The Therapy of Dissociation: Its phases and problems / Die Therapie der Dissoziation: Ihre Phasen und Probleme / La terapia de disociación: sus fases y problemas / Dissociatie, fasen en verwikke-lingen van de psychotherapie

Abstract

Die Therapie der Dissoziation: Ihre Phasen und ProblemeLa terapia de disociación: sus fases y problemas Dissociatie, fasen en verwikke-lingen van de psychotherapie Abstract. The first part of the article presents a therapy for dissociated and traumatized clients. It is clientcentered and experiential of orientation, with two phases. Prouty's approach addresses the clients' dissociative process in the first phase. Another therapeutic approach is needed in the second phase, when dissociation decreases and clients begin to integrate their trauma. The second part of the article deals with incidents near the end of therapy, when some clients relapse and function as they did in an earlier stage. This confuses therapists, who don't expect problems at this stage. These problems appear to contain crucial information. Once these are attended to properly, the therapy can resume its course. Examples are given of incidents and their underlying mechanisms. These late incidents require alertness, action, and exploration. When therapists have difficulty with this extra but crucial work, it is suggested that they find a replacement therapist.Zusammenfassung. Der erste Teil des Artikels stellt eine Therapie für dissoziative und traumatisierte Klienten und Klientinnen vor. Sie ist klientzentriert und experienziell orientiert und zweiphasig. In der ersten Phase richtet sich Proutys Ansatz an den dissoziativen Prozess des Klienten . Ein weiterer therapeutischer Ansatz ist in der zweiten Phase nötig, wenn die Dissoziation abnimmt und die Klienten ihr Trauma zu integrieren beginnen. Der zweite Teil des Artikels befasst sich mit Ereignissen gegen Ende der Therapie, wenn einige Patienten Rückfälle erleiden und sich wieder so verhalten wie in einer früheren Phase. Das verwirrt Therapeuten und Therapeutinnen, die in dieser Phase keine Probleme erwarten.

Focusing-oriented–experiential psychotherapy: From research to practice.

“…Several published in psychological journals have either shown a successful psychotherapy outcome with FOT or demonstrated particular focusing-oriented ways of approaching the client's condition. These studies have covered a wide range of disorders, difficulties, and modalities, including writer's cramp (Harada, 1994), somatoform disorders (Ikemi, 1997), chronic pain (Geiser, 2010), depression (Hikasa, 1998;Ikemi, 2010;Kurose, 2008), borderline personality disorder (Hoshika, 2007), dissociation (Coffeng, 2005;Krycka, 2010), depersonalization (Hoshika, 2012), trauma (Coffeng, 2004;Rappaport, 2010), anxiety disorder (Koizumi, 2010), panic disorder (Ikemi, 1997;Uchida, 2011), eating disorder (Hikasa, 2011), HIV/AIDS (Krycka, 1997), couples (Amodeo, 2007), parent interview of a child with adjustment difficulties (Doi, 2006), family therapy (Arimura & Kameguchi, 1990), and art therapy (Rappaport, 2009). These case studies and applications of FOT open up a wide variety of conditions to which FOT has been applied.…”