dissociative identity disorderand systems theory(离解身份disorderand系统理论).docVIP

dissociative identity disorderand systems theory(离解身份disorderand系统理论).doc

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dissociative identity disorderand systems theory(离解身份disorderand系统理论)

Dissociative Identity Disorder and Systems Theory William H. Percy, Ph.D. Charme S. Davidson, Ph.D., A. B. P. P. Minnesota Center for Dissociative Disorders 1409 Willow Street, Suite 220 Minneapolis, Minnesota 55403-3288 1995 Annual Meeting of the American Association of Marriage and Family Therapists 2 November 1995 Baltimore, Maryland DRAFT DO NOT QUOTE WITHOUT PERMISSION Parts of this paper were originally presented at the American Association of Marriage and Family Therapists Conference Anaheim, California 9 October 1994 Dissociative Identity Disorder and Systems Theory Introduction A Systems Model of Dissociative Identity Disorder (DID) In this and following papers (Davidson Percy, in preparation), we use general systems theory (von Bertalanfy, 1968; Wright, 1988; Senge, 1990) and family systems theory (Nichols, 1984) to discuss Dissociative Identity Disorder and its treatment. Our interest in this topic has several sources, not the least of which are the pleasure we take in pursuing such reflections and the help such reflections give us in sharpening our clinical skills. We are also intrigued by the individuality paradox inherent in treating Dissociative Identity Disorder. The paradox can be expressed in this way: In treating Dissociative Identity Disorder, we must deal with alter personalities as individual persons, while realizing that the alter personalities are neither individuals nor persons, but parts of a larger whole. This paradox presents theoretical and pragmatic challenges to any prevailing model of psychotherapy, because these models presuppose a basic distinction between thatwhichisconscious and thatwhichisnotconscious. Psychotherapy can name the not conscious implicit consciousness, or can ignore it, but leaves intact this distinction. In the major models of psychotherapy, the notconscious is treated as if it works differently from the conscious. Colin Ross says, Multiple Personality Disorder

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