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.
Acknowledgments Preface 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 Postscript References About the Author Index