Ehling et al. (2007) also learned that DID patients show decreased size of the volumes in the parahippocampal gyrus and that change in volume is strongly related to psychoform and somatoform dissociation (as cited in Dorahy et al., 2014). In addition to SPECT and MRI scanning tests, functional brain imaging such as PET and fMRI supported the validity of DID. Different brain functions have been found among different personality states in DID patients. Especially in the PET test conducted by Reinders and colleagues (2003, 2006) revealed that having an ‘emotional’ dissociative identity in oneself increases cerebral blood flow in many areas of the brain, including amygdala, insular cortex, somatosentory areas in the parietal cortex, the basal ganglia,
…show more content…
Recent advances in the treatment of DID are another evidence that has helped the psychotherapy of DID a more “circumspect enterprise” (Paris, 2012). One of the developed treatments is a containment-oriented hypnotic strategy that helps patients to lessen their pain and disruption of treatment between sessions. Another advance presented by a well-trained psychiatrist and therapist, Richard P. Kluft, is a skill to individualize treatment planning and appropriate psychotherapy to each DID patients. This skill developed through gaining affluent knowledge of the supportive psychotherapy of DID and the identification of subgroups of DID patients with different degrees of psychological strength and comorbid (Kluft & Foote, 1999). Moreover, Eye-movement Desensitization or Reprocessing (EMDR) is a recently discovered treatment that is moderately utilized for treating DID related to past traumas (Kluft & Foote, 1999). EMDR is separated into eight phases of treatment (EMDR Institute, Inc., 2011). First, the therapist takes information about the client’s history and read out the readiness for EMDR at the same time to find out the perfect treatment plan for the client. For the second phase, the therapist makes sure the client is relatively emotionally stable to cope with stress during the therapy. In phase three to six, the client needs to identify both positive and negative images of the memory from the past and …show more content…
According to Kluft’s research, a great number of DID patients emphasized that they were satisfied with treatments and living supportive, productive and gratifying lives after treatments or even during recoveries. Treated patients also commented that they learned effective and productive ways to relax and cope well with alter personality states whenever they show up again (Kluft & Foote, 1999). Studies executed by Ellason and Ross (1996, 1997, 2004) provided evidence that CBT is an effective therapy for reducing symptoms associated with DID (as cited in Brand, Classen, McNary, & Zaveri, 2009). Symptoms such as depression and anxiety were reduced after the treatment. Moreover, Ellason and Ross’s study reported that DID patients who received the therapy show higher improvement compared to those who have not received CBT. Ellason and Ross (1997) have done another 2-year follow up study of a group of 135 DID patients. The aim of the study of was find out the outcomes of treatments that were applied to the individuals who were experiencing DID. 54 out of 135 patients were assigned to complete the same self-report and structured clinical interviews for 2-year period of time. Interestingly, the results of the study were very positive. DID individuals showed moderate improvements in many areas including Schneiderian first-rank symptoms, mood and anxiety disorders, dissociative symptoms, and somatization (Ellason & Ross, 1997). Patients
Recent advances in the treatment of DID are another evidence that has helped the psychotherapy of DID a more “circumspect enterprise” (Paris, 2012). One of the developed treatments is a containment-oriented hypnotic strategy that helps patients to lessen their pain and disruption of treatment between sessions. Another advance presented by a well-trained psychiatrist and therapist, Richard P. Kluft, is a skill to individualize treatment planning and appropriate psychotherapy to each DID patients. This skill developed through gaining affluent knowledge of the supportive psychotherapy of DID and the identification of subgroups of DID patients with different degrees of psychological strength and comorbid (Kluft & Foote, 1999). Moreover, Eye-movement Desensitization or Reprocessing (EMDR) is a recently discovered treatment that is moderately utilized for treating DID related to past traumas (Kluft & Foote, 1999). EMDR is separated into eight phases of treatment (EMDR Institute, Inc., 2011). First, the therapist takes information about the client’s history and read out the readiness for EMDR at the same time to find out the perfect treatment plan for the client. For the second phase, the therapist makes sure the client is relatively emotionally stable to cope with stress during the therapy. In phase three to six, the client needs to identify both positive and negative images of the memory from the past and …show more content…
According to Kluft’s research, a great number of DID patients emphasized that they were satisfied with treatments and living supportive, productive and gratifying lives after treatments or even during recoveries. Treated patients also commented that they learned effective and productive ways to relax and cope well with alter personality states whenever they show up again (Kluft & Foote, 1999). Studies executed by Ellason and Ross (1996, 1997, 2004) provided evidence that CBT is an effective therapy for reducing symptoms associated with DID (as cited in Brand, Classen, McNary, & Zaveri, 2009). Symptoms such as depression and anxiety were reduced after the treatment. Moreover, Ellason and Ross’s study reported that DID patients who received the therapy show higher improvement compared to those who have not received CBT. Ellason and Ross (1997) have done another 2-year follow up study of a group of 135 DID patients. The aim of the study of was find out the outcomes of treatments that were applied to the individuals who were experiencing DID. 54 out of 135 patients were assigned to complete the same self-report and structured clinical interviews for 2-year period of time. Interestingly, the results of the study were very positive. DID individuals showed moderate improvements in many areas including Schneiderian first-rank symptoms, mood and anxiety disorders, dissociative symptoms, and somatization (Ellason & Ross, 1997). Patients