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Somatoform Dissociation : Phenomena, Measurement, and Theoretical Issues - Ellert R. S. Nijenhuis

Somatoform Dissociation

Phenomena, Measurement, and Theoretical Issues

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Published: 1st September 2004
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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.

Introductionp. 1
The Somatoform Dissociation Questionnairep. 9
Somatoform Dissociative Phenomena: A Janetian Perspectivep. 11
Introductionp. 11
Mental Stigmata and Mental Accidentsp. 13
Mental Stigmata: Negative Dissociative Symptomsp. 14
Anesthesiap. 15
Amnesiap. 16
Motor Disturbancesp. 16
Suggestibilityp. 17
Mental Accidents: Positive Dissociative Symptomsp. 17
Subconscious Fixed Ideas and Hysterical Accidentsp. 17
Hysterical Attacks: Reexperiences of Traumatic Eventsp. 19
Somnambulisms: Complex Dissociative (Identity) Statesp. 19
Deliriums: Dissociative Psychotic Episodesp. 20
Case Examplep. 20
Lisa's Mental Stigmata: Negative Dissociative Symptomsp. 21
Anesthesiap. 21
Amnesiap. 22
Motor Disturbancesp. 22
Lisa's Mental Accidents: Positive, or Intrusion Symptomsp. 22
Subconscious Fixed Ideasp. 22
Hysterical Attacksp. 22
Somnambulisms: Complex Dissociative (Identity) Statesp. 23
Conclusionp. 23
Referencesp. 23
The Development and Psychometric Characteristics of the Somatoform Dissociation Questionnaire (SDQ-20)p. 26
Introductionp. 26
Methodsp. 28
Instrument Developmentp. 28
Subjects and Procedurep. 29
Instrumentsp. 29
Data Analysisp. 30
Resultsp. 30
Discussionp. 32
Referencesp. 34
Appendix Ap. 38
Appendix Bp. 39
The Development of the Somatoform Dissociation Questionnaire (SDQ-5) as a Screening Instrument for Dissociative Disordersp. 41
Introductionp. 41
Material and Methodsp. 43
Instrument Developmentp. 43
Subjects and Procedurep. 44
Instrumentsp. 45
Data Analysisp. 45
Resultsp. 47
Implications for Screening and Clinical Use of the SDQ-5p. 49
Discussionp. 49
Referencesp. 51
Psychometric Characteristics of the Somatoform Dissociation Questionnaire: A Replication Studyp. 54
Introductionp. 54
Methodsp. 56
Subjects and Procedurep. 56
Instrumentsp. 57
Data Analysisp. 58
Resultsp. 59
Discussionp. 60
Referencesp. 62
Appendix 1p. 65
Somatoform Dissociation Discriminates among Diagnostic Categories over and above General Psychopathologyp. 66
Introductionp. 66
Methodsp. 70
Subjectsp. 70
Instrumentsp. 71
Procedurep. 72
Data Analysisp. 72
Resultsp. 72
Discussionp. 75
Conclusionp. 77
Referencesp. 78
Dissociative Disorders and Somatoform Dissociation: Effects of Indoctrination? A Correspondence in the British Journal of Psychiatryp. 82
Dissociative Pathology Discriminates Between Bipolar Mood Disorder and Dissociative Disorderp. 82
Referencesp. 83
Merskey's Responsep. 83
Referencesp. 84
Somatoform Dissociation is Unlikely to be a Result of Indoctrination by Therapistsp. 84
Referencesp. 85
Trauma, somatoform dissociation, and defensep. 87
Degree of Somatoform and Psychological Dissociation in Dissociative Disorder is Correlated with Reported Traumap. 89
Introductionp. 89
Methodsp. 91
Subjectsp. 91
Instrumentsp. 92
Scoring and Data Analysisp. 93
Resultsp. 94
Prevalence of Specific Traumatic Experiencesp. 94
Trauma Composite Scoresp. 94
Relationship of Trauma Composite Scores to Somatoform and Psychological Dissociationp. 96
Age at Onset of Trauma, its Duration, Perpetrators, and Posttraumatic Supportp. 98
Repeated Analyses with Women Onlyp. 99
Comparisons Between Dissociative Disorder Patients with and Without Reported Corroborative Evidence of Traumatic Memoriesp. 99
Repeated Analyses Deleting Subjective Estimation of Impact from the Composite Scoresp. 99
Discussionp. 99
Referencesp. 103
Animal Defensive Reactions as a Model for Trauma-induced Dissociative Reactionsp. 108
Introductionp. 108
Animal Defensive Statesp. 109
Pre-encounter Defensep. 110
Post-encounter Defensive Behavior: Flight, Freeze, and Fightp. 110
Circa-strike Defense: Analgesia, Emotional Numbing, and the Startle Responsep. 111
Post-strike Behavior: Pain and Recuperationp. 111
Inescapable Shockp. 112
Defense in Social Conflict Situations, and Painp. 113
Early Availability and Rapid Maturation of Defensive Responses in Animalsp. 113
Symptoms of Traumatized Individuals and Those with Dissociative Disorders as Related to Animal Defensive and Recuperative Response-setsp. 114
Freezingp. 115
Analgesia, Anesthesia, and Emotional Numbingp. 116
Painp. 116
Early Availability and Maturation of Human Defensep. 116
Summary and Discussionp. 118
Referencesp. 119
Somatoform Dissociative Symptoms as Related to Animal Defensive Reactions to Predatory Imminence and Injuryp. 125
Introductionp. 125
Methodsp. 129
Participants and Procedurep. 129
Instrumentsp. 130
Data Analysisp. 131
Resultsp. 131
Discussionp. 137
Referencesp. 141
Evidence for Associations Among Somatoform Dissociation, Psychological Dissociation, and Reported Trauma in Chronic Pelvic Pain Patientsp. 146
Introductionp. 146
Methodsp. 149
Subjectsp. 149
Measurementsp. 149
Procedurep. 151
Data Analysisp. 151
Resultsp. 152
Discussionp. 156
Referencesp. 158
Peritraumatic Somatoform and Psychological Dissociation in Relation to Recall of Childhood Sexual Abusep. 161
Introductionp. 161
Current and Peritraumatic Psychological Dissociation and Traumap. 162
Current and Peritraumatic Somatoform Dissociation and Threat to Bodily Integrityp. 163
Peritraumatic Dissociation and Recall of Traumap. 164
Methodsp. 165
Participantsp. 165
Instrumentsp. 165
Procedurep. 167
Data Analysisp. 167
Resultsp. 168
The SDQ-Pp. 168
Prevalence of Types of CSA Recall and the Relationship of Recall with Peritraumatic Dissociationp. 168
Prevalence of Trauma, Composite Trauma Scores, and Types of Recallp. 169
Composite Trauma Scores and Peritraumatic Dissociationp. 169
Peritraumatic Dissociation and Reported Severity of Childhood Sexual Abuse: Interview Datap. 171
Peritraumatic Somatoform Dissociation, Reported CSA, and Reported Physical Abusep. 171
Corroboration of Reported Childhood Sexual Abusep. 171
Discussionp. 172
Referencesp. 174
The Psychometric Characteristics of the Traumatic Experiences Checklist (TEC): First Findings Among Psychiatric Outpatientsp. 179
Introductionp. 179
Methodsp. 182
Demographicsp. 182
Instrumentsp. 182
Procedurep. 185
Data Analysisp. 185
Resultsp. 185
TEC Reliabilityp. 185
Reported Trauma Among Men and Womenp. 186
TEC Concurrent Validityp. 187
TEC Criterion-Related Validityp. 188
TEC Trauma Area Presence Scoresp. 188
Trauma Area Severity Scoresp. 189
Discussionp. 189
Referencesp. 191
Summary, Discussion, and Future Directionsp. 195
p. 195
The Somatoform Dissociation Questionnairep. 195
Somatoform Dissociation in Various Diagnostic Categories and Among Various Culturesp. 198
The SDQ-20 as a Therapy Evaluation Instrumentp. 201
Somatoform Dissociation and Iatrogenesisp. 201
p. 201
Somatoform Dissociation and Traumap. 201
Somatoform Dissociation and Defensep. 202
Chronic Pelvic Pain, Somatoform Dissociation, and Reported Traumap. 205
Dissociation: A Dimensional or Typological Phenomenon?p. 207
Are Dissociative Symptoms State-Dependent?p. 210
Conclusionp. 211
Referencesp. 212
Appendices
Somatoform Dissociation Questionnaire (SDQ-20)p. 216
Somatoform Dissociation Questionnaire (SDQ-5)p. 220
Traumatic Experiences Checklist (TEC)p. 223
Indexp. 231
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780393704600
ISBN-10: 0393704602
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 256
Published: 1st September 2004
Country of Publication: US
Dimensions (cm): 23.27 x 15.75  x 1.85
Weight (kg): 0.4
Edition Number: 1