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Richard P. Kluft’s Followers (9)
Richard P. Kluft
More books by Richard P. Kluft…
“The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR.
While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.
Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.”
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While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.
Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.”
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“Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder] had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].”
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“In my series, five percent presented self-diagnosed. In most cases, this was not believed by the initial clinician.
I had the following unnerving experience. Prior to my first multiple personality disorder case, I did not think the condition existed. I saw a young woman who claimed to have multiple personality disorder, and dismissed her claim. She never mentioned it again. Seven years later, while doing research in multiple personality disorder, I asked her to be a control subject for a new multiple personality disorder screening protocol, since I believed she was a medication-controlled paranoid schizophrenic. A protector personality rapidly took over, cursed at me for disbelieving the patient in the first place, introduced me to other personalities, resumed control, and chastized me vehemently at great length. Thereafter, she left, never to return.”
― Childhood Antecedents of Multiple Personality Disorders
I had the following unnerving experience. Prior to my first multiple personality disorder case, I did not think the condition existed. I saw a young woman who claimed to have multiple personality disorder, and dismissed her claim. She never mentioned it again. Seven years later, while doing research in multiple personality disorder, I asked her to be a control subject for a new multiple personality disorder screening protocol, since I believed she was a medication-controlled paranoid schizophrenic. A protector personality rapidly took over, cursed at me for disbelieving the patient in the first place, introduced me to other personalities, resumed control, and chastized me vehemently at great length. Thereafter, she left, never to return.”
― Childhood Antecedents of Multiple Personality Disorders
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