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Books : Health, Mind & Body : Mental Health : Dissociative Disorders
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A new way of dealing with chronic trauma from leaders in the field.
Life is an ongoing struggle for those who have been severely traumatized. Here, leading trauma experts present a theory and practice for dealing with chronic trauma. Recognizing the structural dissociation (splitting away of part of the self) that often results from trauma and proposing a plan for action that a survivor must implement in order to put his or her haunted past to rest, this book will be of interest to researchers as well as clinicians.
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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.
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The NFL legend and Heisman Trophy winner shares the inspiring story of his life and diagnosis with dissociative identity disorder. Herschel Walker is widely regarded as one of football's greatest running backs. He led the University of Georgia to victory in the Sugar Bowl on the way to an NCAA Championship and he capped a sensational college career by earning the 1982 Heisman Trophy. Herschel spent twelve years in the NFL, where he rushed for more than eight thousand yards and scored sixty-one rushing touchdowns.
But despite the acclaim he won as a football legend, track star, Olympic competitor, and later a successful businessman, Herschel realized that his life, at times, was simply out of control. He often felt angry, self-destructive, and unable to connect meaningfully with friends and family. Drawing on his deep faith, Herschel turned to professionals for help and was ultimately diagnosed with dissociative identity disorder, formerly known as multiple personality disorder.
While some might have taken this diagnosis as a setback, Herschel approached his mental health with the same indomitable spirit he brought to the playing field. It also gave him, for the first time, insight into his life's unexplained passages, stretches of time that seemed forever lost. Herschel came to understand that during those times, his "alters," or alternate personalities, were in control.
Born into a poor, but loving family in the South, Herschel was an overweight child with a stutter who suffered terrible bullying at school. He now understands that he created "alters" who could withstand abuse. But beyond simply enduring, other "alters" came forward to help Herschel overcome numerous obstacles and, by the time he graduated high school, become an athlete recognized on a national level.
In Breaking Free, Herschel tells his story -- from the joys and hardships of childhood to his explosive impact on college football to his remarkable professional career. And he gives voice and hope to those suffering from DID. Herschel shows how this disorder played an integral role in his accomplishments and how he has learned to live with it today. His compelling account testifies to the strength of the human spirit and its ability to overcome any challenge.
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One afternoon in 1989, Karen Overhill walks into psychiatrist Richard Baer’s office complaining of vague physical pains and depression. Odder still, she reveals that she’s suffering from a persistent memory problem. Routinely, she “loses” parts of her day, finding herself in places she doesn’t remember going to or being told about conversations she doesn’t remember having. Her problems are so pervasive that she often feels like an impersonator in her own life; she doesn’t recognize the people who call themselves her friends, and she can’t even remember being intimate with her own husband.
Baer recognizes that Karen is on the verge of suicide and, while trying various medications to keep her alive, attempts to discover the root cause of her strange complaints. It’s the work of months, and then years, to gain Karen’s trust and learn the true extent of the trauma buried in her past. What she eventually reveals is nearly beyond belief, a narrative of a childhood spent grappling with unimaginable horror. How has Karen survived with even a tenuous grasp on sanity?
Then Baer receives an envelope in the mail. It’s marked with Karen’s return address but contains a letter from a little girl who writes that she’s seven years old and lives inside of Karen. Soon Baer receives letters from others claiming to be parts of Karen. Under hypnosis, these alternate Karen personalities reveal themselves in shocking variety and with undeniable traits—both physical and psychological. One “alter” is a young boy filled with frightening aggression; another an adult male who considers himself Karen’s protector; and a third a sassy flirt who seeks dominance over the others. It’s only by compartmentalizing her pain, guilt, and fear in this fashion—by “switching time” with alternate selves as the situation warrants—that Karen has been able to function since childhood.
Realizing that his patient represents an extreme case of multiple personality disorder, Baer faces the daunting task of creating a therapy that will make Karen whole again. Somehow, in fact, he must gain the trust of each of Karen’s seventeen “alters” and convince them of the necessity of their own annihilation.
As powerful as Sybil or The Three Faces of Eve, Switching Time is the first complete account of such therapy to be told from the perspective of the treating physician, a stunningly devoted healer who worked selflessly for decades so that Karen could one day live as a single human being.
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Got Parts? was written by a survivor of DID in association with her therapist and therapy group. This book is filled with successful coping techniques and strategies to enhance the day-to-day functioning of adult survivors of DID in relationships, work, parenting, self-confidence, and self-care. Got Parts will help you introduce yourself to your internal family and improve its communication, integration, and well-being. Although written to carefully avoid triggering, it delivers well-grounded guidelines for living that DID people need to do on the way to recovery. Coping strategies included help you with issues related to triggers, flashbacks, and body memories. Got Parts also includes a detailed list of outside resources you can draw on. This book is intended to be used in conjunction with a therapist and is not a substitute for therapy.Once thought of as a rare and mysterious psychiatric curiosity, Dissociative Identity Disorder (DID) is now understood to be a fairly common outcome of severe trauma in young children—most typically extreme and repeated physical, sexual, and/or emotional abuse, and often lack of attachment. Formerly called Multiple Personality Disorder, DID is a condition in which a person has two or more distinct identities or personality states that recurrently take control of the person's consciousness and behavior. Symptoms can include depression, mood swings, panic or anxiety attacks, substance abuse, memory loss, propensity for trances, sleep and eating disorders, distrust, detachment, lack of self-care, and distress or impairment at work.
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Dissociation--the fragmentation of consciousness involving feelings of unreality and amnesia--is a misunderstood condition that affects 35 million people globally. Since dissociation can be a person's standard response to trauma, its symptoms are a common reaction to such life-threatening events as a car accident, or such intense, lasting traumas as rape. Apart from post-traumatic reactions, dissociative experiences are often elusive and rarely reported to therapists. Based on 18 years of Dr. Steinberg's pioneering research, STRANGER IN THE MIRROR not only debunks the many myths surrounding dissociation, but also offers some startling revelations: normal people experience dissociative symptoms in everyday life, and dissociation is as widespread as anxiety and depression. Filled with fascinating case histories, this breakthrough book makes constructive help about dissociation available to the lay public, for the first time, providing readers with invaluable guidelines for assessing dissociative symptoms and disorders as well as for treatment and recovery. Dr. Steinberg's pioneering Handlbook for the Assessment of Dissociation is considered the definitive clinical guide to these disorders. The continued interest in this subject can be seen in such literary classics as The Three Faces of Eve, Sybil, Awakenings, and, most recently, First Person Plural, which sold to Disney for 1.15 million, with Robin Williams to play the lead role.
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Using the clinical model of the whiplash syndrome, this groundbreaking book describes the alterations in brain chemistry and function induced in individuals by what is known as traumatic stress or traumatization-experiencing a life-threatening event while in a state of helplessness. The Body Bears the Burden: Trauma, Dissociation, and Disease presents evidence of the resulting and relatively permanent alteration in neurophysiology, neurochemistry, and neuronal organization-changes correlated with many of the most common, yet poorly understood, physical complaints and diseases, including whiplash, migraines, fibromyalgia, irritable bowel syndrome, and other painful, difficult-to-treat conditions.short blurb for Whiplash catalogs: "Why does my neck still ache so much? The accident was months ago. My doctor thinks I'm crazy or lazy or faking it. What's wrong with me?"
What's wrong, according to The Body Bears the Burden: Trauma, Dissociation, and Disease, is that physical traumas and emotional traumas are powerfully interrelated. After decades of research into brain chemistry, Dr. Scaer has identified some of the ways that the helplessness and terror of sudden trauma induce changes in brain function and the resulting consequences these measurable chemical changes can have on muscles, digestion, blood pressure, and many other bodily systems. Using the clinical model of the whiplash syndrome, this electrifying book offers new hope to anyone suffering from whiplash, post-traumatic stress disorder, or a history of abuse. It even provides ways to cope with new traumas to minimize the emotional and physical damage!
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"This book pioneers the integration of EMDR with ego state techniques and opens new and exciting vistas for the practitioners of each."
--From the foreword by John G. Watkins, PhD, founder of ego state therapy "This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library."
"Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population."--Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center --Steven N. Gold, PhD, President Elect, APA Division of Trauma The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma.
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(New Harbinger Publications) Author is a clinical psychologist living in San Diego, CA. Self-help guide for persons with dissociative identity disorder (DID) or multiple personality disorder (MPD). Discusses skills and strategies to manage living with these disorders, the positive aspects, what to expect from therapy, and how DID affects lives. For consumers. Softcover.
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Every therapist who has worked with adult survivors of severe child abuse is aware of the perils associated with helping to rebuild an adult psyche shattered in childhood. All too often, in their efforts to identify and go beyond the defenses and compensatory tactics of young victims who elect to numb themselves to the pain of abuse, many bright, well-meaning therapists find themselves hopelessly entangled in therapeutic and interpersonal traps. How, in today's increasingly litigious climate, can therapists be sure that they are pursuing the most rational and effective course of treatment while, at the same time, safeguarding themselves against common professional snares? This book may provide the answer.
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 trauma-related 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.
The book opens with an integrated, up-to-date account of trauma theory and symptomatology. Chapters focus on complex dissociative and post-traumatic symptoms, difficulties in development and maturation, amnesia and other traumatic memory problems, and differential diagnosis. In the following section, Dr. Chu outlines his treatment strategies and offers valuable guidelines on managing self-destructive behavior, controlling dissociative and post-traumatic symptomatology, and navigating the maze of the therapeutic relationship. Concluding chapters are devoted to special topics and include a review of the latest treatment strategies for dissociative identity disorder, crisis intervention, and working with regressed and "impossible" patients.
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.
"A major contribution to the clinical trauma literature by one of the field's most experienced clinicians." --Christine Courtois, PhD author of Healing the Incest Wound
"Dr. Chu brings calm lucidity to controversies around trauma, integrates recent advances in the field with traditional therapy strengths and provides clinicians with a balanced and sensible phase-oriented treatment approach. Best of all, in this volume he has deepened his area of greatest strength, working with relational challenges faced and posed in therapy by individuals with complex post-traumatic disorders." --Denise J. Gelinas, PhD Harvard Medical School.
"Dr. James Chu charts a deliberate and thoughtful approach to the treatment of severely traumatized patients. Written in a straightforward style and richly illustrated with clinical vignettes, Rebuilding Shattered Lives is filled with practical advice on therapeutic technique and clinical management. This is a reassuring book that moves beyond the confusion and controversies to address the critical underlying issues and integrate traditional psychotherapy with more recent understanding of the effects of trauma and pathological dissociation." --Frank W. Putnam, MD.
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Understanding Somatization in the Practice of Clinical Neuropsychology is written for neuropsychologists who wish to improve their ability to diagnose and treat, or recommend treatment for, patients with somatoform disorders. The author, a seasoned clinician, blends evidence-based recommendations with sound practical advice within a conceptual framework that helps neuropsychologists to understand and engage these challenging patients. A Continuing Education (CE) component administered by the American Academy of Clinical Neuropsychology is included, as is access to the author's workshop presentation materials. The book will be of interest to those who work with or wish to gain insight into somatizing patients - neuropsychologists, clinical psychologists, neurologists; post-doctoral fellows; graduate psychology students; and neuropsychologists who want to earn Continuing Education (CE) credit.
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Drawing on the pioneering work of Janet, Freud, Sullivan, and Fairbairn and making extensive use of recent literature, Elizabeth Howell develops a comprehensive model of the dissociative mind. Dissociation, for her, suffuses everyday life; it is a relationally structured survival strategy that arises out of the mind?s need to allow interaction with frightening but still urgently needed others. For therapists dissociated self-states are among the everyday fare of clinical work and gain expression in dreams, projective identifications, and enactments. Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions.
Howell examines the relationship of segregated models of attachment, disorganized attachment, mentalization, and defensive exclusion to dissociative processes in general and to particular kinds of dissociative solutions. Enactments are reframed as unconscious procedural ways of being with others that often result in segregated systems of attachment. Clinical phenomena associated with splitting are assigned to a model of ?attachment-based dissociation? in which alternating dissociated self-states develop along an axis of relational trauma. Later chapters of the book examine dissociation in relation to pathological narcissism; the creation and reproduction of gender; and psychopathy.
Elegant in conception, thoughtful in tone, broad and deep in clinical applications, Howell takes the reader from neurophysiology to attachment theory to the clinical remediation of trauma states to the reality of evil. It provides a masterful overview of a literature that extends forward to the writings of Bromberg, Stern, Ryle, and others. The capstone of contemporary understandings of dissociation in relation to development and psychopathology, The D
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In 1989, Robert B. Oxnam, the successful China scholar and president of the Asia Society, faced up to what he thought was his biggest personal challenge: alcoholism. But this dependency masked a problem far more serious: Multiple Personality Disorder.At the peak of his professional career, after having led the Asia Society for nearly a decade, Oxnam was haunted by periodic blackouts and episodic rages. After his family and friends intervened, Oxnam received help from a psychiatrist, Dr. Jeffrey Smith, and entered a rehab center. It wasn+t until 1990 during a session with Dr. Smith that the first of Oxnam+s eleven alternate personalities-an angry young boy named Tommy-suddenly emerged. With Dr. Smith+s help, Oxnam began the exhausting and fascinating process of uncovering his many personalities and the childhood trauma that caused his condition. This is the powerful and moving story of one person+s struggle with this terrifying illness. The book includes an epilogue by Dr. Smith in which he describes Robert+s case, the treatment, and the nature of multiple personality disorder. Robert+s courage in facing his situation and overcoming his painful past makes for a dramatic and inspiring book.
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Ego states are the parts of our personality that cause us to act in different ways in different situations. Ego state theory links normal personality functioning with its extremes, such as those found in multiple personalities. The therapy integrates psychoanalytic practice and hypno-analytic techniques to discover and explore covert ego states, thereby effecting behaviour changes. Here, the recognized originators of ego state therapy explain the theory and how to put it into practice.
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This is a book about the triumph of inner authority over the debilitating effects of trauma and abuse. In a simple and straightforward style, a three-phase model for treating dissociative identity disorder (previously known as multiple personality disorder) in introduced. The Collective Heart model is consistent with the current standards of care which emphasize caution and restraint. Additionally, the Collective Heart model has several unique features: It highlights the retrieval of personal authority rather than the retrieval of traumatic memories, identifies the fundamental inner unity underlying the fragmented personality system, and introduces techniques that facilitate communication between personalities and between each personality's conscious mind and the collective heart.
Six chapters of fascinating case vignettes illustrate therapeutic techniques and show how clients tap into their underlying inner unity to create the conditions for their own maturation, making it safe for their alters to grow, heal, and eventually join the host as a seamless, harmonious whole.
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Valerie Sinason's work in disability and abuse has consistently broken new ground in addressing subjects that many people have found initially hard to deal with. This new book covers the equally unexplored subject of Dissociative Identity Disorder (DID).
Attachment, Trauma and Multiplicity explains the phenomenon of DID, the conflicting models of the human mind that have been found to try and understand it, the political conflict over the subject, and, with the permission of patients, clinical accounts. Valerie Sinason, along with an impressive array of contributors, covers: the background history and a description of the condition, issues of diagnoses, treatment issues, the stages of dissociation that lead to full-blown DID, and legal and management problems.
Attachment, Trauma and Multiplicity will be indispensable to professionals in the UK increasingly concerned about their lack of training in this subject and the fear it evokes in them and their teams.
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Presenting a comprehensive developmental approach, this book examines the origins and course of normal and pathological dissociation in children and adolescents. The volume illustrates the critical connection between pathological dissociation and trauma, and provides a clear synthesis of what is known about the psychobiology of dissociative disorders and the effects of pathological dissociation on cognition, memory, and behavior. Amply illustrated with clinical vignettes, the book describes an array of diagnostic and treatment techniques and includes reproducible copies of validated dissociation scales for all age groups.
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A true story about personal journey in the following domains: Psychiatric Hospital(s), DID, Borderline PD, PTSD, Schizoaffective Disorder, Bipolar Disorder, Transsexualism, and Infantilism. First time a book is published that resonates with the psychiatric hospital progress notes. More FEEDBACK: I finished reading the book last night at 03: 12 AM. I could not let go of it. I could not close my laptop. I went out to meet some friends but hurried back. This time it's a winner: taut, tense prose; a plot as captivating as any thriller's; a real-life story that reads like a nightmare and that ends in personal redemption. Couched in a lean and muscular text, all the important themes are here: self-discovery, one against the many, iconoclastic rebel faces down the system, justice for all, mental illness as a mechanism for social coercion. What a ride What a treat Brilliant. Sam Vaknin Ph.D.