Critical Issues in the Dissociative Disorders Field: Six Perspectives from Religiously Sensitive Practitioners

Abstract

This article is a compilation of responses to six questions concerning critical issues in the contemporary psychological and spiritual treatment of dissociative identity disorder (DID—formerly multiple personality disorder). The panel of respondents, most of whom are well known in the dissociative disorders field, is comprised of Elizabeth Bowman, M.D., Harry Carlson, M. Div., Christine Comstock, Ph.D., James G. Friesen, Ph.D., Jerry Mungadze, Ph.D., Christopher H. Rosik, Ph.D., and Carl Wilfrid, M. Div. An overview of the responses indicated that the panelists varied sharply in their willingness to consider exorcism as a therapeutic option. Even those who were willing to consider exorcism differed in their understanding of the clinical threshold that needs to be met before initiating such a spiritual intervention. Clinical neutrality and caution regarding the veracity of specific traumatic memory content was commonly urged. The church community was seen as an important potential resource for healing, despite its historically mixed record in ministering to DID sufferers. Perspectives on the future of the dissociative disorders field ranged from guarded optimism to overt pessimism. These responses highlight the divergence of opinion that can exist over controversial issues and suggests the need for continued dialogue between and among clergy and religiously oriented therapists.

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References

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

Begelman

D. A.

(1993). Possession: Interdisciplinary roots. Dissociation, 6, 201–212.

Bowman

E. S.

(1993). Clinical and spiritual effects of exorcism in fifteen patients with multiple personality disorder. Dissociation, 6, 222–238.

Bowman

E. S.

(1996a). Delayed memories of child abuse; Part I: An overview of research findings on forgetting, remembering, and corroborating trauma. Dissociation, 9, 221–231.

Bowman

E. S.

(1996b). Delayed memories of child abuse; Part II: An overview of research findings relevant to understanding their reliability and suggestibility. Dissociation, 9, 232–243.

Bowman

E. S.

, & Amos

W. E.

(1993). Utilizing clergy in the treatment of multiple personality disorder. Dissociation, 6, 47–53.

Bull

D. L.

, Ellason

J. W.

, & Ross

C. A.

(1998). Exorcism revisited: Positive outcomes with dissociative identity disorder. Journal of Psychology and Theology, 26, 188–196.

Fraser

G. A.

(1993). Exorcism rituals: Effects on multiple personality disorder patients. Dissociation, 6, 239–244.

Fraser

G. A.

(1997). The dilemma of ritual abuse. Washington, DC: American Psychiatric Press.

10.

Friesen

J. G.

(1991). Uncovering the mystery of MPD. San Bernardino, CA: Here's Life Publishers.

11.

Friesen

J. G.

(1992). Ego-dystonic or ego-alien: Alternate personality or evil spirit? Journal of Psychology and Theology, 20, 197–200.

12.

Friesen

J. G.

(1996). The truth about false memory syndrome. Lafayette, LA: Huntington House Publishers.

13.

Friesen

J. G.

, Wilder

E. J.

, Bierling

, Koepcke

, & Poole

(1999). The life model: Living from the heart Jesus gave you. Van Nuys, CA: Sheperd's House, Inc.

14.

Gutheil

T. G.

, & Simon

R. I.

(1998). Clinical based risk management principles for recovered memory cases. Psychiatric Services, 48, 1403–1407.

15.

Herman

J. L.

(1992). A healing relationship. In Herman

J. L.

(Ed.), Trauma and recovery (pp. 133–154). Glenview, IL: Basic Books.

16.

Hundert

E. M.

, & Appelbaum

P. S.

(1995). Boundaries in psychotherapy: Model guidelines. Psychiatry, 58, 345–356.

17.

International Society of the Study of Dissociation, Standards of Practice Committee. (2000a). Guidelines for Treating Dissociative Identity Disorder in Adults (1997). Journal of Trauma and Dissociation, 1(1), 117–134.

18.

International Society for the Study of Dissociation, Task Force on Children and Adolescents. (2000b). Guidelines for the evaluation and treatment of dissociative symptoms in children and adolescents. Journal of Trauma and Dissociation, 1(3), 109–134.

19.

Kluft

R. P.

(1999). An overview of the psychotherapy of dissociative identity disorder. American Journal of Psychotherapy, 53, 289–319.

20.

Larson

D. B.

, & Larson

S. S.

(1991). Religious commitment and health: Valuing the relationship. Second Opinion, 17, 27–40.

21.

Mollenkott

V. R.

(1983). The divine feminine: The biblical imagery of God as female. New York: Crossword Publishing.

22.

Peterson

M. R.

(1992). At personal risk. Boundary violations in professional-client relationships. New York: W. W. Norton Co.

23.

Pfeifer

(1994). Belief in demons and exorcism in psychiatric patients in Switzerland. British Journal of Medical Psychology, 67, 247–258.

24.

Rosik

C. H.

(1992a). On introducing multiple personality disorder to the church. Journal of Psychology and Christianity, 11, 263–268.

25.

Rosik

C. H.

(1992b). Multiple personality disorder: An introduction for pastoral counselors. Journal of Pastoral Care, 46, 291–298.

26.

Rosik

C. H.

(1993). Establishing a foundation for dialogue: A response to articles on possession, exorcism, and MPD. Dissociation, 4, 245–249.

27.

Rosik

C. H.

(1997). When discernment fails: The case for outcome studies on exorcism. Journal of Psychology and Theology, 25, 354–363.

28.

Rosik

C. H.

(2000a). Some effects of worldview on the theory and treatment of dissociative identity disorder. Journal of Psychology and Christianity, 19, 166–180.

29.

Rosik

C. H.

(2000b). The utilization of religious resources in the treatment of dissociative trauma symptoms: Rationale, current status, and future directions. Journal of Trauma and Dissociation, 1, 69–89.

30.

Rosik

C. H.

(in press). Possession phenomena in North America: A case study exploration with ethnographic, psychodynamic, religious, and clinical implications. Journal of Trauma and Dissociation.

31.

Whitaker

H. W.

(1994). A pastoral commentary on dissociative disorders. Chattanooga, TN: Clinical Pastoral Services.

32.

Wilson

S. C.

, & Barber

T. X.

(1983). The fantasy-prone personality: Implications for understanding imagery, hypnosis, and para-psychological phenomena. In Sheikh

A. A.

(Ed.), Imagery: Current theory, research, and applications (pp. 349–387). New York: John Wiley & Sons.

33.

Wilson

J. P.

, Lindy

J. B.

, & Raphael

(1994). Empathic strain and therapist defense: Type I and II countertransference reactions. In Wilson

J. P.

, & Lundy

J. D.

(Eds.), Countertransference in the treatment of PTSD. New York: Guilford Press.