Suchergebnisse

COVER -- Contents -- Acknowledgements -- ABOUT THE EDITORS AND CONTRIBUTORS -- Prologue Anna and the missing memoir -- Introduction -- Part I Voices -- Chapter One Remarks on the publication of detailed case studies -- Chapter TWO Commentary on life writing from survivors -- Part II Testimonies -- Introduction to PART II -- Chapter Three History of trauma-related dissociation , with a focus on dissociative identity disorder -- Chapter FOUR Cross-temporal and cross-cultural perspectives on dissociative disorders of identity -- Chapter FIVE "Dissociating dissociation"*-debates and controversies

In 1976, as a poet of 30, I was responding to the murder of President Allende in Chile in 1973 and the attacks on women protesters fighting the regime of Pinochet. I was profoundly affected by the realisation that while one group of similar-minded people could be joyously on holiday, just a short geographic distance away, a similar group could be facing unbearable trauma. Professionals working in a time of upheaval can sometimes take a dissociative defence in exaggerating the difference in their lives compared to the lives of those they are trying to help. Working with extreme trauma in a range of countries can break down those defences so that we see the commonality in the human condition. Whether religious or not, this is best expressed by the 16th century phrase ascribed to John Bradford, 'there, but for the grace of God go I!'. The wish to blame the other for their hurricanes, floods, wars, and torture is significant. Even secular insurance companies do not insure against 'acts of God'.

Background  The aims were to identify referral characteristics and outcomes for people with intellectual disabilities referred to a psychodynamic psychotherapy service.Materials and Methods  A retrospective case notes review of anonymized data relating to 100 sequential patient episodes.Results  A total of 81 people out of 100 with a range of intellectual disabilities from mild to severe were assessed as suitable for therapy; 66 were eligible for individual, art, or group therapy.Common reasons for referral were: trauma/abuse, bereavement, depression and challenging behaviour. Many people had more than one cause for referral and/or co‐morbid psychiatric diagnoses. Indicators of success included: increased daily living skills, improved confidence, self‐esteem and behaviour, and finding employment.Conclusions  This study confirms findings from other studies that psychotherapy is possible in people with mild to severe intellectual disability with clinically recorded outcomes ranging from reductions in problem behaviours to getting a job.