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[PMID]:29386450
[Au] Autor:Sawaguchi T
[Ad] Endereço:National Institute of Public Health, Ministry of Health, Labor, and Welfare.
[Ti] Título:[Approach to the Development of Mind and Persona].
[So] Source:Nihon Eiseigaku Zasshi;73(1):67-74, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:OBJECTIVES: To access medical specialists by health specialists working in the regional health field, the possibility of utilizing the voice approach for dissociative identity disorder (DID) patients as a health assessment for medical access (HAMA) was investigated. The first step is to investigate whether the plural personae in a single DID patient can be discriminated by voice analysis. METHODS: Voices of DID patients including these with different personae were extracted from YouTube and were analysed using the software PRAAT with basic frequency, oral factors, chin factors and tongue factors. In addition, RAKUGO story teller voices made artificially and dramatically were analysed in the same manner. Quantitive and qualitative analysis method were carried out and nested logistic regression and a nested generalized linear model was developed. RESULTS: The voice from different personae in one DID patient could be visually and easily distinquished using basic frequency curve, cluster analysis and factor analysis. In the canonical analysis, only Roy's maximum root was <0.01. In the nested generalized linear model, the model using a standard deviation (SD) indicator fit best and some other possibilities are shown here. CONCLUSIONS: In DID patients, the short transition time among plural personae could guide to the risky situation such as suicide. So if the voice approach can show the time threshold of changes between the different personae, it would be useful as an Access Assessment in the form of a simple HAMA.
[Mh] Termos MeSH primário: Transtorno de Personalidade Múltipla/diagnóstico
Transtorno de Personalidade Múltipla/psicologia
Determinação da Personalidade
Personalidade
Voz
[Mh] Termos MeSH secundário: Análise por Conglomerados
Análise Fatorial
Seres Humanos
Modelos Lineares
Modelos Logísticos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1265/jjh.73.67


  2 / 769 MEDLINE  
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[PMID]:29386449
[Au] Autor:Sugiyama T
[Ad] Endereço:Research Center for Child Mental Development, University of Fukui.
[Ti] Título:[Ego-state Therapy: Psychotherapy for Multiple Personality Disorders].
[So] Source:Nihon Eiseigaku Zasshi;73(1):62-66, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:The author describes ego-state therapy. This psychotherapy is used for treating multiple personality disorders. The author mentions the theoretical background of this method, and practical points. Initially, ego-state therapy was developed as a type of hypnotherapy, but it evolved as a safe therapeutic method in combination with trauma processing therapies. The author presents a case study, and discusses the clinical significance of this treatment.
[Mh] Termos MeSH primário: Ego
Hipnose/métodos
Transtorno de Personalidade Múltipla/psicologia
Transtorno de Personalidade Múltipla/terapia
Psicoterapia/métodos
[Mh] Termos MeSH secundário: Adulto
Transtornos Dissociativos/psicologia
Transtornos Dissociativos/terapia
Feminino
Seres Humanos
Transtornos de Estresse Pós-Traumáticos/psicologia
Transtornos de Estresse Pós-Traumáticos/terapia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1265/jjh.73.62


  3 / 769 MEDLINE  
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[PMID]:27770748
[Au] Autor:Huntjens RJC; Wessel I; Ostafin BD; Boelen PA; Behrens F; van Minnen A
[Ad] Endereço:Department of Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands. Electronic address: r.j.c.huntjens@rug.nl.
[Ti] Título:Trauma-related self-defining memories and future goals in Dissociative Identity Disorder.
[So] Source:Behav Res Ther;87:216-224, 2016 12.
[Is] ISSN:1873-622X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This study examined the content of self-defining autobiographical memories in different identities in patients with Dissociative Identity Disorder (DID) and comparison groups of patients with PTSD, healthy controls, and DID simulators. Consistent with the DID trauma model, analyses of objective ratings showed that DID patients in trauma identities retrieved more negative and trauma-related self-defining memories than DID patients in avoidant identities. Inconsistent with the DID trauma model, DID patients' self-rated trauma-relatedness of self-defining memories and future life goals did not differ between trauma identities and trauma avoidant identities. That is, the DID patients did not seem to be "shut off" from their trauma while in their avoidant identity. Furthermore, DID patients in both identities reported a higher proportion of avoidance goals compared to PTSD patients, with the latter group scoring comparably to healthy controls. The simulators behaved according to the instructions to respond differently in each identity (i.e., to report memories and goals consistent with the identity tested). The discrepant task behavior by DID patients and simulators indicated that DID patients did not seem to intentionally produce the hypothesized differences in performance between identities. In conclusion, for patients with DID (i.e., in both identities) and patients with PTSD, trauma played a central role in the retrieval of self-defining memories and in the formulation of life goals.
[Mh] Termos MeSH primário: Acontecimentos que Mudam a Vida
Simulação de Doença/psicologia
Memória Episódica
Transtorno de Personalidade Múltipla/psicologia
Autoimagem
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Casos e Controles
Feminino
Seres Humanos
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:180203
[Lr] Data última revisão:
180203
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE


  4 / 769 MEDLINE  
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[PMID]:28068498
[Au] Autor:Foote B; Van Orden K
[Ti] Título:Adapting Dialectical Behavior Therapy for the Treatment of Dissociative Identity Disorder.
[So] Source:Am J Psychother;70(4):343-364, 2016 Dec 31.
[Is] ISSN:0002-9564
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Dialectical Behavior Therapy (DBT), created by Marsha Linehan, has been shown to be an effective therapy for the treatment of borderline personality disorder (BPD) and for suicidal and self-harming behavior. Dissociative identity disorder (DID) is a complex post-traumatic disorder which is highly comorbid with BPD, shares a number of clinical features with BPD, and which like BPD features a high degree of suicidality. The DID treatment literature emphasizes the importance of a staged approach, beginning with the creation of a safe therapeutic frame prior to addressing traumatic material; DBT is also a staged treatment, in which behavioral and safety issues are addressed in Stage 1, and trauma work reserved for Stage 2. The authors describe adapting DBT, and especially its techniques for Stage 1 safety work, for work with DID patients. Basic theoretical principles are described and illustrated with a case example.
[Mh] Termos MeSH primário: Terapia Comportamental/métodos
Transtorno de Personalidade Múltipla/terapia
Comportamento Autodestrutivo/terapia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Transtorno de Personalidade Múltipla/psicologia
Comportamento Autodestrutivo/psicologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170110
[St] Status:MEDLINE


  5 / 769 MEDLINE  
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[PMID]:27741361
[Au] Autor:Brand BL; Vissia EM; Chalavi S; Nijenhuis ER; Webermann AR; Draijer N; Reinders AA
[Ad] Endereço:Psychology Department, Towson University, Towson, MD, USA.
[Ti] Título:DID is trauma based: further evidence supporting the trauma model of DID.
[So] Source:Acta Psychiatr Scand;134(6):560-563, 2016 12.
[Is] ISSN:1600-0447
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Medicina Baseada em Evidências
Transtorno de Personalidade Múltipla
Ferimentos e Lesões
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161015
[St] Status:MEDLINE
[do] DOI:10.1111/acps.12653


  6 / 769 MEDLINE  
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[PMID]:27665210
[Au] Autor:Merckelbach H; Lynn SJ; Lilienfeld SO
[Ad] Endereço:Forensic Psychology Section, Maastricht University, Maastricht, the Netherlands.
[Ti] Título:Vissia and co-workers claim that DID is trauma-based. But how strong is their evidence?
[So] Source:Acta Psychiatr Scand;134(6):559-560, 2016 12.
[Is] ISSN:1600-0447
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtorno de Personalidade Múltipla
Ferimentos e Lesões
[Mh] Termos MeSH secundário: Seres Humanos
Fatores de Tempo
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160926
[St] Status:MEDLINE
[do] DOI:10.1111/acps.12642


  7 / 769 MEDLINE  
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[PMID]:27225185
[Au] Autor:Vissia EM; Giesen ME; Chalavi S; Nijenhuis ER; Draijer N; Brand BL; Reinders AA
[Ad] Endereço:Department of Neuroscience, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
[Ti] Título:Is it Trauma- or Fantasy-based? Comparing dissociative identity disorder, post-traumatic stress disorder, simulators, and controls.
[So] Source:Acta Psychiatr Scand;134(2):111-28, 2016 Aug.
[Is] ISSN:1600-0447
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The Trauma Model of dissociative identity disorder (DID) posits that DID is etiologically related to chronic neglect and physical and/or sexual abuse in childhood. In contrast, the Fantasy Model posits that DID can be simulated and is mediated by high suggestibility, fantasy proneness, and sociocultural influences. To date, these two models have not been jointly tested in individuals with DID in an empirical manner. METHOD: This study included matched groups [patients (n = 33) and controls (n = 32)] that were compared on psychological Trauma and Fantasy measures: diagnosed genuine DID (DID-G, n = 17), DID-simulating healthy controls (DID-S, n = 16), individuals with post-traumatic stress disorder (PTSD, n = 16), and healthy controls (HC, n = 16). Additionally, personality-state-dependent measures were obtained for DID-G and DID-S; both neutral personality states (NPS) and trauma-related personality states (TPS) were tested. CONCLUSION: For Trauma measures, the DID-G group had the highest scores, with TPS higher than NPS, followed by the PTSD, DID-S, and HC groups. The DID-G group was not more fantasy-prone or suggestible and did not generate more false memories. Malingering measures were inconclusive. Evidence consistently supported the Trauma Model of DID and challenges the core hypothesis of the Fantasy Model.
[Mh] Termos MeSH primário: Modelos Psicológicos
Transtorno de Personalidade Múltipla/psicologia
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Meia-Idade
Personalidade
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160527
[St] Status:MEDLINE
[do] DOI:10.1111/acps.12590


  8 / 769 MEDLINE  
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[PMID]:27120718
[Au] Autor:Reinders AA; Willemsen AT; Vissia EM; Vos HP; den Boer JA; Nijenhuis ER
[Ad] Endereço:*Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Departments of †Neuroscience and ‡Nuclear Medicine and Molecular Imaging, University of Groningen, University Medical Center Groningen; §Outpatient Department Addiction Clinic, Groningen, the Netherlands; and ‖Clienia Littenheid, Psychiatrische Klinik, Littenheid, Switzerland.
[Ti] Título:The Psychobiology of Authentic and Simulated Dissociative Personality States: The Full Monty.
[So] Source:J Nerv Ment Dis;204(6):445-57, 2016 Jun.
[Is] ISSN:1539-736X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The etiology of dissociative identity disorder (DID) remains a topic of debate. Proponents of the fantasy model and the trauma model of DID have both called for more empirical research. To this end, the current study presents new and extended data analyses of a previously published H2O positron emission tomography imaging study. This study included 29 subjects: 11 patients with DID and 10 high- and 8 low-fantasy-prone DID-simulating mentally healthy control subjects. All subjects underwent an autobiographical memory script-driven (neutral and trauma related) imagery paradigm in 2 (simulated) dissociative personality states (neutral and trauma related). Psychobiological and psychophysiological data were obtained. Results of the new post-hoc tests on the psychophysiological responses support the trauma model. New results of the brain imaging data did not support the fantasy model. This study extends previously published results by offering important new supporting data for the trauma model of DID.
[Mh] Termos MeSH primário: Fantasia
Transtorno de Personalidade Múltipla/diagnóstico por imagem
Transtorno de Personalidade Múltipla/epidemiologia
Transtornos de Estresse Pós-Traumáticos/diagnóstico por imagem
Transtornos de Estresse Pós-Traumáticos/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Transtorno de Personalidade Múltipla/psicologia
Tomografia por Emissão de Pósitrons/métodos
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170523
[Lr] Data última revisão:
170523
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160428
[St] Status:MEDLINE
[do] DOI:10.1097/NMD.0000000000000522


  9 / 769 MEDLINE  
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[PMID]:27108472
[Au] Autor:Ross C
[Ti] Título:Sexual Trauma at the Salpetriere.
[So] Source:J Psychohist;43(4):277-87, 2016.
[Is] ISSN:0145-3378
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Jean-Martin Charcot who studied hysteria at the Salpetriere hospital in Paris late in the nineteenth century is often portrayed as a great neurologist. According to standard accounts, his female hysterical patients imitated the seizures of epileptic patients at the Salpetriere in order to get attention because of their dramatic, self-centered natures. They were also prone to making false allegations of childhood sexual abuse. In fact, the so-called hysterical seizures were often abreactions of rapes. The patients commonly had extensive childhood sexual abuse histories, and sexual misconduct by doctors was endemic at the Salpetriere. The pathological counter-transference towards "hysterical women" at the Salpetriere has been repeated in the twentieth and twenty-first centuries in attitudes expressed towards dissociative identity disorder.
[Mh] Termos MeSH primário: Hospitais Psiquiátricos/história
Histeria/história
Transtorno de Personalidade Múltipla/história
Delitos Sexuais/história
[Mh] Termos MeSH secundário: Adulto
Feminino
História do Século XIX
Seres Humanos
Histeria/diagnóstico
Histeria/psicologia
Meia-Idade
Transtorno de Personalidade Múltipla/diagnóstico
Transtorno de Personalidade Múltipla/psicologia
Paris
Delitos Sexuais/psicologia
Adulto Jovem
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1605
[Cu] Atualização por classe:160425
[Lr] Data última revisão:
160425
[Sb] Subgrupo de revista:QIS
[Da] Data de entrada para processamento:160426
[St] Status:MEDLINE


  10 / 769 MEDLINE  
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[PMID]:26944745
[Au] Autor:Brand BL; Chasson GS; Palermo CA; Donato FM; Rhodes KP; Voorhees EF
[Ad] Endereço:Dr. Brand is Professor of Psychology, Dr. Chasson is Assistant Professor, Clinical Psychology, Ms. Palermo is a Graduate Research Assistant, Mr. Donato is an Undergraduate Research Assistant, Mr Rhodes is an Undergraduate Research Assistant, and Ms. Voorhees is an Undergraduate Research Assistant, D
[Ti] Título:MMPI-2 Item Endorsements in Dissociative Identity Disorder vs. Simulators.
[So] Source:J Am Acad Psychiatry Law;44(1):63-72, 2016 Mar.
[Is] ISSN:1943-3662
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Elevated scores on some MMPI-2 (Minnesota Multiphasic Inventory-2) validity scales are common among patients with dissociative identity disorder (DID), which raises questions about the validity of their responses. Such patients show elevated scores on atypical answers (F), F-psychopathology (Fp), atypical answers in the second half of the test (FB), schizophrenia (Sc), and depression (D) scales, with Fp showing the greatest utility in distinguishing them from coached and uncoached DID simulators. In the current study, we investigated the items on the MMPI-2 F, Fp, FB, Sc, and D scales that were most and least commonly endorsed by participants with DID in our 2014 study and compared these responses with those of coached and uncoached DID simulators. The comparisons revealed that patients with DID most frequently endorsed items related to dissociation, trauma, depression, fearfulness, conflict within family, and self-destructiveness. The coached group more successfully imitated item endorsements of the DID group than did the uncoached group. However, both simulating groups, especially the uncoached group, frequently endorsed items that were uncommonly endorsed by the DID group. The uncoached group endorsed items consistent with popular media portrayals of people with DID being violent, delusional, and unlawful. These results suggest that item endorsement patterns can provide useful information to clinicians making determinations about whether an individual is presenting with DID or feigning.
[Mh] Termos MeSH primário: MMPI/normas
Transtorno de Personalidade Múltipla/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Masculino
Mid-Atlantic Region
Reprodutibilidade dos Testes
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160306
[St] Status:MEDLINE



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