Dissociation, development, and the psychobiology of trauma.

Abstract

Dissociation, Development, and the Psychobiology of TraumaRichard J. LoewensteinRichard J. LoewensteinSheppard and Enoch Pratt Hospital; University of Maryland School of Medicine.6501 North Charles Street, Box 6815, Baltimore, MD 21285-6815Search for more papers by this authorPublished Online:July 2017https://doi.org/10.1521/jaap.1.1993.21.4.581PDFPDF PLUS ShareShare onFacebookTwitterLinkedInRedditEmail ToolsAdd to favoritesDownload CitationsTrack Citations AboutReferencesAmerican Psychiatric Association (1987), Diagnostic and Statistical Manual of Mental Disorders (3rd Ed.-Revised), American Psychiatric Press, Washington, DC. Google ScholarArmstrong J. G. (1991), The psychological organization of multiple personality disordered patients as revealed in psychological testing, Psychiat. Clin. North Am., 14, 533–546. Crossref Medline, Google ScholarArmstrong J. G., and Loewenstein R. J. (1990), Characteristics of patients with multiple personality and dissociative disorders on psychological testing, J. Nerv. Ment. Dis., 178, 448–454. Crossref Medline, Google ScholarBerman E. (1981), Multiple personality: Psychoanalytic perspectives, Int. J. Psychoanal., 62, 283–300. Medline, Google ScholarBraun B. G. (Ed.). (1986), The Treatment of Multiple Personality Disorder, American Psychiatric Press, Washington, DC. Google ScholarBreslau N., Davis G. C., Andreski P., and Peterson E. (1991), Traumatic events and posttraumatic stress disorder in an urban population of young adults, Arch. Gen. Psychiat., 48, 216–222. Crossref Medline, Google ScholarBrown D. P., and Fromm E. (1986), Hypnotherapy and Hypnoanalysis, Lawrence Erlbaum, Hillsdale, NJ. Google ScholarBryer J. B., Nelson B. A., Miller J. B., and Kroll P. A. (1987), Childhood sexual and physical abuse as factors in adult psychiatric illness, Am. J. Psychiat., 144, 1426–1430. Crossref Medline, Google ScholarCoons P. M. (1986), Treatment progress in 20 patients with multiple personality disorder, J. Nerv. Merit. Dis., 174, 715–721. Crossref Medline, Google ScholarExner J. E. (1978), The Rorschach: A Comprehensive System, Vol. 1: Current Research and Advanced Interpretations. Wiley, New York. Google ScholarFuhrman N. L., Zingaro J. C., and Kokenes B. (1990), A preliminary comparative study of drawings produced under hypnosis and in a simulated state by both MPD and non-MPD adults, Dissociation, 3 (2), 107–112. Google ScholarClover E. (1943), The concept of dissociation, Int. J. Psychoanal., 24, 7–13. Google ScholarHelzer J. E., Robins L. N., and McEvoy L. (1987), Post-traumatic stress disorder in the general population, N. Eng. J. Med., 317, 1630–1634. Crossref Medline, Google ScholarKernberg O. (1975), Borderline Conditions and Pathological Narcissism, Jason Aronson, New York. Google ScholarKluft R. P. (1985), The natural history of multiple personality disorder, in Kluft R. P. (Ed.), Childhood Antecedents of Multiple Personality, American Psychiatric Press, Washington, DC, pp. 197–238. Google ScholarKluft R. P. (1987), First rank symptoms as a diagnostic clue to multiple personality disorder, Am. J. Psychiat., 144, 293–298. Crossref Medline, Google ScholarKluft R. P. (1988a), The dissociative disorders, in Talbot J. A., Hales R. E., and Yudofsky S. C. (Eds.), The American Psychiatric Press Textbook of Psychiatry, American Psychiatric Press, Washington, DC, pp. 557–584. Google ScholarKluft R. P. (1988b), The phenomenology and treatment of extremely complex multiple personality disorder, Dissociation, 1 (4), 47–58. Google ScholarKluft R. P. (1989), The rehabilitation of therapists overwhelmed by their work with multiple personality disordered patients, Dissociation, 2, 244–249. Google ScholarKluft R. P. (1991a), Clinical presentations of multiple personality disorder, Psychiat. Clin. North Am., 14, 605–629. Crossref Medline, Google ScholarKluft R. P. (1991b), Multiple personality disorder, in Tasman A. and Goldfinger S. (Eds.), American Psychiatric Press Annual Review of Psychiatry, Volume 10, American Psychiatric Press, Washington, DC, pp. 161–188. Google ScholarKluft R. P. (1992), Discussion: A specialist's perspective on multiple personality disorder, Psychoanal. Inq., 14, 139–171. Crossref, Google ScholarKris E. (1952), Psychoanalytic Explorations in Art, International Universities Press, New York. Google ScholarLoewenstein R. J. (1991a), An office mental status examination for chronic complex dissociative symptoms and multiple personality disorder, Psychiat. Clin. North Am., 14, 567–604. Crossref Medline, Google ScholarLoewenstein R. J. (1991b), Psychogenic amnesia and psychogenic fugue; A comprehensive review, in Tasman A. and Goldfinger S. (Eds.), American Psychiatric Press Annual Review of Psychiatry, Volume 10, American Psychiatric Press, Washington, DC, pp. 189–222. Google ScholarLoewenstein R. J. (1993), Posttraumatic and dissociative aspects of transference and countertransference in the treatment of multiple personality disorder, in Kluft R. P. and Fine C. G. (Eds.), Clinical Perspectives on Multiple Personality Disorder, American Psychiatric Press, Washington, DC, pp. 51–85. Google ScholarLoewenstein R. J., Hamilton J., Alagna S., Reid N., and deVries M. (1987), Experiential sampling in the study of multiple personality disorder. Am. J. Psychiat., 144, 19–24. Crossref Medline, Google ScholarLoewenstein R. J., Hornstein N., and Farber B. (1988), Open trial of clonazepam in the treatment of posttraumatic stress symptoms in MPD, Dissociation, 7 (3), 3–12. Google ScholarLoewenstein R. J., and Ross D. (1992), Multiple personality and psychoanalysis: An introduction, Psychoanal. Inq., 12, 3–48. Crossref, Google ScholarLudwig A. M. (1983), The psychobiological functions of dissociation, Am. J. Clin. Hypnosis, 26, 93–99. Crossref Medline, Google ScholarLustman J. (1977), On Splitting, Psychoanal. Study Child, 32, 119–154. Crossref Medline, Google ScholarMiller S. (1989), Optical differences in cases of multiple personality disorder, J. Nerv. Ment. Dis., 177, 480–486. Crossref Medline, Google ScholarMulhern S. (1991), Embodied alternative identities: Bearing witness to a world that might have been, Psychiat. Clin. North Am., 14, 769–786. Crossref Medline, Google ScholarPitman R. K., van der Kolk B. A., Orr S. P., and Greenberg M. S. (1990), Naloxonereversible analgesic response to combat-related stimuli in posttraumatic stress disorder: A pilot study, Arch. Gen. Psychiat., 47, 541–544. Crossref Medline, Google ScholarPutnam F. W. (1985), Dissociation as a response to extreme trauma, in Kluft R. P. (Eds.), Childhood Antecedents of Multiple Personality, American Psychiatric Press, Washington, DC, pp. 65–97. Google ScholarPutnam F. W. (1989), Diagnosis and Treatment of Multiple Personality Disorder, Guilford, New York. Google ScholarPutnam F. W. (1991a), Dissociative disorders in children and adolescents: A developmental perspective, Psychiat. Clin. North Am., 14, 519–531. Crossref Medline, Google ScholarPutnam F. W. (1991b), Dissociative phenomena, in Tasman A. and Goldfinger S. (Eds.), American Psychiatric Press Annual Review of Psychiatry, Volume 10, American Psychiatric Press, Washington, DC, pp. 145–160. Google ScholarPutnam F. W. (1991c), Recent research on multiple personality disorder, Psychiat. Clin. North Am., 14, 489–502. Crossref Medline, Google ScholarPutnam F. W. (1992), Discussion, Are alter personalities fragments or figments? Psychoanal. Inq., 14, 95–111. Crossref, Google ScholarPutnam F. W., and Loewenstein R. J. (1993), Treatment of multiple personality disorders: A survey of current practices, Am. J. Psychiat., 150, 1048–1052. Crossref Medline, Google ScholarRoss C. (1991), The epidemiology of multiple personality disorder and dissociation, Psychiat. Clin. North Am., 14, 503–517. Crossref Medline, Google ScholarSpiegel D. (1986), Dissociation, double binds, and posttraumatic stress, in Braun B. G. (Ed.), The Treatment of Multiple Personality Disorder, American Psychiatric Association, Washington, DC, pp. 61–77. Google ScholarSpiegel D. (1991), The Dissociative Disorders in Tasman A. and Goldfinger S. (Eds.), American Psychiatric Press Annual Review of Psychiatry, Volume 10, American Psychiatric Press, Washington, DC. Google Scholarvan der Kolk B. (1986), Psychological Trauma, American Psychiatric Press, Washington, DC. Google ScholarWolf M. E., and Mosnaim A. D. (Ed.). (1990), Posttraumatic Stress Disorder, Etiology, Phenomenology, and Treatment, American Psychiatric Press, Washington, DC. Google ScholarWolff P. H. (1987), The Development of Behavioral States and the Expression of Emotion in Early Infancy, University of Chicago Press, Chicago. Google ScholarYoung W. (1988), All that switches is not split, Dissociation, 1 (1), 31–41. 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