Integrating ego state therapy and EMDR in the assessment and treatment of dissociative disorders

2002 ◽  
Author(s):  
Barry K. Litt ◽  
Carol Forgash ◽  
Joanne Twombly
2021 ◽  
Vol 58 (8) ◽  
pp. 672-680

Background: Clinical practice and recent research indicate that dissociative symptoms and disorders are left unidentified and undiagnosed by health professionals. Based on a clinical case from our work setting, this article describes relevant literature regarding dissociation and dissociative disorders to add to the knowledge of the theoretical and phenomenological features of complex dissociative disorders. Further, we describe differential diagnostic challenges that may arise in clinical practice. Methods: Both systematic and non-systematic literature searches were performed. Findings: Recent research shows the Trauma model to be central to understanding dissociative disorders. Symptoms can be mistaken for cognitive difficulties, oppositional issues or other somatic symptoms. Quantitative measures, systematic observations and clinical evaluations are fundamental for identifying dissociative symptoms and disorders. Implications: There is potential for identifying and evaluating dissociative symptoms at an earlier stage. Interdisciplinary and differential diagnostic evaluations are crucial to provide adequate understanding, assessment, and treatment of these patients. Keywords: Dissociative identity disorder, dissociation, somnambulism, biopsychosocial framework, clinical practice


1997 ◽  
Vol 3 (1) ◽  
pp. 9-16 ◽  
Author(s):  
David Gill ◽  
Christopher Bass

The category ‘somatoform disorders' was introduced comparatively recently in DSM–III and thereafter in ICD–10: it is the umbrella term currently favoured to cover a heterogeneous group of interrelated and overlapping syndromes, which have been given many names over the years. All these syndromes have in common the process of somatisation: that is, the presence of physical symptoms unexplained by physical disease, with variable degrees of distress and loss of function, about which the patient consults doctors.


Psychology ◽  
2015 ◽  
Author(s):  
Steven Jay Lynn ◽  
Reed Maxwell ◽  
Anne Malaktaris ◽  
Colleen Cleere ◽  
Peter Lemons ◽  
...  

From the seminal writing of Pierre Janet (b. 1859–d. 1947) to the present, dissociative disorders have fascinated, puzzled, and provoked controversy among scientists and clinicians, while providing fodder for sensationalized accounts in the public domain. This article will steer readers toward the best sources of information about dissociative disorders at both introductory and advanced levels, with readings often representing divergent perspectives regarding dissociation and dissociative psychopathology. The dissociative disorders have stirred much attention and contentiousness in the scientific community because their presentation is often perplexing, dramatic, and variable across and within individuals. Readers will be able to use the bibliography to understand the historical underpinnings of current conceptualizations of dissociation; the symptoms and characteristics of major dissociative disorders, including depersonalization/derealization disorder, dissociative amnesia, and dissociative identity disorder (DID, formerly called multiple personality disorder); the prevalence of dissociative disorders in clinical and nonclinical populations; the major theoretical divides that splinter the contemporary study of dissociation and encompass competing notions (the idea that the genesis of dissociation is closely linked with a history of trauma versus the idea that serious dissociative disorders can be accounted for in terms of social and cultural variables, such as the influence of the media and suggestive approaches in psychotherapy in shaping symptoms); and the assessment and treatment of dissociative disorders. References will be provided that touch on potential biological etiologies of dissociative disorders, the role of sleep in dissociation, and topics including memory in dissociative disorders.


1998 ◽  
Vol 26 (1) ◽  
pp. 69-100 ◽  
Author(s):  
Lisa Frey Richardson

A review of the literature on psychogenic dissociative disorders in children is presented with the intent to highlight the unique characteristics and needs of this population. Three central issues are discussed: (a) the role of the counseling psychologist in the research, assessment (including screening instruments), and treatment of dissociatively disordered children; (b) etiology, clinical presentation, assessment, and treatment; and (c) suggestions for future study and research. It is concluded that counseling psychologists have much to offer in the emerging field of research and treatment of dissociative disorders in children.


1992 ◽  
Vol 23 (3) ◽  
pp. 261-268 ◽  
Author(s):  
Alan G. Kamhi

My response to Fey’s article (1985; reprinted 1992, this issue) focuses on the confusion caused by the application of simplistic phonological definitions and models to the assessment and treatment of children with speech delays. In addition to having no explanatory adequacy, such definitions/models lead either to assessment and treatment procedures that are similarly focused or to procedures that have no clear logical ties to the models with which they supposedly are linked. Narrowly focused models and definitions also usually include no mention of speech production processes. Bemoaning this state of affairs, I attempt to show why it is important for clinicians to embrace broad-based models of phonological disorders that have some explanatory value. Such models are consistent with assessment procedures that are comprehensive in nature and treatment procedures that focus on linguistic, as well as motoric, aspects of speech.


1994 ◽  
Vol 3 (3) ◽  
pp. 77-88 ◽  
Author(s):  
Celeste Roseberry-McKibbin

The number of children with limited English proficiency (LEP) in U.S. public schools is growing dramatically. Speech-language pathologists increasingly receive referrals from classroom teachers for children with limited English proficiency who are struggling in school. The speech-language pathologists are frequently asked to determine if the children have language disorders that may be causing or contributing to their academic difficulties. Most speech-language pathologists are monolingual English speakers who have had little or no coursework or training related to the needs of LEP children. This article discusses practical, clinically applicable ideas for assessment and treatment of LEP children who are language impaired, and gives suggestions for distinguishing language differences from language disorders in children with limited English proficiency.


2020 ◽  
Vol 5 (1) ◽  
pp. 326-338 ◽  
Author(s):  
Kristen Weidner ◽  
Joneen Lowman

Purpose We conducted a systematic review of the literature regarding adult telepractice services (screening, assessment, and treatment) from approximately 2014 to 2019. Method Thirty-one relevant studies were identified from a literature search, assessed for quality, and reported. Results Included studies illustrated feasibility, efficacy, diagnostic accuracy, and noninferiority of various speech-language pathology services across adult populations, including chronic aphasia, Parkinson's disease, dysphagia, and primary progressive aphasia. Technical aspects of the equipment and software used to deliver services were discussed. Some general themes were noted as areas for future research. Conclusion Overall, results of the review continue to support the use of telepractice as an appropriate service delivery model in speech-language pathology for adults. Strong research designs, including experimental control, across multiple well-described settings are still needed to definitively determine effectiveness of telepractice services.


Author(s):  
Nkiruka Arene ◽  
Argye E. Hillis

Abstract The syndrome of unilateral neglect, typified by a lateralized attention bias and neglect of contralateral space, is an important cause of morbidity and disability after a stroke. In this review, we discuss the challenges that face researchers attempting to elucidate the mechanisms and effectiveness of rehabilitation treatments. The neglect syndrome is a heterogeneous disorder, and it is not clear which of its symptoms cause ongoing disability. We review current methods of neglect assessment and propose logical approaches to selecting treatments, while acknowledging that further study is still needed before some of these approaches can be translated into routine clinical use. We conclude with systems-level suggestions for hypothesis development that would hopefully form a sound theoretical basis for future approaches to the assessment and treatment of neglect.


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