American Journal of Psychiatry · 1997 · 139 citations · 70 references
Social SciencesPsychiatryPsychologyClinical PsychologyPsychiatric AssessmentPsychotherapyDissociative DisordersIdentity IntegrationPersonality DisordersPsychotherapy For Personality DisordersFirst-rank Symptom AssessmentIdentity DisturbancePsychopathology Of DissociationSelf-report MeasurementSelf-report QuestionnairesSelf-report ScalesTreatment Of Dissociative DisordersTreatment Outcome Analysis
OBJECTIVE: A group of 135 inpatients with dissociative identity disorder was followed for 2 years to monitor treatment outcome. METHOD: Fifty-four of the patients were located and reassessed after a 2-year period through the use of the same self-report measures and structured clinical interviews that had been initially administered. RESULTS: The patients showed marked improvement on Schneiderian first-rank symptoms, mood and anxiety disorders, dissociative symptoms, and somatization, with a significant decrease in the number of psychiatric medications prescribed. Patients who were treated to integration were significantly more improved than those who had not yet reached integration. CONCLUSIONS: These findings, although preliminary, provide empirical validation of previous clinical impressions that patients with dissociative identity disorder may respond well to treatment.
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The clinical phenomenology of multiple personality disorder: review of 100 recent cases.
Frank W. Putnam, Juliet J. Guroff, Edward Silberman et al. · PubMed · 1986 · 757 citations