The diagnosis of dissociative identity disorder, formerly known as multiple personality disorder, remains controversial, despite its inclusion as an established diagnosis in psychiatry's Diagnostic and Statistical Manual (DSM-IV). This book consists, first, of the detailed description of the treatment of a patient whose syndrome of DID emerged in the course of therapy, by a psychoanalyst who entered into the therapy as a complete skeptic. The therapist's willingness to explore the meaning and reality of the dramatic and at times bizarre presentation of this disorder in a prolonged and difficult treatment was accompanied by an eventual successful outcome. Using this case as a reference point, the author then provides a contemporary exploration of the literature about the authenticity of this diagnosis and approaches to its treatment.
SECTION I - CLINICAL
Chapter One: "The therapist must be alert to personal problems"
Chapter Two: "It is necessary to meet and directly interact with alter personalities"
Chapter Three: "Therapy can be strenuous"
Chapter Four: "Nothing happened to me!"
Chapter Five: "Nice life"
Chapter Six: "What is wrong with my mother?"
Chapter Seven: "The intense symbiotic dyads are very hard for the therapist to penetrate"
Chapter Eight: "God, I'm going to miss little Claire"
Chapter Nine: "It would be premature to cast the syndrome into a rigid form"
SECTION II - THEORETICAL
Chapter Ten: Psychiatric Diagnosis
Chapter Eleven: The Syndrome I
Chapter Twelve: The Syndrome II
Chapter Thirteen: The Syndrome III
Chapter Fourteen: Treatment: non-psychoanalytic techniques
Chapter Fifteen: Treatment: psychoanalytic perspectives I
Chapter Sixteen: Treatment: psychoanalytic perspectives II
Chapter Seventeen: Narrative
Chapter Eighteen: Neurobiological considerations
Chapter Nineteen: Conclusion
About the Author