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This book provides up-to-date guidance on how to recognize and reduce trauma-based dissociation. Through a therapist-guided approach, readers will increase their awareness of their own experiences of dissociation and develop strategies for reducing these responses, with an overall goal of feeling more connected within themselves and with others. Trauma-based dissociation usually first occurs during a very threatening situation from which there is no physical escape. The dissociative response happens automatically for protection outside of awareness, so the person doesn't realize what they were doing. This protective response can happen again when other concerning situations occur, and eventually develop into an automatic response to perceived threats. Disconnecting to Survive: Understanding and Recovering from Trauma-based Dissociation is a guide for individuals who experience dissociation or wonder if they do, and for their family, friends, and professionals who want to help them. Several unique features of this book make it valuable as a therapeutic experience for trauma survivors as well as a useful resource for professionals.'Check-ins” throughout the book provide an in-the-moment experience of self-monitoring and pacing while reading. Frequent case examples enhance understanding of the ideas described and validate the experiences of readers who have persevered through traumatic life situations. A section at the end of each chapter provides opportunity to explore how the concepts apply to the reader. Readers also will learn about a three-phase model for determining their present needs and their readiness for different interventions based on their phase of trauma recovery. In addition to physical, emotional, and sexual abuse, other types of interpersonal trauma are delineated, including race-based trauma, religious trauma, medical trauma, emotional neglect, military-related trauma, and mistreatment dueto sexual orientation. In addition, a chapter is devoted to each of the important topics of dissociation in children and the relationship between trauma, dissociation, and psychosis.

Wenngleich dissoziative Symptome und Störungen häufig auftreten, werden sie im klinischen Alltag sehr oft nicht erkannt und behandelt. Psychotherapeutische Ansätze zur Behandlung von Dissoziation finden sich kaum, so dass sich viele Kliniker mit dieser Symptomatik unsicher fühlen. Dieses Buch gibt einen vollständigen und aktuellen Überblick über dissoziative Symptome und Störungen; es beschreibt, wie sie sich ausprägen und was man therapeutisch tun kann. Im 1. Teil werden Grundlagen dissoziativer Symptome und Störungen ausführlich dargestellt – von der Historie über die Klassifikation bis hin zu Erhebungsinstrumenten, Ätiologie und Neurobiologie. Der 2. Teil ist bestimmten psychiatrischen Störungsbildern gewidmet, bei denen Dissoziation häufig auftritt wie z.B. der Borderline-Persönlichkeitsstörung, der posttraumatischen Belastungsstörung, aber auch der Schizophrenie. Im 3. Teil wird zunächst die Datenlage zu psychotherapeutischen und pharmakotherapeutischen Ansätzen überblickartig dargestellt. Schließlich wird ein Therapieleitfaden zur Behandlung verschiedenster dissoziativer Symptome und Störungen beschrieben. Der modulare Aufbau des Leitfadens erlaubt es, das spezifische Vorgehen in der Therapie zu individualisieren. Bei komorbider Symptomatik können die Therapiemodule in einen Gesamtbehandlungsplan integriert werden. - Aktuell und wissenschaftlich fundiert - Überblick für Wissenschaftler und Kliniker - Beschreibung dissoziativer Symptome und Störungen - Störungsübergreifender modularer Therapieansatz - Praxisorientiert mit vielen Fallbeispielen und Arbeitsblättern

Within the last decade there has been a tremendous explosion in the clinical, theoretical, and empirical literature related to the study of dissociation. Not since the work done at the tum of the century by Pierre Janet, Morton Prince, William James, and others have the psychological and medical communities shown this great an interest in describing and understanding dissociative phenomena. This volume is the result of this significant expansion. Presently, interest in the scientific and clinical progress in the field of dissociation is indicated by the following: 1. The explosion of conferences, workshops, and seminars devoted to disso­ ciative disorders treatment and research. 2. The emergence of NIMH-supported investigations that focus on dissociation. 3. The burgeoning literature on dissociation. According to a 1992 biblio­ graphic analysis of the field by Goettman et al. (1992), 72% of all writings on the topic have appeared in the past decade, with about 1000 published papers scattered across diverse disciplines and journals. 4. Current interest in dissociation as reflected in the appearance of major articles and special issues in respected psychology and psychiatry journals. 5. The initiation of a journal entitled Dissociation (Richard Kluft, MD, Editor) devoted to the area.

Die freudsche Hysterie gilt heute weithin als obsolet und die berühmten Fallgeschichten über die damaligen Hysterikerinnen werden gerne als Ausdruck einer zeitbedingten Überspanntheit interpretiert. Am Beispiel der dissoziativen Anfälle weist der Autor jedoch nach, dass die ehemaligen hysterischen Symptome – aktuell als Konversions- und dissoziative Störungen benannt – nach wie vor auftreten und eine große klinische Herausforderung darstellen. Die involvierten Disziplinen der Neurologie, Psychiatrie und Psychotherapie tun sich schwer mit Diagnose und Therapie. Historisch fundiert und gleichzeitig mit hohem Praxisbezug referiert der Autor die wichtigen theoretischen Entwicklungen aus Psychoanalyse und Psychosomatik sowie die aktuelle Forschungspraxis. Die Prognose bei dissoziativen Anfällen ist vergleichsweise schlecht, die Rate sozialmedizinischer Komplikationen hoch. Eine empirische, prospektiv durchgeführte Untersuchung über verlaufsprädiktive Faktoren zeigt, dass psychodynamische und persönlichkeitspsychologische Merkmale einen bedeutsamen Erklärungswert aufweisen und für die Therapiegestaltung relevant sind.

For more than a hundred years, dissociative states, sometimes referred to as multiple personality disorder, have fascinated the public as well as scientists. The precise nature of this disorder is a controversial one, dividing clinicians, theorists, and researchers. Challenging the conventional wisdom on all sides, Robert Rieber's Bifurcation of the Self traces the clinical and social history of dissociation in a provocative examination of this widely debated phenomenon. At the core of this history is a trio of related evolutions—hypnosis, concepts of identity, and dissociation—beginning with nineteenth-century'hysterics'and culminating in the modern boom in Dissociative Identity Disorder (DID) diagnoses and the parallel rise in childhood abuse/repressed memory cases. Rieber does not argue the non-existence of DID; rather he asserts that it is a rare disorder exaggerated by dissociation advocates and exploited by the media. In doing so, he takes on some of the most difficult questions in the field: - How crucial is memory to a person's identity? - Can two or more autonomous personalities actually exist in the same body? - If trauma causes dissociation, why aren't there more DID cases? - Why are DID cases prevalent in some eras but not in others? - Does dissociative disorder belong in the DSM? The book is rigorously illustrated with two centuries'worth of famous cases including Christine Beauchamp, Ansel Bourne, Eve Black/Eve White, and most notably the woman known as'Sybil', whose story is covered in depth with newly revealed manuscripts. And Rieber reviews the current state of DID-related controversy, from the professionals who feel that the condition is underreported to those who consider it a form of malingering, so that readers may draw their own conclusions.