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Treatment of Dissociative Children

cont. from

The code words "get it together" have been used by parents, teachers, and therapists with DID and DDNOS children who appeared disoriented and had uncontrollable switching of alters or ego states influencing the child to act developmentally inappropriate, exhibit extreme mood switches, or experience difficulty in performing needed tasks, e.g., homework or chores. This word signified to the child and his or her parts the need to come together in co-consciousness and cooperation.

The symbolic word "spike" was used by a DID child to report to her parents when she was experiencing intense feelings or new memories. Sometimes her parents would use the word when they suspected that their daughter was having a new memory, saying, "Are you having a spike?"

One child used the symbolic word "bubbles" to signify when he felt that he was "going to burst" with overwhelming emotions and might hurt himself or someone else. For one child the symbol of the child's hero figure, Power Ranger, was employed to reorient the child to the present when the child was experiencing a flashback. The hero figure was seen as the child's protector who gave the child the emotional support to come back to the present environment because his hero was watching over him. In order for code words or symbols to be effective, the child and alters should select the code words or symbols and agree to comply with the use of them. Sometimes children may become resistant or oppositional to using them. A frank discussion with the child about effective ways to help him to have control over himself to spare him any embarrassment or a long discussion may be required to regain the child's commitment to responding to the code words or symbols. Hypnotherapy (Kluft, 1985b) may be employed to instill code words to help stabilize the child, if the child is agreeable to this technique.

next: Retraumatizing the Victim: Traumatized by Treatment

References

Benjamin, L. R., & Benjamin, R. (1993). Interventions with children in dissociative families: A family treatment model. Dissociation, 7, 47-53.

Berenstain, S., & Berenstain, J. (1987). The Berenstain Bears Series. New York: Random House.

Braun, B. G. (1985). The transgenerational incidence of dissociation and multiple personality disorder: A preliminary report. In R. P. Kluft (Ed.), Childhood antecedents of multiple personality (pp 127-150). Washington, DC: American Psychiatric Press.

Bryant, D., Kessler, J., & Shirar, L. (1992). The family inside: Working with the multiple. New York: Norton.

Coons, P. M. (1985). Children of parents with multiple personality disorder. In R. P. Kluft (Ed.), Childhood antecedents of multiple personality. Washington, DC: American Psychiatric Press.

Dell, D. F., & Eisenhower, J. W. (1990). Adolescent multiple personality disorder: a preliminary study of eleven cases. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 359-366.

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Hornstein, N. L., & Tyson, S. (1991). Inpatient treatment of children with multiple personality/dissociative disorders and their families. Psychiatric Clinics of North America, 3, 631-648.

Hornstein, N. L., & Waters, F. S. (1995). Developmental perspective on childhood trauma and dissociative disorders (Summary). Workshop. Department of Psychiatry. Institute of Juvenile Research. The University of Illinois at Chicago.

Kluft, R. P. (1985a). Childhood multiple personality disorder: Predictors, clinical findings, and treatment results. In R. P. Kluft (Ed.), Childhood antecedents of multiple personality (pp. 167-196). Washington, DC: American Psychiatric Press.

Kluft, R. P. (1985b). Hypnotherapy of childhood multiple personality disorder. American Journal of Clinical Hypnosis, 27, 201-210.

Kluft, R. P. (1986). Treating children who have multiple personality disorder. In B.G. Braun (Ed.), Treatment of multiple personality disorder. Washington, DC: American Psychiatric Press.

Krugman, S. (1987). Trauma in the family: Perspectives on the intergenerational transmission of violence. In B. A. van der Kolk (Ed.), Psychological Trauma (pp. 127-151). Washington, DC: American Psychiatric Press.

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McMahon, P. P., & Fagan, J. (1993). Play therapy with children with multiple personality disorder. In R. P. Kluft & C. G. Fine (Eds.), Clinical perspectives on multiple personality disorder (pp. 253-276). Washington, DC: American Psychiatric Press.

Ritual Abuse Task Force. (1994). Ritual abuse: definitions, glossary. The use of mind control. Los Angeles: Los Angeles County Commission for Women.

Silberg, J., & Waters, F. S. (1995). Advanced workshop in the diagnosis and treatment of childhood dissociation. Presented at Eastern Regional Conference on Multiple Personality and Dissociative States, Alexandria, VA.

Waterbury, M., & Waters, F. W. (1992). Treatment of childhood dissociative disorders (Summary). Proceedings of the Ninth International Conference on Multiple Personality/Dissociative States, Chicago, IL.

Waters, F. W. (1990). Profile of nine cases of childhood multiple personality disorder (Summary). Paper presented at Seventh International Conference on Multiple Personality/Dissociative States, Chicago, IL.

next: Retraumatizing the Victim: Traumatized by Treatment

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Written: 01/2003. Reviewed 04/2006

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Breaking Free:
My Life with
Dissociative
Identity Disorder

by Herschel Walker

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