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Archive for August, 2011

A Case of Dissociative Identity Disorder -continued

Tuesday, August 30th, 2011

THIRD GUIDELINE –
Aim for your Destination but Be Prepared to Change Direction When
the Wind Changes
Know Your Patient’s Needs and Goals but Learn to Anticipate Changes so
that You Are Ready to Shift Your Approach at a Moment’s Notice to Sustain
the Healing Process
An effective skipper watches the water all around, following the […]

A Case of Dissociative Identity Disorder -continued

Thursday, August 25th, 2011

THIRD GUIDELINE –
Aim for your Destination but Be Prepared to Change Direction When
the Wind Changes
Know Your Patient’s Needs and Goals but Learn to Anticipate Changes so
that You Are Ready to Shift Your Approach at a Moment’s Notice to Sustain
the Healing Process
An effective skipper watches the water all around, following the […]

A Case of Dissociative Identity Disorder -continued

Tuesday, August 23rd, 2011

Here is an example of a therapeutic situation in which taking shortcuts like jibing in a sailboat) would be most ill-advised. You have a fragile patient like Connie who is prone to suicidal and psychotic episodes whenever her abuse memories begin to break through into consciousness. You do not casually employ […]

A Case of Dissociative Identity Disorder -continued

Thursday, August 18th, 2011

SECOND GUIDELINE –
Know and Observe the Limits of the Boat, Your Experience as a Skipper and Your Passenger’s Tolerance for Extreme Situations
Be Respectful of the Limitations of the Methods You Use, Your Experience with Them, and Your Patient’s Vulnerabilities
There are two ways to tack a sailboat, i.e., turn it across […]

A Case of Dissociative Identity Disorder

Tuesday, August 16th, 2011

Lets look to start with the beginning of that multidimensional healing journey and use it to review the six guidelines. The nautical metaphor of sailing a small boat is invoked to make the guidelines more vivid and memorable. My apologies in advance to any reader who suffers from seasickness!
FIRST GUIDELINE –
Know […]

A Case of Dissociative Identity Disorder Continued

Thursday, August 11th, 2011

The last personality we learned about, Beverly, was a stylishly dressed vamp who, at age 26, expressed Connie’s sexuality. The only thing that interested Beverly was the indiscriminate seduction of men, with no regard for the physical or emotional consequences to Connie or her dissociated child personalities. While Connie usually […]

A Case of Dissociative Identity Disorder Continued

Tuesday, August 9th, 2011

The yearning for a good mother turned out to be pivotal to Connie’s healing, since it was a caring woman physician who had persuaded her to see me, her first male therapist. The same family doctor agreed to participate  in the therapy sessions when Connie requested her to be present a […]

Guidelines for Integrative Healing a Case of Dissociative Identity Disorder

Thursday, August 4th, 2011

The clinical examples used to clarify the proposed guidelines relate to my work with Connie, a very disturbed patient with Dissociative Identity Disorder and a history of horrible abuse, beginning with her favorite uncle stealing repeatedly into her bedroom at night to anally rape her at age five. He would seduce, […]

Multidimensional Model

Tuesday, August 2nd, 2011

Because the mainstream medical tradition of diagnosis and treatment is dissociated from spirituality to such a great extent in our culture, few practitioners have a perspective broad enough to perceive all of the phenomena discussed in this book, let alone include them in therapeutic interventions.
Mainstream psychiatrists and psychologists tend to […]