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DID Integration: Review of the Literature and Web Sites (6/03/02) Compiled by Rachel Downing, L.C.S.W.-C.

Even though it is customary to list references by the author's last name, this collection is arranged by date of publication. The emphasis on chronology shows the progression of printed material on this topic and emphasizes the lack of publications in this area. This is particularly interesting because it is estimated that integration and post-integration work constitute 20 to 25 percent of the treatment time. Publications by both professionals and mental health consumers are included.

Books and Articles 

1993

Kluft, Richard P., and Fine, Catherine G., eds. Clinical Perspectives on Multiple Personality Disorder. American Psychiatric Press: Washington D.C. Two chapters in this book focus on integration. "Clinical Approaches to the Integration of Personalities," by Richard P. Kluft, and "A Tactical Integrationalist Perspective on the Treatment of Multiple Personality Disorder," by Catherine G. Fine. The article by Kluft represents the mainstream view of the process of integration and importance of integration.

W., Lynn. Mending Ourselves: Expressions of Healing & Self-Integration. Many Voices Press: Cincinnati, OH This book published by Many Voices consists of a variety of material: stories, poems, drawings, and accounts of healing and integration written by the readers of the newsletter Many Voices.

1994

Whitman, Tammy, and Shore, Susan C. The Multiple's Guide to Harmonized Family Living: A Healthy Alternative (or Prelude) to Integration. Artistic Endeavors Publishing: Marina Del Rey, CA The authors are a client with DID and a psychotherapist who question the necessity of integration as well as the reality of successful integration. It is clearly one-sided even though they say it is okay if people choose to integrate.

1995

Phillips, Maggie, and Fredrick, Claire. Healing the Divided Self: Clinical and Ericksonian Hypnotherapy for Post-traumatic and Dissociative Conditions. W.W. Norton & Company: New York The authors provide one of the best descriptions of the "integration continuum" in the chapter titled "Integration and New Identity During Later Stages of Treatment." It is an excellent presentation of the issues that need to be addressed in treatment. This material would be helpful to therapists whether they used hypnotherapy or not.

1996

Bryant, Doris, and Kessler, Judy. Beyond Integration: One Multiple's Journey. W.W. Norton & Company: New York This book provides the most thorough account of therapy after integration available today. Co-authored by the client and therapist, it is well written and includes sections on "Lost Developmental Stages" and "Developing New Patterns of Coping."

Silberg, Joyanna L. (ed.) The Dissociative Child: Diagnosis, Treatment, and Management. The Sidran Press: Baltimore, MD This excellent book has a chapter titled, "Promoting Integration in Dissociative Children."

Shirar, Lynda. Dissociative Children: Bridging the Inner and Outer Worlds. W.W. Norton & Company: New York The relevant part of this book is the last chapter, titled, "The DID Child: Integration and Follow-Up" which has a section called "The Child's Experience of Integration."

Hocking, Phoenix J. 37 to One: Living as an Integrated Multiple. The Safer Society Press: Brandon, VT Even though her vehicle for integration is probably totally unique -- she spontaneously integrated during a body massage -- her account of life after the integration is interesting and non-threatening.

1997

1999

Siegle, Daniel J. The Developing Mind: Toward a Neurobiology of Interpersonal Experience. The Guilford Press: New York This book does not focus on DID treatment but speaks of "self-states" and multiple selves. It has an excellent chapter on "Integration." It directly address key questions: Why not live as a collection of self-states? Is integration necessary? The author looks at these issues from both a neurobiological and interpersonal perspective and presents a very thoughtful discussion.

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Written 2003. Reviewed: 04/2006