A case of probable dissociative disorder.
The case of a patient with symptoms suggestive of a dissociative disorder is presented. The consultant reviews the diagnosis of multiple personality disorder (MPD) as defined in DSM-III-R and DSM-IV in relation to the patient's dissociative states, hallucinations, memory loss, and other symptoms. He then highlights the distinctions among MPD, schizophrenia, borderline personality disorder, major depression, and complex partial seizures. After presenting the conceptualization of MPD as a chronic posttraumatic stress disorder, he concludes with a review of treatment approaches that address the traumatic history and that involve hypnosis to gain access to and control dissociative states.
C.F. Menninger Memorial Hospital, Topeka, Kansas.
V A
VA
Jaschke
D
D
Spiegel
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D005260:Female; D006212:Hallucinations / Q000188:drug therapy / Q000209:etiology / Q000523:psychology; D006760:Hospitalization; D006778:Hospitals, Psychiatric; D006801:Humans; D006990:Hypnosis; D007902:Length of Stay; D011569:Psychiatric Status Rating Scales; D013406:Suicide, Attempted / Q000523:psychology
D014150:Antipsychotic Agents