Dispelling Myths About Dissociative Identity Disorder Treatment: An Empirically Based Approach

  title={Dispelling Myths About Dissociative Identity Disorder Treatment: An Empirically Based Approach},
  author={Bethany L Brand and Richard J. Loewenstein and David Spiegel},
  pages={169 - 189}
Objective: Some claim that treatment for dissociative identity disorder (DID) is harmful. Others maintain that the available data support the view that psychotherapy is helpful. Method: We review the empirical support for both arguments. Results: Current evidence supports the conclusion that phasic treatment consistent with expert consensus guidelines is associated with improvements in a wide range of DID patients’ symptoms and functioning, decreased rates of hospitalization, and reduced costs… 

Separating Fact from Fiction: An Empirical Examination of Six Myths About Dissociative Identity Disorder

Empirically derived knowledge about DID has replaced outdated myths and vigorous dissemination of the knowledge base is warranted, because the cost of ignorance about DID is high not only for individual patients but for the whole support system in which they reside.

Schema therapy for Dissociative Identity Disorder (DID): rationale and study protocol

The aim of this study is to critically test the effectiveness of schema therapy for DID patients, for whom at present no evidence-based treatment is available.

Separating Fact from Fiction: An Empirical Examination of Six Myths About Dissociative Identity Disorder

Dissociative identity disorder (DID) is defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as an identity disruption indicated by the presence of two or

Dissociation debates: everything you know is wrong

A major public health effort is needed to raise awareness about dissociation/DD, including educational efforts in all mental health training programs and increased funding for research.

Therapists' experiences treating clients with dissociative identity disorder

The purpose of this exploratory study was to collect qualitative data to examine what social workers describe as their experience working with clients who fit the diagnosis of Dissociative Identity

Dissociation: Controversies and Clinical Strategies

This work provides some context for theoretical disagreements, which may stem from cultural and some mental health clinician's and researcher's historical tendency to disavow aspects of trauma, particularly childhood trauma, and speaks to research which suggests that dissociation can occur on a continuum of normal to excessive.

Adapting Dialectical Behavior Therapy for the Treatment of Dissociative Identity Disorder.

The authors describe adapting DBT, and especially its techniques for Stage 1 safety work, for work with Dissociative identity disorder patients.

Dialogues Between Philosophy and Psychiatry: The Case of Dissociative Identity Disorder

In psychiatry, as in any other medical specialty, the clinician collects information from the patient’s anamnesis, clinical observation, and diagnostic tests; evaluates these data; and makes a

Group treatment for complex dissociative disorders: a randomized clinical trial

In the first randomized controlled trial for the treatment of complex dissociative disorders, stabilizing group treatment did not produce immediate superior outcomes, but treatment was shown to be associated with improvements in psychological functioning.



Does Phasic Trauma Treatment Make Patients With Dissociative Identity Disorder Treatment More Dissociative?

  • B. BrandR. Loewenstein
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2014
Treatment provided by TOP DD therapists reduced, rather than increased, the extent to which patients experienced manifestations of pathological dissociation, indicating that this form of DID treatment does not lead to symptomatic worsening in these dimensions, as predicted by the iatrogenic model.

The sociocognitive model of dissociative identity disorder: a reexamination of the evidence.

The author reexamines the evidence for the sociocognitive model of dissociative identity disorder and concludes that it is based on numerous false assumptions about the psychopathology, assessment, and treatment of DID.

Treatment strategies for complex dissociative disorders: Two Dutch case examples.

In the Netherlands, the diagnosis of dissociative identity disorder (DID) is widely accepted, although skeptics also have made their opinions known. Dutch clinicians treating DID patients generally

A review of dissociative disorders treatment studies.

This review examines empirical reports of treatment for Dissociative Disorders (DD), including 16 DD treatment outcome studies and 4 case studies that used standardized measures. Collectively, these

Effectiveness of Treatment for Dissociative Identity Disorder

More systematic research is needed to clarify the effect of treatment on Dissociative Identity Disorder, as the greater improvement observed among integrated patients relative to nonintegrated patients may reflect influences other than differential responsiveness to treatment, such as less severe pathology prior to treatment.

Dissociative identity disorder and the sociocognitive model: recalling the lessons of the past.

The present authors conclude that Gleaves's analysis underemphasized the cultural manifestations of multiple role enactments and that the history of DID imparts a valuable lesson to contemporary psychotherapists.

"A naturalistic study of dissociative identity disorder and dissociative disorder not otherwise specified patients treated by community clinicians": Correction to Brand et al. (2009).

The goals of this naturalistic, cross-sectional study were to describe the patient, therapist, and therapeutic conditions of an international sample of dissociative disorder (DD) patients treated by

The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. The Defence and Decline of Multiple Personality or Dissociative Identity Disorder

  • A. PiperH. Merskey
  • Psychology
    Canadian journal of psychiatry. Revue canadienne de psychiatrie
  • 2004
Because the diagnosis is unreliable, it is believed that US and Canadian courts cannot responsibly accept testimony in favour of DID and a guess is made about the condition's status over the next 10 years.

Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision: A Tour de Force for the Dissociation Field

  • L. Brown
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2011
The document takes the reader through the history of dissociative disorders treatment and carefully and thoughtfully addresses both the commonplace elements of working with clients living with dissociation as well as some of the more radioactive and controversial issues in the field.

Reducing the cost of dissociative identity disorder: Measuring the effectiveness of specialized treatment by frequency of contacts with mental health services

  • M. Lloyd
  • Psychology, Medicine
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2016
Results show that service use in both inpatient and out-of-hours crisis services reduced as the 2 people received therapy over the 4-year time period and it appears to be cost effective to provide specialized therapy for dissociative identity disorder in outpatient settings.