Multiple personality disorder in the Netherlands: a study on reliability and validity of the diagnosis
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Buch |
| Sprache: | Undetermined |
| Veröffentlicht: |
1993
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Amsterdam, Univ., Diss., 1993 |
| Beschreibung: | 278 S. |
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Datensatz im Suchindex
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| adam_text | Table of Contents
Introduction SuzetteBoon 15
1 Dissociation and Dissociative Disorders:
A Review of the Literature Suzette Boon 23
1.1 Introduction 23
1.2 Dissociation 23
1.2.1 Decline in interest in dissociation and rediscovery
of the concept 26
1.2.2 Dissociation: an ongoing theoretical discussion 28
1.2.3 The relationship between dissociation and hypnosis 29
1.3 Dissociation and trauma 30
1.4 DSM m R dissociative disorders 33
1.4.1 Multiple Personality Disorder 34
1.4.2 The diagnosis of MPD in childhood 41
1.4.3 Controversy on MPD 42
1.4.4 Clinical relevance of the diagnosis MPD 46
1.4.5 The other DSM DI R dissociative disorders 48
1.5 Overview of instruments for the assessment of
dissociative experiences and dissociative disorders 51
1.5.1 Self report questionnaires 52
1.5.2 Diagnostic interviews 56
1.6 Conclusion 58
2 Aim of the Studies, Design, Instruments
and Subjects Suzette Boon Nel Draijer 62
2.1 Introduction 61
2.2 Aim of the studies 61
10 Table of Contents
2.3 The design of the studies on reliability
and validity of the SOD D 63
2.3.1 The preliminary study 63
2.3.2 The global design of the validation study 64
2.3.3 Reliability assessments 64
2.3.4 Validity assessments 66
2.4 Instruments 66
2.4.1 The Structured Clinical Interview for
DSM DI R Dissociative Disorders 67
2.4.2 The Dissociative Experience Scale 70
2.4.3 The Structured Trauma Interview 71
2.4.4 Additional data on treatment course, trauma
and follow up of patients with a dissociative disorder 72
2.5 Subjects: some general characteristics 73
3 A Pilot Study with the Structured Clinical Interview
for DSM III R Dissociative Disorders
Suzette Boon Nel Draijer 75
3.1 Introduction 75
3.2 Method 75
3.2.1 Instruments 75
3.2.2 Subjects 76
3.3 Results 76
3.3.1 Reliability assessment 76
3.3.2 Comparison of four different groups 77
3.3.3 Demographic characteristics of the four groups 77
3.3.4 The severity of the five dissociative symptoms 77
3.3.5 Sexual and physical abuse in childhood 81
3.3.6 Self destructiveness 81
3.4 Discussion 82
3.4.1 Preliminary evaluation of the SCID D 82
3.4.2 Differential diagnosis of MPD and BPD or histrionic
personality disorder 84
4 Reliability and Validity of the SCID D
Suzette Boon Nel Draijer 87
4.1 Introduction 87
42 Method 87
Table of Contents 11
4.2.1 The instruments 87
4.22 Subjects 89
4.2.3 Administration of the research interview 92
4.2.4 Reliability procedure 92
4.3 Methods of data analysis, statistical procedures 93
4.3.1 Statistical analysis to determine the inter rater reliability 93
4.3.2 Statistical analysis to determine the validity 93
4.4 Results: Demographic characteristics 94
4.4.1 Treatment history 94
4.5 Results: Reliability assessments 94
4.5.1 The absence or presence of a dissociative disorder 94
4.5.2 Type of dissociative disorder 95
4.5.3 Analysis of severity ratings of dissociative symptoms 95
4.5.4 Further qualitative analysis of subjects on whom there
was no consensus on the presence or type of dissociative
disorder 97
4.6 Results: Validity assessments 102
4.6.1 Comparison of diagnostic assessment of independent
clinicians and SCID D diagnoses 102
4.6.2 Mean DES scores of the two groups and correlation
between scores on the SCID D and the DES 106
4.6.3 A comparison of the severity of dissociative symptoms
and total SCID D score among dissociative disorder
patients and control patients 107
4.6.4 A comparison of Schneiderian and other psychotic
symptoms among dissociative disorder patients and
control patients 112
4.6.5 Comparison of the two groups regarding other
non dissociative symptoms 114
4.6.6 A further comparison of patients with DDNOS and patients
with MPD with regard to their DES and SCID D scores 114
4.7 Discussion and conclusions 115
5 Dissociative Symptoms in Patients Without a Dissociative
Disorder
Suzette Boon Nel Draijer 123
5.1 Introduction 123
5.2 The nature and severity of dissociative symptoms 123
5.2.1 Amnesia 123
12 Table of Contents
5.2.2 Depersonalization 125
5.2.3 Derealization 128
5.2.4 Identity confusion and identity alteration 128
5.2.5 A duster of dissociative symptoms 129
5.2.6 Problems in utilizing definitions of severity for the rating of
dissociative symptom areas in nondissociative disorder
patients 131
5.3 Discussion and conclusions 133
6 The Phenomenology of Multiple Personality Disorder
Suzette Bom Nel Draijer 137
6.1 Introduction 137
6.2 Method 237
6.2.1 Subjects 137
6.2.2 Instruments 138
6.3 Results 138
6.4 Discussion and conclusions 143
7 The Validation of the DES Against the Criterium of the
SCID D, Using Receiver Operating Characteristics (ROC)
Analysis Nel Draijer Suzette Boon 249
7.1 Introduction 249
7.2 Method 250
7.3 Results 250
7.3.1 Demographic characteristics and treatment setting of the
patients 250
7.3.2 Sensitivity and specificity 250
7.3.3 ROC analysis 252
7.3.4 Predictive value of the DES 253
7.3.5 Implications for screening and the clinical use of the DES 254
7.3.6 Qualitative analysis of false negatives and false positives 254
7.4 Discussion and conclusions 158
8 A Comparison Between Patients with MPD or DDNOS and
Patients with a Cluster B Personality Disorder
Suzette Boon Nel Draijer 262
8.1 Introduction 262
Table of Contents 13
8.2 Method 162
82.1 Subjects 162
8.2.2 Instruments 163
8.3 Results 163
8.3.1 Demographic characteristics 163
8.3.2 Comparison of the severity of dissociative symptoms
among the four different groups 164
8.3.3 Further comparison of prevalence of separate
dissociative symptoms 166
8.3.4 Comparison of prevalence of some Schneiderian
and other psychotic symptoms 169
8.3.5 Suicidality, self mutilation, symptoms of eating
disorder and FTSD 169
8.3.6 Comparison of prevalence and severity of child abuse 170
8.4 Discussion and conclusions 171
9 Trauma, Dissociation and Dissociative Disorders
Nel Draijer Suzette Boon 177
9.1 Introduction 177
9.2 Method 178
9.2.1 Instruments 178
92.2 Subjects 180
9.2.3 Demography, treatment history and childhood trauma 180
9.3 Results 180
9.3.1 Prevalence of trauma in the total sample (N=146) 180
9.3.2 The relationship between the prevalence, severity and age of
onset of traumatic experiences in childhood and the presence
of a dissociative disorder; a comparison of three groups of
patients 181
9.3.3 Severity of dissociative symptoms related to the
presence or absence of trauma 184
9.3.4 The relationship between the severity of the traumatic
experiences in childhood and the severity of dissociative
symptoms 184
9.3.5 The relationship between the age at which trauma occurred
in childhood and the severity of dissociative symptoms 185
9.4 Discussion and conclusions 186
9.4.1 Prevalence and severity of childhood trauma 186
9A2 Prevalence of adult (sexual) trauma 187
14 Table of Contents
9.4.3 Severity of dissociative symptomatology 187
9.4.4 Age 188
9.4.5 limitations 189
9.4.6 A spectrum of trauma related disorders 192
9.4.7 A biological potential for dissociation 293
10 Conclusions and Implications
Suzette Bom Nel Draijer 195
10.1 Introduction 295
10.2 TheSOD D 295
10.3 Multiple personality disorder 198
10.4 Depersonalization Disorder 202
10.5 Thoughts on a dissociation continuum 203
10.6 Implications for clinical practice and ideas on further
research 204
References 207
Table of abbreviations 233
Appendices 235
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| spelling | Boon, Suzette 1949- Verfasser (DE-588)1035690217 aut Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis door Suzette Antoinette Boon-Langelaan 1993 278 S. txt rdacontent n rdamedia nc rdacarrier Amsterdam, Univ., Diss., 1993 Multiple Persönlichkeit (DE-588)4170719-9 gnd rswk-swf Niederlande (DE-588)4042203-3 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Niederlande (DE-588)4042203-3 g Multiple Persönlichkeit (DE-588)4170719-9 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006154657&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Boon, Suzette 1949- Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis Multiple Persönlichkeit (DE-588)4170719-9 gnd |
| subject_GND | (DE-588)4170719-9 (DE-588)4042203-3 (DE-588)4113937-9 |
| title | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis |
| title_auth | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis |
| title_exact_search | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis |
| title_full | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis door Suzette Antoinette Boon-Langelaan |
| title_fullStr | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis door Suzette Antoinette Boon-Langelaan |
| title_full_unstemmed | Multiple personality disorder in the Netherlands a study on reliability and validity of the diagnosis door Suzette Antoinette Boon-Langelaan |
| title_short | Multiple personality disorder in the Netherlands |
| title_sort | multiple personality disorder in the netherlands a study on reliability and validity of the diagnosis |
| title_sub | a study on reliability and validity of the diagnosis |
| topic | Multiple Persönlichkeit (DE-588)4170719-9 gnd |
| topic_facet | Multiple Persönlichkeit Niederlande Hochschulschrift |
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