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Traumatic Dissociation: Neurobiology and Treatment offers an advanced introduction to this symptom, process, and pattern of personality organization seen in several trauma-related disorders, including acute stress disorder, posttraumatic stress disorder (PTSD), and the dissociative disorders. Our understanding of traumatic dissociation has recently been advanced by neuroimaging technology, empirically-based investigation, and an acknowledgment of its importance in psychopathology. The authors of this volume tie these findings together, tracking the condition from its earliest historical conceptualization to its most recent neurobiological understanding to provide even greater insight into traumatic dissociation and its treatment.
Bringing together for the first time
theoretical, cognitive, and neurobiological perspectives on traumatic
dissociation, this volume is designed to provide both empirical and
therapeutic insights by drawing on the work of many of the main contributors
to the field. Opening chapters examine historical, conceptual, and
theoretical issues and how other fields, such as cognitive psychology, have
been applied to the study of traumatic dissociation. The following section
focuses specifically on how neurobiological investigations have deepened our
understanding of dissociation and concluding chapters explore issues
pertinent to the assessment and treatment of traumatic dissociation. The
interacting effects of traumatic experience, developmental history,
neurobiological function, and specific vulnerabilities to dissociative
processes that underlie the occurrence of traumatic dissociation are among
some of the key issues covered. The book's significant contributions include
• A review of cognitive experimental findings on attention and memory
functioning in dissociative identity disorder
• An appreciation of how
the literature on hypnosis provides a greater understanding of perceptual
processing and traumatic stress
• Ascertaining symptoms of dissociation
in a military setting and in other situations of extreme stress
• An
outline of key issues for planning assessment of traumatic dissociation,
including a critique of its primary empirically supported standardized
measures
• An examination of the association between child abuse or
neglect and the development of eating disorders, suggesting ways to
therapeutically deal with negative body experience to reduce events that
trigger dissociation
• A description of neuroendocrine alterations
associated with stress, pointing toward a better understanding of the
developmental effects of deprivation and trauma on PTSD and
dissociation
• A review of the relation of attachment and
dissociation
• A discussion of new research findings in the neuroimaging
of dissociation and a link between cerebellar functioning and specific
peritraumatic experiences
Useful as a clinical reference or as ancillary textbook, Traumatic Dissociation reorganizes phenomenological observations that have been overlooked, misunderstood, or neglected in traditional training. The research and clinical experience described here will provide the basis for further clinical and theoretical formulations of traumatic dissociation and will advance empirical examination and treatment of the phenomenon.
This book is an excellent collection of chapters that provide a good review of the existing literature in the field. It is also provides fertile ground for new research ideas. I am very familiar with the literature in this area, yet many of the chapters had me jotting down new references and new ideas to consider. The three well-known editors have collected a stellar lineup of the most important researchers in the field of traumatic dissociation. Chapters are mostly well written and are always intriguing. This book makes a voluble overall contribution to the literature in this area.
In all, this book succeeds in drawing together different historical, research, and clinical strands into a largely cohesive text. It acknowledges the considerable controversy regarding dissociation in psychiatry and takes a realistic attitude toward limitation in the current body of knowledge. Traumatic Dissociation: Neurobiology and Treatment will be of interest to practitioners likely to encounter patients with a history of traumatic exposure and to researchers in the filed of dissociation, since it offers insights from a multitude of perspective.
This book attempts to compile the most current knowledge about dissociation, and while there are likely others that address similar topics, this one dose so relatively completely and concisely.
Traumatic Dissociation: Neurobiology and Treatment provides
the reader with a complex
history of the field of traumatic dissociation
along with new empirical and therapeutic insights, bringing together
theoretical, cognitive, and neurobiological perspectives. This advanced
introductory text assesses phenomenological observations that have been
overlooked or neglected in past research.
— Dr. Jacqueline A. Carleton
Eric Vermetten, M.D., Ph.D., is Head of Research for Military Mental Health at Central Military Hospital and Associate Professor of Psychiatry at the University Medical Center Utrecht in Utrecht, the Netherlands.
Martin J. Dorahy, Ph.D., is Clinical and Research Psychologist at the Trauma Resource Centre, North & West Belfast Health and Social Services Trust, and Research Tutor in the School of Psychology at The Queen's University of Belfast in Northern Ireland.
David Spiegel, M.D., is Jack, Lulu, and Sam Wilson Professor at the School of Medicine, Associate Chair of Psychiatry and Behavioral Sciences, and Medical Director at the Center for Integrative Medicine at Stanford University in Stanford, California.
Contributors
Preface
Introduction
Part 1:
Conceptual Domain of Dissociation
Chapter 1. Relationship Between Trauma
and Dissociation: A Historical Analysis
Chapter 2. Attachment,
Disorganization, and Dissociation
Chapter 3. Memory and Attentional
Processes in Dissociative Identity Disorder: A Review of the Empirical
Literature
Chapter 4. Relationships Between Dissociation and
Posttraumatic Stress Disorder
Chapter 5. Perceptual Processing and
Traumatic Stress: Contributions From Hypnosis
Part II: Neurobiology of
Traumaand Dissociation
Chapter 6. Translational Research Issues in
Dissociation
Chapter 7. Neuroendocrine Markers of Early Trauma:
Implications for Posttraumatic Stress Disorders
Chapter 8. Symptoms of
Dissociation in Healthy Military Populations: Why and How Do War Fighters
Differ in Responses to Intense Stress?
Chapter 9. Peritraumatic
Dissociation: Time Perception and Cerebellar Regulation of Psychological,
Interpersonal, and Biological Processes
Chapter 10. Posttraumatic Stress
Disorder Symptom Provocation and Neuroimaging: Heterogeneity of
Response
Chapter 11. Psychobiology of Traumatization and Trauma-Related
Structural Dissociation of the Personality
Part III: Contemporary
Implications for Assessment and Treatment
Chapter 12. Psychiatric
Approaches to Dissociation: Integrating History, Biology, and Clinical
Assessment
Chapter 13. Psychological Assessment of Posttraumatic
Dissociation
Chapter 14. Dissociative Identity Disorder: Issues in the
Iatrogenesis Controversy
Chapter 15. Applications of Innate Affect
Theory to the Understanding and Treatment of Dissociative Identity
Disorder
Chapter 16. Trauma, Dissociation, and Impulse Dyscontrol:
Lessons From the Eating Disorders Field
Chapter 17. Treatment of
Traumatic Dissociation
Afterword
Index