life Experiences, (eds.) and Their Effects on Treatment Barbara Gerson (ed.) Vol. 11 Building Bridges: Vol. 5 Negotiation of Paradox in Psychoanalysis Holding and Psychoanalysis: Stuart A. Pizer A Relational Perspective Joyce A. Slochower Vol. 10 Fairbairn, Then and Now Vol. 4 Neil J. Skolnick and David E. Scharff (eds.) A Meeting of Minds: Mutuality in Psychoanalysis Vol. 9 Lewis Aron Influence and Autonomy in Psychoanalysis Stephen A. Mitchell Vol. 3 The Analyst in the Inner City: Vol. 8 Race, Class, and Culture through a Unformulated Experience: Psychoanalytic Lens From Dissociation to Imagination in Neil Altman Psychoanalysis Donnel B. Stern Vol. 2 Affect in Psychoanalysis: Vol. 7 A Clinical Synthesis Soul on the Couch: Charles Spezzano Spirituality, Religion, and Morality in Contemporary Psychoanalysis Vol. 1 Charles Spezzano & Gerald J. Gargiulo Conversing with Uncertainty: (eds.) Practicing Psychotherapy in a Hospital Setting Rita Wiley McCleary Understanding and Treating Dissociative Identity Disorder A Relational Approach Elizabeth F. Howell New York London Routledge Routledge Taylor & Francis Group Taylor & Francis Group 270 Madison Avenue 27 Church Road New York, NY 10016 Hove, East Sussex BN3 2FA © 2011 by Taylor and Francis Group, LLC Routledge is an imprint of Taylor & Francis Group, an Informa business This edition published in the Taylor & Francis e-Library, 2011. To purchase your own copy of this or any of Taylor & Francis or Routledge’s collection of thousands of eBooks please go to www.eBookstore.tandf.co.uk. International Standard Book Number: 978-0-415-99496-5 (Hardback) 978-0-415-99497-2 (Paperback) For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organiza- tion that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Library of Congress Cataloging‑in‑Publication Data Howell, Elizabeth F., 1946- Understanding and treating dissociative identity disorder : a relational approach / Elizabeth Howell. p. cm. -- (Relational perspectives ; 49) ISBN 978-0-415-99496-5 (hardcover : alk. paper) -- ISBN 978-0-415-99497-2 (pbk. : alk. paper) -- ISBN 978-0-203-88826-1 (e-book) 1. Dissociative disorders--Diagnosis. 2. Dissociative disorders--Treatment. 3. Dissociation (Psychology) I. Title. RC553.D5H693 2011 616.85’23--dc22 2010041387 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the Routledge Web site at http://www.routledgementalhealth.com ISBN 0-203-88826-X Master e-book ISBN With gratitude to my patients for their generous permission to share about their lives and treatment and for what they have taught me.
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