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Presentation
Dissociative Identity Disorder: A case analysis of symptoms and related treatment goals.
28th International Congress of Applied Psychology (ICAP) (2014)
  • Clive M Jones, Dr, Bond University
Abstract
Dissociative Identity Disorder (DID) is a complex and insidious condition whereby secondary co-morbid symptoms are usually recognized and treated first while the underlying dissociated ego states go undetected. Unfortunately this can result in misdiagnosis and failed treatment attempts as the dissociated ego states are left to predominate and control the internal world of the client for many years.
Treatment of DID is ultimately an intimate journey of discovery for the client; from polarized traumatic crisis responses that are encapsulated within the multiple ego states, to an integrated and sustainable sense of well being.
How this journey starts and the facilitative processes of change that are applied within treatment need to be intricately placed in to the therapeutic relationship and associated working alliance.
The delicate and highly sensitive balance between a secure bond and the dissonant flux of change toward integration cannot be over stated. It is a precarious balance indeed. Due to the very subtle and unique qualities of DID and its treatment, case analysis has a very important role to play in the development of our understanding in both the recognition and treatment of the condition.
This presentation provides a comprehensive analysis of a long-term case example of treating DID. In the case analysis there are two key areas of focus. The first key area analyses the underlying primary symptoms of the dissociative ego states that presented in the sessions. The second key area focuses on processes applied to uncover and treat the presenting ego states.
Multiple sources were used to obtain pertinent information about the case to ensure a comprehensive analysis of the various processes applied in treatment could be highlighted. This has included a detailed contextual analysis of case notes from the therapist; personal writings, drawings and reflections from the client; documented email dialogue between the client and therapist and a retrospective review of significant events over the course of treatment.
Keywords
  • Psychotherapy,
  • clinical psychology,
  • dissociation,
  • treatment,
  • mental health,
  • counselling,
  • Dissociative identity disorder
Publication Date
Summer July, 2014
Citation Information
Clive M Jones. "Dissociative Identity Disorder: A case analysis of symptoms and related treatment goals." 28th International Congress of Applied Psychology (ICAP) (2014)
Available at: http://works.bepress.com/clivemjones/3/