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Psychosis, Trauma and Dissociation - 2008 - (9780470511732)

Psychosis, Trauma and Dissociation: Emerging Perspectives on Severe Psychopathology

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In the 100 years since Eugen Bleuler unveiled his concept of schizophrenia, which had dissociation at its core, the essential connection between traumatic life events, dissociative processes and psychotic symptoms has been lost.Psychosis, Trauma and Dissociation is the first book to attempt to reforge this connection, by presenting challenging new findings linking these now disparate fields, and by comprehensively surveying, from a wide range of perspectives, the complex relationship between dissociation and psychosis.A cutting-edge sourcebook, Psychosis, Trauma and Dissociation brings together highly-respected professionals working in the psychosis field with renowned clinicians and researchers from the fields of traumatic stress, dissociation and the dissociative disorders, and will be of interest to those working with or studying psychotic or dissociative disorders, as well as trauma-related conditions such as borderline personality disorder or complex post-traumatic stress disorder. It makes an invaluable contribution to the burgeoning literature on severe mental disorders and serious life events. The book has three sections:Connecting trauma and dissociation to psychosis - an exploration of the links between trauma, dissociation and psychosis from a wide range of historical and theoretical perspectives.Comparing psychotic and dissociative disorders - a presentation of empirical and clinical perspectives on similarities and differences between the two sets of disorders.Assessing and treating hybrid and boundary conditions - consideration of existing and novel diagnostic categories, such as borderline personality disorder and dissociative psychosis, that blend or border dissociative and psychotic disorders, along with treatment perspectives emphasising humanistic and existential concerns.

Foreword xiiiList of contributors xviiIntroduction 1 Andrew Moskowitz, Ingo Schafer and Martin J. DorahyPART 1 Connecting trauma and dissociation to psychosis: Historical and theoretical perspectives 71 Historical conceptions of dissociation and psychosis: Nineteenth and early twentieth century perspectives on severe psychopathology 9 Warwick Middleton, Martin J. Dorahy and Andrew Moskowitz1.1 Dissociation: Mesmerism, multiple personalities and hysteria 101.2 Psychosis: Insanity, dementia praecox and schizophrenia 121.3 Dissociation, psychosis and schizophrenia: The merging of constructs 151.4 Conclusion 172 Hysterical psychosis: A historical review and empirical evaluation 21 Eliezer Witztum and Onno van der Hart2.1 Early literature on hysterical psychosis 222.2 Hysterical psychosis in Pierre Janet s dissociation theory 222.3 The decline of hysteria 242.4 The return of the diagnosis of hysterical psychosis 252.5 Systematic and empirical studies 272.6 Hysterical psychosis and reactive psychosis 282.7 Integration and concluding remarks 293 Association and dissociation in the historical concept of schizophrenia 35 Andrew Moskowitz3.1 The birth of schizophrenia 373.2 Splitting, dissociation and the unconscious 393.3 Complexes and fixed ideas 413.4 Loosening of associations 433.5 Summary and conclusions 454 Ego-fragmentation in schizophrenia: A severe dissociation of self-experience 51 Christian Scharfetter4.1 Schizophrenic syndromes as self-disorders 524.2 The construct of ego-pathology 524.3 Clinical elaboration of ego-pathology 534.4 Empirical assessment of ego-pathology 574.5 Ego-fragmentation, association and the dissociation model 594.6 Dissociative mechanisms: What and where? 604.7 The continuum of dissociative mechanisms: The spectrum of dissociation 625 Delusional atmosphere, the psychotic prodrome and decontextualized memories 65 Andrew Moskowitz, Lynn Nadel, Peter Watts and W. Jake Jacobs5.1 Multiple memory systems and the hippocampus 665.2 Phobias, panic attacks and post-traumatic stress disorder 675.3 A summary of relevant research findings in schizophrenia 685.4 The psychotic prodrome 705.5 Delusional atmosphere, the psychotic prodrome and decontextualized memories 745.6 Freud s The Uncanny (1919) 755.7 Summary and conclusion 756 The complex overlap between dissociation and schizotypy 79 Timo Giesbrecht and Harald Merckelbach6.1 Introduction 796.2 Overlap between measures of dissociation and schizotypy 806.3 Why dissociation and schizotypy overlap 816.4 Conclusion 857 Pierre Janet on hallucinations, paranoia and schizophrenia 91 Andrew Moskowitz, Gerhard Heim, Isabelle Saillot and Vanessa Beavan7.1 Historical overview 927.2 Important Janetian concepts 937.3 Schizophrenia 957.4 Paranoia 977.5 Hallucinations 988 From hysteria to chronic relational trauma disorder: The history of borderline personality disorder and its links with dissociation and psychosis 105 Elizabeth Howell8.1 Historical overview 1068.2 Theoretical analysis 1098.3 Summary 1139 An attachment perspective on schizophrenia: The role of disorganized attachment, dissociation and mentalization 117 Giovanni Liotti and Andrew Gumley9.1 Attachment disorganization and dissociation 1189.2 Trauma and loss in the lives of primary caregivers of psychiatric patients 1209.3 Dissociation, schizotypy and psychotic experiences 1229.4 Metacognition and mentalization deficits 1249.5 Summary and theoretical integration 1269.6 Concluding remarks 127PART 2 Comparing psychotic and dissociative disorders: Research and clinical perspectives 13510 Childhood trauma in psychotic and dissociative disorders 137 Ingo Schafer, Colin A. Ross and John Read10.1 Childhood trauma in patients with psychotic disorders 13810.2 Childhood trauma in patients with dissociative disorders 14110.3 The relationship between dissociation and psychosis 14211 Dissociative symptoms in schizophrenia 151 Ingo Schafer, Volkmar Aderhold, Harald J. Freyberger and Carsten Spitzer11.1 Empirical studies on dissociation in patients diagnosed with schizophrenia 15311.2 Dissociation and psychosis what is the relationship? 15811.3 Conclusion 16012 Psychotic symptoms in complex dissociative disorders 165 Vedat Sar and Erdinc Ozturk12.1 Hallucinations 16612.2 Grossly disorganized behaviour 16712.3 Impairment in reality-testing: Trance-logic or psychotic breakdown? 16812.4 Conditions mimicking formal thought disorder 16912.5 Schneiderian symptoms: Are they nonspecific? 16912.6 Psychopathogenesis of psychotic symptoms in dissociative disorders 17012.7 An interaction (duality) model 17112.8 Conclusions and recommendations for future research 17213 Advances in assessment: The differential diagnosis of dissociative identity disorder and schizophrenia 177 Marlene Steinberg and Harold D. Siegel13.1 Dissociative identity disorder and schizophrenia: Overlapping and diagnostically distinct symptoms 17813.2 Distinguishing between schizophrenia and dissociative identity disorder: Assessment of dissociation 18113.3 Clinical implications 18514 Cognitive perspectives on dissociation and psychosis: Differences in the processing of threat? 191 Martin J. Dorahy and Melissa J. Green14.1 Trauma and threat in dissociative and psychotic individuals 19214.2 Attention and working memory 19414.3 Conclusion 20115 Depersonalization disorder and schizotypal personality disorder 209 Daphne Simeon and Holly K. Hamilton15.1 Phenomenology of depersonalization and schizotypy 21015.2 Neurocognitive profiles of depersonalization and schizotypy 21115.3 Neurobiology of depersonalization and schizotypy 21215.4 Clinical vignettes 21515.5 Conclusion 21616 Contributions of traumatic stress studies to the neurobiology of dissociation and dissociative disorders: Implications for schizophrenia 221 Eric Vermetten, Ruth Lanius and J. Douglas Bremner16.1 Introduction 22116.2 Differentiation of abnormal thought processes in dissociative disorders and schizophrenia vignettes 22216.3 Schizophrenia research: From psychosocial events to traumatic stress 22316.4 Effects of traumatic stress on psychobiological systems 22416.5 Pharmacologically induced dissociation 22616.6 Neurotransmitters in dissociation and psychosis 22716.7 Different neural circuits in schizophrenia and dissociative disorders 22816.8 Heterogeneity of trauma response: Neural circuits in dissociative disorders and other trauma-related disorders 23016.9 Vulnerable phenotypes 23116.10Concluding remarks 23217 Treating dissociative and psychotic disorders psychodynamically 239 Valerie Sinason and Ann-Louise S. Silver17.1 Historical background 24017.2 Clinical vignettes 24217.3 Treating dissociative states 24817.4 The role of trauma in creating psychopathology 24917.5 Conclusion 251PART 3 Assessing and treating hybrid and boundary conditions: Clinical and existential perspectives 25518 Dissociative psychosis: Clinical and theoretical aspects 257 Onno van der Hart and Eliezer Witztum18.1 Dissociative psychosis and Pierre Janet s dissociation theory 25818.2 Dissociative psychosis and the theory of structural dissociation of personality 25918.3 Discussion and conclusion 26719 Trauma-based dissociative hallucinosis: Diagnosis and treatment 271 Barry Nurcombe, James G. Scott and Mary E. Jessop19.1 Psychotic symptoms in post-traumatic stress disorder (PTSD) and complex PTSD 27219.2 Hallucinations in children and adolescents 27219.3 Clinical vignettes 27419.4 Dissociative hallucinosis 27519.5 The treatment of dissociative hallucinosis 27619.6 Conclusion 27720 Dissociative schizophrenia 281 Colin A. Ross20.1 A dissociative structural model of the psyche 28320.2 The dissociative subtype of schizophrenia 28720.3 A clinical case example of dissociative schizophrenia 28920.4 Research data supporting the existence of dissociative schizophrenia 29220.5 Research and clinical implications of dissociative schizophrenia 29321 The role of double binds, reality-testing and chronic relational trauma in the genesis and treatment of borderline personality disorder 295 Ruth A. Blizard21.1 The effects of relational trauma on reality-testing 29721.2 Caregiver pathology, double binds, disorganized attachment and dissociated self-states 29821.3 Treating the effects of dissociative, psychotic or sociopathic caregivers on reality-testing 30121.4 Conclusion: Borderline psychotic traits stemming from relational trauma require relational treatment 30322 Pharmacotherapy in the collaborative treatment of trauma-induced dissociation and psychosis 307 Thom Rudegeair and Susie Farrelly22.1 A brief overview of psychopharmacologic philosophy 30822.2 The complex presentation of people who dissociate 30922.3 Overview of a good enough medical approach to the treatment of dissociative/psychotic phenomena 31022.4 Some specific recommendations for the use of psychotropic medications in the treatment of persons with dissociative symptoms 31222.5 Summary 31723 Accepting and working with voices: The Maastricht approach 319 Dirk Corstens, Sandra Escher and Marius Romme23.1 The history of the Maastricht approach and of the hearing voices movement 32023.2 Relevant research findings 32023.3 Assessment: The Maastricht hearing voices interview 32123.4 Formulation: Making the construct/breaking the code 32523.5 Case vignette: Maureen 32723.6 Making a treatment plan 32823.7 Talking with the voices 32923.8 Recovery 33023.9 Summary 33124 Dissociation, psychosis and spirituality: Whose voices are we hearing? 333 Patte Randal, Jim Geekie, Ingo Lambrecht and Melissa Taitimu24.1 A cosmic battle: Patte s story 33524.2 Maori perspectives 33624.3 Shamanic crisis 33724.4 A cosmic battle Part 2 33824.5 The subjugation of other cultural perspectives 33924.6 Dissociation and psychosis as states of consciousness 34024.7 A cosmic battle Part 3 34124.8 From victim to victor a new model 34224.9 Conclusion 343References 343Index 347

  • Utgitt: 2008
  • Innbinding: Innbundet (stive permer)
  • Språk: Engelsk
  • ISBN10: 0470511737
  • ISBN13: 9780470511732
  • Forlag: Wiley-Blackwell (an imprint of John Wiley & Sons Ltd)
  • Sider: 382