SEARCH · Search PubMed
Results for “Dissociative Disorders”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Multiple personality as a borderline state.
A case of multiple personality is presented. The primary personality met DSM-III criteria for borderline personality disorder, and displayed several "lower level" borderline defenses as well. The secondary personalities showed other borderline characteristics. Seen as a whole, the patient manifested a more complete spectrum of borderline features than did any of the personalities viewed individually. It is postulated that some patients with multiple personality may be a subset of borderlines, in whom the splitting of self and object representations is so severe that the disparate representations are partitioned and manifested in different "personalities." The importance of preoedipal, as opposed to oedipal, psychopathology suggests that multiple personality may be more properly considered a borderline condition than an hysterical condition.
A symptom profile of patients with multiple personalities, including MMPI results.
Patients with multiple personalities are excellent hypnotic subjects, a capability demonstrated both clinically and on a standard hypnotizability test. They tend to experience a plethora of symptoms associated with anxiety states, hysteria, obsessional neuroses, phobic states, depression and mania, schizophrenia, alcoholism, sociopathy, and hyperactivity--although there are exceptions to this profile. Both males and females suffer from this disability, and an MMPI profile for female multiples is described.
Hysteria and hypnosis.
Polysymptomatic female hysterics (Briquet's syndrome) are good or excellent hypnotic subjects with few exceptions, and many have multiple personalities. Furthermore, female patients with major conversion symptoms are excellent hypnotic subjects. The evidence supports spontaneous self-hypnosis as the prime mechanism in many patients with severe hysterical neuroses.
A comparison of chronic combat-related posttraumatic stress disorder (PTSD) patients with and without a history of suicide attempt.
Explore the source record for details and available documents.
Factitious anemia due to self-administered bloodletting in psychiatric patients.
Explore the source record for details and available documents.
Psychotic symptoms in borderline personality disorder.
In a pilot study of 13 patients with borderline personality disorder, analysis of brief psychotic symptoms was done. Derealization and depersonalization were the most common symptoms, but drug-free hallucinations were also observed. The symptoms did not appear to be factitious.
DSM-III-R criteria for posttraumatic stress disorder.
The authors describe the changes in DSM-III criteria for posttraumatic stress disorder (PTSD) that have been included in DSM-III-R. DSM-III-R includes specification of generic characteristics of traumatic stressors, clearer organization of symptoms around three dimensions of stress response (reexperiencing, avoidance and numbing, and physiological arousal), inclusion of symptoms specific to children, and specification of onset and duration of the disorder. The importance of these changes in the evolution of the diagnosis of PTSD is discussed.
Acute stress disorder and posttraumatic stress disorder in victims of violent crime.
OBJECTIVE: In a group of crime victims recruited from the community, the authors investigated the ability of both a diagnosis of acute stress disorder and its component symptoms to predict posttraumatic stress disorder (PTSD) at 6 months. METHOD: A mixed-sex group of 157 victims of violent assaults were interviewed within 1 month of the crime. At 6-month follow-up 88% were reinterviewed by telephone and completed further assessments generating estimates of the prevalence of PTSD. RESULTS: The rate of acute stress disorder was 19%, and the rate of subsequent PTSD was 20%. Symptom clusters based on the DSM-IV criteria for acute stress disorder were moderately strongly interrelated. All symptom clusters predicted subsequent PTSD, but not as well as an overall diagnosis of acute stress disorder, which correctly classified 83% of the group. Similar predictive power could be achieved by classifying the group according to the presence or absence of at least three reexperiencing or arousal symptoms. Logistic regression indicated that both a diagnosis of acute stress disorder and high levels of reexperiencing or arousal symptoms made independent contributions to predicting PTSD. CONCLUSIONS: This exploratory study provides evidence for the internal coherence of the new acute stress disorder diagnosis and for the symptom thresholds proposed in DSM-IV. As predicted, acute stress disorder was a strong predictor of later PTSD, but similar predictive power may be possible by using simpler criteria.
Dr. Jekyll and Mr. Hyde: a primer on substance dependence.
Explore the source record for details and available documents.
The psychotherapy of core borderline psychopathology.
A psychodynamic formulation of borderline psychopathology includes the understanding of the borderline patient's aloneness problems, need-fear dilemma issues, and difficulties with primitive guilt. The aloneness problems are at the core of the disorder, and involve an inability to maintain an evocative memory, and holding and soothing introjects of significant people when under stress of separation. The possible childhood origins of these difficulties are explored and related to the ways these issues emerge in psychotherapy. The psychodynamic formulation is crucial in the psychotherapeutic approach to the aloneness problems. It helps the therapist work with the aloneness difficulties and understand the options as the therapy continues. Since rapid therapeutic decisions are often necessary with borderline patients, the formulation provides the necessary framework, and helps the therapist process and utilize countertransference feelings. Projective identification is an important concept that helps explain the complex transference/countertransference experiences, and is used in defining the resolution of the aloneness problems of borderline patients. Finally, limit-setting and the use of transitional objects are explored, utilizing the psychodynamic framework that has been defined.
Multiple personality disorder presenting as postpartum depression.
Explore the source record for details and available documents.
Personal accounts: family talk.
Explore the source record for details and available documents.
Suicide and abnormalities of consciousness.
Explore the source record for details and available documents.
Inpatient treatment of multiple personality disorder.
Multiple personality disorder (MPD) was once thought to be rare, but there is increasing evidence that it is relatively common. In a period of a year the author had 73 inpatient admissions under his care, of which 8 were for MPD. Three of the MPD admissions were for previously undiagnosed cases in an unselected general adult population. Thus 4.4% of the author's inpatients, once MPD patients diagnosed prior to admission are excluded, had MPD. The implications of this finding are discussed. The diagnosis and inpatient treatment of MPD are reviewed.
The social setting of hysteria.
Previous reviews of hysteria have emphasized the most severe and disabling forms and ignored evidence from a wide variety of sources. It is argued that hysteria is more prevalent in medial settings than is usually recognized, that the same psychological mechanisms are of wide occurrence, often being accepted as normal for the culture. Discussion of the social factors affecting prevalence suggests that there is a universal potential for the hysterical reaction, with individual variation in susceptibility in appropriate circumstances.