Trauma and Dissociation   [open pdf - 324KB]

This article on Post-Traumatic Stress Disorder (PTSD) discusses the "resurgence of interest in theoretical trauma and dissociation" as related to PTSD. From the article: "Recent empirical studies have supported a strong relationship among trauma, dissociation, and personality disturbances. Herman and colleagues (1989) found a high prevalence of traumatic histories in patients with borderline personality disorder. A profound relationship has been reported for childhood trauma and multiple personality disorder (MPD). Kluft (1993) proposes that the dissociative processes that underlie multiple personality development continue to serve a defense function for individuals who have neither the external nor internal resources to cope with traumatic experiences. Coons and Milstein (1986) reported that 85% of a series of 20 MPD patients had documented allegations of childhood abuse. Similar observations have been made by Frischholz (1985) and Putnam and colleagues (1986), who reported rates of severe childhood abuse as high as 90% in patients with MPD. The nature of the childhood trauma in many of these cases is notable for its severity, multiple elements of physical and sexual abuse, threats to life, bizarre elements, and profound rupture of the sense of safety and trust when the perpetrator is a primary caretaker or other close relationship." The article also discusses treatment methods, including psychodynamic approaches and neuropharmacological methods.

Public Domain
Retrieved From:
National Center for PTSD: http://www.ptsd.va.gov/
Media Type:
PTSD Research Quarterly (Summer 1997), v.8 no.3
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