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The use of hypnosis in the treatment of a case of multiple personality.

The literature regarding the use of hypnosis in the therapy of multiple personality is reviewed. Cautions of other authors are noted which intend to protect the patient from further "splitting" of the personalities involved. A case of a 25-year-old woman is described in which, several months after leaving therapy abruptly, a second personality appeared and prompted her re-entry into treatment. Hypnosis was employed several weeks after restarting therapy on four separate occasions. Therapeutic outcome was favorable with coalescence of the personality into a new whole. A rationale for the use of hypnosis in this case is presented.

Adult↗

Auditory hallucinations and schizophrenia.

Forty-five patients with auditory hallucinations were studied. Sixty per cent proved to be excellent hypnotic subjects with multiple personalities. These latter patients received 11 different diagnoses by clinicians, predominantly those related to schizophrenia or an affective illness. Because patients with multiple personalities frequently have hallucinations, delusions, paranoid ideas and bizarre behaviors, they may be misdiagnosed as some form of schizophrenia.

Auditory Perception↗

Incipient multiple personality in children. Four cases.

Despite extensive study of child abuse and increasing interest in multiple personality, there has been no way of identifying abused children who are potential multiples, and only rarely has multiple personality been diagnosed before adulthood. This article describes four cases where dual identity was claimed by the child and/or trance states were evident in response to questions or stimuli related to traumatic events. In addition, the three children who were treated according to a program developed to integrate multiple personalities in adults showed unification of consciousness and immediate disappearance of or reduction in symptoms, together with other positive personality changes. Improvements were maintained on follow-up. From behaviors noted in these children, together with symptoms found in published biographical and autobiographical accounts of the childhood of persons with multiple personality, a list of 20 behavioral signs was derived which should be of assistance in helping teachers and other professionals who have frequent contact with children to identify potential multiples. Six subjective items were also given to be used in interviewing suspected cases. Incidence of incipient multiple personality and approaches to differential diagnosis are discussed. Three levels of family pathology are described and treatment approaches are suggested for each category, together with cautions about the need for careful clinical judgment. Finally, a systematic play therapy approach to enable personality integration is detailed.

Abreaction↗

The not-so-silent couple in the individual.

This paper aims to examine two often separate areas of analytical enquiry, the nature of the self, with its foundation in the concept of a primary self which may achieve a sense of coherence over time, and the nature of internal objects, a concept that forms the basis of theories concerning part selves and sub-personalities. It is argued that these concepts might be integrated to provide a unified model of the self, thereby integrating theoretically disparate aspects of mental structure and functioning. Through an examination of clinical material, the archetype of the coniunctio is evoked to offer an understanding of how, in the absence of a stable conjunction of (maternal) reverie and (paternal) thinking functions, a series of linked but oppositional internal couples may be created which lends to the self the experience of a combined and sustaining inner couple. The internal couple creates a source of psychological survival for the self, with the function of providing a reliable structure in which the processes of the self may unfold, but equally requiring strict adherence to a pernicious system of internal defences that allows for very little interaction with others outside the self. At the same time, these defences inevitably become blocks to further development, and the work of transformation is thwarted. For transformation to occur, it is necessary for the self to find another, often the analyst, who may be allowed to partake in the internal conjunction, thereby promoting a better grounding for the self.

Adult↗

Use of the extended family in the treatment of multiple personality.

The author describes a patient with the diagnosis of multiple personality who was treated by several therapists with different theoretical perspectives, including psychoanalysis and family systems theory. The latter approaches to the patient's illness are compared, a new methodology of treatment is reported, and the impact of different ways of thinking about the patient is discussed.

Adolescent↗