Somatoform Dissociation: Phenomena, Measurement, and Theoretical Issues

Front Cover
W. W. Norton & Company, 2004 - Medical - 243 pages
The first comprehensive theory of somatoform dissociation. Expanding the definition of dissociation in psychiatry, Nijenhuis presents a summary of the somatoform components of dissociation-how sensory and motor functions are affected by dissociative disorders. Founded in the current view of mind-body integration, this book is essential reading for all mental health professionals engaged in the diagnosis, treatment, and study of dissociative disorders, PTSD, and other trauma-related psychiatric disorders.
 

Contents

Somatoform Dissociative Phenomena A Janetian Perspective
11
Mental Stigmata and Mental Accidents
13
Negative Dissociative Symptoms
14
Anesthesia
15
Amnesia
16
Suggestibility
17
Reexperiences of Traumatic Events
19
Dissociative Psychotic Episodes
20
Animal Defensive States
109
Preencounter Defense
110
Analgesia Emotional Numbing and the Startle Response
111
Inescapable Shock
112
Defense in Social Conflict Situations and Pain
113
Symptoms of Traumatized Individuals and Those with Dissociative Disorders as Related to Animal Defensive and Recuperative Responsesets
114
Freezing
115
Analgesia Anesthesia and Emotional Numbing
116

Negative Dissociative Symptoms
21
Amnesia
22
Complex Dissociative Identity States
23
The Development and Psychometric Characteristics of the Somatoform Dissociation Questionnaire SDQ20
26
Methods
28
Subjects and Procedure
29
Data Analysis
30
Discussion
32
References
34
Appendix A
38
Appendix B
39
The Development of the Somatoform Dissociation Questionnaire SDQ5 as a Screening Instrument for Dissociative Disorders
41
Material and Methods
43
Subjects and Procedure
44
Instruments
45
Results
47
Implications for Screening and Clinical Use of the SDQ5
49
References
51
Psychometric Characteristics of The Somatoform Dissociation Questionnaire A Replication Study
54
Methods
56
Instruments
57
Data Analysis
58
Results
59
Discussion
60
References
62
Appendix I
65
Somatoform Dissociation Discriminates among Diagnostic Categories over and above General Psychopathology
66
Methods
70
Instruments
71
Procedure
72
Discussion
75
Conclusion
77
References
78
Dissociative Disorders and Somatoform Dissociation Effects of Indoctrination? A Correspondence in the British Journal of Psychiatry
82
References
83
Reference
84
References
85
Trauma Somatoform Dissociation and Defense
87
Degree of Somatoform and Psychological Dissociation in Dissociative Disorder is Correlated with Reported Trauma
89
Methods
91
Instruments
92
Scoring and Data Analysis
93
Results
94
Relationship of Trauma Composite Scores to Somatoform and Psychological Dissociation
96
Age at Onset of Trauma its Duration Perpetrators and Posttraumatic Support
98
Repeated Analyses with Women Only
99
References
103
Animal Defensive Reactions as a Model for Traumainduced Dissociative Reactions
108
Summary and Discussion
118
References
119
Somatoform Dissociative Symptoms as Related to Animal Defensive Reactions to Predatory Imminence and Injury
125
Methods
129
Instruments
130
Data Analysis
131
Discussion
137
References
141
Evidence for Associations Among Somatoform Dissociation Psychological Dissociation and Reported Trauma in Chronic Pelvic Pain Patients
146
Methods
149
Procedure
151
Results
152
Discussion
156
References
158
Peritraumatic Somatoform and Psychological Dissociation in Relation to Recall of Childhood Sexual Abuse
161
Current and Peritraumatic Psychological Dissociation and Trauma
162
Current and Peritraumatic Somatoform Dissociation and Threat to Bodily Integrity
163
Peritraumatic Dissociation and Recall of Trauma
164
Methods
165
Procedure
167
Results
168
Prevalence of Trauma Composite Trauma Scores and Types of Recall
169
Interview Data
171
Discussion
172
References
174
The Psychometric Characteristics of the Traumatic Experiences Checklist TEC First Findings Among Psychiatric Outpatients
179
Methods
182
Procedure
185
Reported Trauma Among Men and Women
186
TEC Concurrent Validity
187
TEC CriterionRelated Validity
188
Trauma Area Severity Scores
189
References
191
Summary Discussion and Future Directions
195
Somatoform Dissociation in Various Diagnostic Categories and Among Various Cultures
198
The SDQ20 as a Therapy Evaluation Instrument
201
Somatoform Dissociation and Defense
202
Chronic Pelvic Pain Somatoform Dissociation and Reported Trauma
205
A Dimensional or Typological Phenomenon?
207
Are Dissociative Symptoms StateDependent?
210
Conclusion
211
References
212
1 Somatoform Dissociation Questionnaire SDQ20
216
Somatoform Dissociation Questionnauire SDQ5
220
Traumatic Experiences Checklist TEC
223
Index
231
Copyright

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Page 2 - Dissociative Disorders is a disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment.

About the author (2004)

Ellert R. S. Nijenhuis, Ph.D., is a clinical psychologist, psychotherapist, and researcher. He is affiliated with Mental Health Care Drenthe, The Netherlands and collaborates with various Universities. He is a former director of the Executive Council of the International Society for the Study of Dissociation (ISSD).

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