Amobarbital treatment of multiple personality. Use of structured video tape interviews as a basis for intensive psychotherapy.
The case of a 30-year-old woman with five distinct personalities is presented. The patient was treated, using a system of structured video taped sodium amobarbital interviews, in which areas to be explored were developed in psychotherapy. Tapes were played for the patient after each session. The taped material was used as the basis for psychotherapeutic investigation. The patient evidenced many of the features previously reported in cases of multiple personality, specifically: being the product of an unwanted pregnancy in a repressively rigid family; emotional distancing by one parent; strong sibling rivalry with an adopted sib; family history of mental illness; a traumatic first sexual experience (rape); a marriage to a maladjusted individual in an attempt to escape the parental home; a high internalized standard of performance and an inability to display anger or negative feelings toward the parents. In the course of treatment, the patient's personalties fused and she was able to accept each component as part of herself. No further fragmentation has occurred during the year following discharge. The therapy technique minimized dependency, and the possiblity of addiction to amobarbital interviews permitted more active patient therapy involvement, and set clear-cut goals and expectations for improvement before further amobarbital interviews could be conducted.
D000328:Adult; D000647:Amnesia / Q000209:etiology; D000654:Amobarbital / Q000627:therapeutic use*; D002668:Child Rearing; D004213:Dissociative Disorders / Q000209:etiology; D009105:Dissociative Identity Disorder / Q000628:therapy*; D005191:Family Characteristics; D005260:Female; D006801:Humans; D011613:Psychotherapy / Q000379:methods*; D014743:Videotape Recording
D000654:Amobarbital