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The Treatment of Dissociative Identity Disorder

A Relational Approach

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  • Price: $34.95 $31.46
  • Paperback: 256 pages
  • Also available in Hardback and e-Book
  • Published: April 2011
  • ISBN: 978-0-415-99497-2
  • Publisher: Routledge

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Series: Relational Perspectives Book Series.

Building on the comprehensive theoretical model of dissociation elegantly developed in The Dissociative Mind, Elizabeth Howell makes another invaluable contribution to the clinical understanding of dissociative states with The Treatment of Dissociative Identity Disorder. Howell, working within the realm of relational psychoanalysis, explicates a multifaceted approach to the treatment of this fascinating yet often misunderstood condition, which involves the partitioning of the personality into part-selves that remain aware of one another, usually the result of severely traumatic experiences.

Howell begins with the identification and diagnosis of dissociative identity disorder before moving on to outline a phase-oriented treatment plan, which includes facilitating a multileveled coconstructed therapeutic relationship, emphasizing the multiplicity of transferences, countertransferences, and kinds of potential enactments. She then expands the treatment possibilities to include dreamwork and the relational application of adjunctive modalities such as hypnosis and EMDR. All concepts and technical approaches are permeated with rich clinical examples.

Table of Contents

Preface. Introduction. Part I: About DID. DID Treatment is Trauma Treatment. "The 'We' of Me": Personality Organization in DID. Attachment: Disrupted, Disorganized, and Distorted Patterns of Attachment in DID. Some Neurobiological Underpinnings of the Structure and Psychodynamics of Dissociated Self-states. Part II: Treatment. Assessment and Diagnosis. Phase-oriented Treatment. Facilitating Coconsciousness and Coparticipation in the Treatment. The Therapeutic Relationship: Multiple Dimensions of Coconstruction. Shame as a Powerful Impetus for Dissociation. Dreamwork in DID. Relational Psychoanalytic Use of Adjunctive Modalities. Part III: DID as the Template for Understanding Other Classifications of Problems in Living. Comorbidity and Seeming Comorbidity. Psychological Health.

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