Lost in the Shadow of the Crowd: Will I Be Healed? Choosing Treatment Targets and Approaches

Abstract

The treatment plan for a person with Intellectual Disability (ID) and Intentional Imaginary Companions, a Gender Identity and Depersonalization Disorder including a Koro-Like Symptom, Trauma/abuse, and Sex Offenses is presented. A complex set of comorbid disorders was targeted for treatment. A review of the related literature, and treatment targets are presented to address sexual knowledge deficits, the banishing of all Imaginary Companions, managing gender identity and depersonalization disorders along with trauma and abuse, and continuing with traditional Old Me New Me Sex Offender Treatment for Persons with ID. The Old Me New Me Treatment model would be the core treatment paradigm with other specialized treatments incorporated into its core treatment phases. Pictorial displays for his Old Me and New Me as well as the treatment plan would be presented to enhance his understanding of the complex and prioritized set of treatment targets and procedures. Since the number and type of comorbid disorders is significant, and prioritized targets and treatments can only be presented in this continued case study; the efficacy of this treatment package will be the focus of a subsequent study. A significant aspect of this case study is that it provides a longitudinal-developmental perspective for the comorbid disorders, and the rationale for the targets and treatment in a person with ID.