UNDERSTANDING AND TREATING DISSOCIATIVE IDENTITY DISORDER (OR MULTIPLE PERSONALITY DISORDER) UNDERSTANDING AND TREATING DISSOCIATIVE IDENTITY DISORDER (OR MULTIPLE PERSONALITY DISORDER) Jo L. Ringrose First published in 2012 by Karnac Books Ltd 118 Finchley Road London NW3 5HT Copyright © 2012 by Jo Ringrose The right of Jo Ringrose to be identified as the author of this work has been asserted in accordance with §§ 77 and 78 of the Copyright Design and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher. British Library Cataloguing in Publication Data A C.I.P. for this book is available from the British Library ISBN-13: 978-1-78049-033-5 Typeset by V Publishing Solutions Pvt Ltd., Chennai, India Printed in Great Britain www.karnacbooks.com For Mark, Laura, and Chris CONTENTS ACKNOWLEDGEMENTS ix ABOUT THE AUTHOR xi PREFACE xiii CHAPTER ONE The dissociative disorders and the presentation of Dissociative Identity Disorder (DID), or Multiple Personality Disorder (MPD) 1 CHAPTER TWO Assessment and diagnosis 11 CHAPTER THREE Beginning stage of psychotherapy 23 CHAPTER FOUR Middle stage of psychotherapy 41 vii viii CONTENTS CHAPTER FIVE Final stages and integration 57 CHAPTER SIX Considerations for psychotherapy 63 CHAPTER SEVEN Problems and issues 83 RESOURCES 95 REFERENCES 119 INDEX 125 ACKNOWLEDGEMENTS I would like to thank my clients for sharing all their experiences so bravely with me. They think I teach them but the learning and experience has come from them more than me. Many, many thanks too to Dr Claire Schulz who has made substantial contributions to my clinical practice and greatly influenced my thinking and approach to working with these clients. Similarly, I am also indebted to Dr Barbara Boat, Dr Erica Pearl, and all my research participants who gave up their free time to talk to me about their experiences in this field. I am grateful to you all; without your knowledge and experience the research and this book would be much the poorer. I also want to thank Dr Ellert Nijenhuis and his colleagues at the Top Referent Centre in the Netherlands, some of whom subsequently kindly debated and critiqued elements of my research. Special appreciation too to Dr Frank Putnam and Dr Carlson who have given permission for me to include the dissociative experiences scale, and to Dr Nijenhuis, Professor Spinhoven, Dr Van Dyck, Professor Van Der Hart and Dr Vanderlinden for their permission to include the SDQ-20. Also thanks for their substantial writings in this field that have helped me enormously, particularly initially when I needed ix
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