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Basic Research Article

Helpful and meaningful aspects of a psychoeducational programme to treat complex dissociative disorders: a qualitative approach

Aspectos útiles y significativos de un programa psicoeducativo para tratar trastornos disociativos complejos: un enfoque cualitativo

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Article: 2323421 | Received 30 Sep 2023, Accepted 20 Feb 2024, Published online: 22 Mar 2024

References

  • American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (DSM-5-TR). American Psychiatric Association Publishing. https://doi.org/10.1176/appi.books.9780890425787.
  • Bækkelund, H., Ulvenes, P., Boon-Langelaan, S., & Arnevik, E. A. (2022). Group treatment for complex dissociative disorders: A randomized clinical trial. BMC Psychiatry, 22(1), 338. https://doi.org/10.1186/s12888-022-03970-8
  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. https://doi.org/10.1037/h0085885
  • Brand, B. (2001). Establishing safety with patients with dissociative identity disorder. Journal of Trauma & Dissociation, 2(4), 133–155. https://doi.org/10.1300/J229v02n04_07
  • Brand, B., Classen, C., Lanins, R., Loewenstein, R., McNary, S., Pain, C., & Putnam, F. (2009). A naturalistic study of dissociative identity disorder and dissociative disorder not otherwise specified patients treated by community clinicians. Psychological Trauma: Theory, Research, Practice, and Policy, 1(2), 153–171. https://doi.org/10.1037/a0016210
  • Brand, B. L. (2023a). The concise guide to the assessment and treatment of trauma-related dissociation. American Psychological Association Books.
  • Brand, B. L. (2023b, April 15). How the TOP DD studies are shifting denial and challenging myths about dissociative disorders [Plenary presentation]. International society for the study of trauma and dissociation annual conference, Louisville, Kentucky, USA.
  • Brand, B. L., McNary, S. W., Myrick, A. C., Classen, C. C., Lanius, R., Loewenstein, R. J., Pain, C., & Putnam, F. W. (2013). A longitudinal naturalistic study of patients with dissociative disorders treated by community clinicians. Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 301–308. https://doi.org/10.1037/a0027654
  • Brand, B. L., Myrick, A. C., Loewenstein, R. J., Classen, C. C., Lanius, R., McNary, S. W., Pain, C., & Putnam, F. W. (2012). A survey of practices and recommended treatment interventions among expert therapists treating patients with dissociative identity disorder and dissociative disorder not otherwise specified. Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), 490–500. https://doi.org/10.1037/a0026487
  • Brand, B. L., Sar, V., Stavropoulos, P., Krüger, C., Korzekwa, M., Martínez-Taboas, A., & Middleton, W. (2016). Separating fact from fiction: An empirical examination of six myths about dissociative identity disorder. Harvard Review of Psychiatry, 24(4), 257–270. https://doi.org/10.1097/HRP.0000000000000100
  • Brand, B. L., Schielke, H. J., Putnam, K. T., Putnam, F. W., Loewenstein, R. J., Myrick, A., Jepsen, E. K. K., Langeland, W., Steele, K., Classen, C. C., & Lanius, R. A. (2019). An online educational program for individuals With dissociative disorders and their clinicians: 1-year and 2-year follow-Up. Journal of Traumatic Stress, 32(1), 156–166. https://doi.org/10.1002/jts.22370
  • Brand, B. L., Schielke, H. J., Schiavone, F. L., & Lanius, R. A. (2022). Finding solid ground: Overcoming obstacles in trauma treatment. Oxford University Press.
  • Brooks, J., Bratley, R., Jones, L., King, N., & Lucock, M. (2020). Expectations and experiences of psychological therapy from the client perspective: A qualitative study. British Journal of Guidance & Counselling, 49(3), 371–381. https://doi.org/10.1080/03069885.2019.1707167
  • Brown, L. S. (2004). Feminist paradigms of trauma treatment. Psychotherapy: Theory, Research, Practice, Training, 41(4), 464–471. https://doi.org/10.1037/0033-3204.41.4.464
  • Cloitre, M., Stovall-McClough, K. C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C. L., Gan, W., & Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. American Journal of Psychiatry, 167(8), 915–924. https://doi.org/10.1176/appi.ajp.2010.09081247
  • Cronin, E., Brand, B. L., & Mattanah, J. F. (2014). The impact of the therapeutic alliance on treatment outcome in patients with dissociative disorders. European Journal of Psychotraumatology, 5(1), 22676. https://doi.org/10.3402/ejpt.v5.22676
  • D'Andrea, W., & Pole, N. (2012). A naturalistic study of the relation of psychotherapy process to changes in symptoms, information processing, and physiological activity in complex trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 438–446. https://doi.org/10.1037/a0025067
  • Dalenberg, C. J., Brand, B. L., Gleaves, D. H., Dorahy, M. J., Loewenstein, R. J., Cardeña, E., Frewen, P. A., Carlson, E. B., & Spiegel, D. (2012). Evaluation of the evidence for the trauma and fantasy models of dissociation. Psychological Bulletin, 138(3), 550–588. https://doi.org/10.1037/a0027447
  • Dorahy, M. J., Brand, B. L., Şar, V., Krüger, C., Stavropoulos, P., Martínez-Taboas, A., Lewis-Fernández, R., & Middleton, W. (2014). Dissociative identity disorder: An empirical overview. Australian & New Zealand Journal of Psychiatry, 48(5), 402–417. https://doi.org/10.1177/0004867414527523
  • Dupuis-Rossi, R., & Reynolds, V. (2018). Indigenizing and decolonizing therapeutic responses to trauma-related dissociation. In N. Arthur (Ed.), Counselling in cultural contexts (pp. 293–315). Springer International Publishing. https://doi.org/10.1007/978-3-030-00090-5_13.
  • Elliott, R. (1985). Helpful and nonhelpful events in brief counseling interviews: An empirical taxonomy. Journal of Counseling Psychology, 32(3), 307–322. https://doi.org/10.1037/0022-0167.32.3.307
  • Foote, B., Smolin, Y., Neft, D. I., & Lipschitz, D. (2008). Dissociative disorders and suicidality in psychiatric outpatients. Journal of Nervous & Mental Disease, 196(1), 29–36. https://doi.org/10.1097/NMD.0b013e31815fa4e7
  • Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013). Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology, 13(1), 117. https://doi.org/10.1186/1471-2288-13-117
  • Germer, C. (2023). Self-compassion in psychotherapy: Clinical integration, evidence base, and mechanisms of change. In A. Finlay-Jones, K. Bluth, & K. Neff (Eds.), Handbook of self-compassion (pp. 379–415). Springer International Publishing. https://doi.org/10.1007/978-3-031-22348-8_22.
  • Gold, S. N., Elhai, J. D., Rea, B. D., Weiss, D., Masino, T., Morris, S. L., & McIninch, J. (2001). Contextual treatment of dissociative identity disorder: Three case studies. Journal of Trauma & Dissociation, 2(4), 5–36. https://doi.org/10.1300/J229v02n04_02
  • Henning, J. A., Brand, B., & Courtois, C. A. (2022). Graduate training and certification in trauma treatment for clinical practitioners. Training and Education in Professional Psychology, 16(4), 362–375. https://doi.org/10.1037/tep0000326
  • Herman, J. L. (1992). Trauma and recovery (First edition). Basic Books/Hachette Book Group.
  • Herman, J. L. (2023). Truth and repair: How trauma survivors envision justice (First edition). Basic Books.
  • Hilzinger, R., Duarte, J., Hench, B., Hunger, C., Schweitzer, J., Krause, M., & Fischersworring, M. (2021). Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy. PLoS One, 16(5), e0250094. https://doi.org/10.1371/journal.pone.0250094
  • International Society For The Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115–187. https://doi.org/10.1080/15299732.2011.537247
  • Kumar, S. A., Brand, B. L., & Courtois, C. A. (2022). The need for trauma training: Clinicians’ reactions to training on complex trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 14(8), 1387–1394. https://doi.org/10.1037/tra0000515
  • Langeland, W., Jepsen, E. K. K., Brand, B. L., Kleven, L., Loewenstein, R. J., Putnam, F. W., Schielke, H. J., Myrick, A., Lanius, R. A., & Heir, T. (2020). The economic burden of dissociative disorders: A qualitative systematic review of empirical studies. Psychological Trauma: Theory, Research, Practice, and Policy, 12(7), 730–738. https://doi.org/10.1037/tra0000556
  • Levitt, H., Butler, M., & Hill, T. (2006). What clients find helpful in psychotherapy: Developing principles for facilitating moment-to-moment change. Journal of Counseling Psychology, 53(3), 314–324. https://doi.org/10.1037/0022-0167.53.3.314
  • Levitt, H. M., Pomerville, A., & Surace, F. I. (2016). A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda. Psychological Bulletin, 142(8), 801–830. https://doi.org/10.1037/bul0000057
  • Locher, C., Meier, S., & Gaab, J. (2019). Psychotherapy: A world of meanings. Frontiers in Psychology, 10, 460. https://doi.org/10.3389/fpsyg.2019.00460
  • Loewenstein, R. J. (2018). Dissociation debates: Everything you know is wrong. Dialogues in Clinical Neuroscience, 20(3), 229–242. https://doi.org/10.31887/DCNS.2018.20.3/rloewenstein
  • Lynn, S. J., Polizzi, C., Merckelbach, H., Chiu, C.-D., Maxwell, R., Van Heugten, D., & Lilienfeld, S. O. (2022). Dissociation and dissociative disorders reconsidered: Beyond sociocognitive and trauma models toward a transtheoretical framework. Annual Review of Clinical Psychology, 18(1), 259–289. https://doi.org/10.1146/annurev-clinpsy-081219-102424
  • Lyssenko, L., Schmahl, C., Bockhacker, L., Vonderlin, R., Bohus, M., & Kleindienst, N. (2018). Dissociation in psychiatric disorders: A meta-analysis of studies using the Dissociative Experiences Scale. American Journal of Psychiatry, 175(1), 37–46. https://doi.org/10.1176/appi.ajp.2017.17010025
  • McElvaney, R., Monaghan, A., Treacy, C., & Delaney, N. (2023). Adolescents’ experiences of psychotherapy following child sexual abuse. Research in Psychotherapy: Psychopathology, Process and Outcome, 26(2), https://doi.org/10.4081/ripppo.2023.630
  • Myrick, A. C., Chasson, G. S., Lanius, R. A., Leventhal, B., & Brand, B. L. (2015). Treatment of complex dissociative disorders: A comparison of interventions reported by community therapists versus those recommended by experts. Journal of Trauma & Dissociation, 16(1), 51–67. https://doi.org/10.1080/15299732.2014.949020
  • Myrick, A. C., Webermann, A. R., Langeland, W., Putnam, F. W., & Brand, B. L. (2017). Treatment of dissociative disorders and reported changes in inpatient and outpatient cost estimates. European Journal of Psychotraumatology, 8(1), 1375829. https://doi.org/10.1080/20008198.2017.1375829
  • Nester, M. S., Hawkins, S. L., & Brand, B. L. (2022). Barriers to accessing and continuing mental health treatment among individuals with dissociative symptoms. European Journal of Psychotraumatology, 13(1), 2031594. https://doi.org/10.1080/20008198.2022.2031594
  • Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 160940691773384. https://doi.org/10.1177/1609406917733847
  • Pearlman, L. A., & Saakvitne, K. W. (1995). Trauma and the therapist: Counter transference and vicarious traumatization in psychotherapy with incest survivors (1st ed). Norton.
  • Ritchie, J., & Lewis, J. (eds). (2003). Qualitative research practice: A guide for social science students and researchers (1st ed.). SAGE.
  • Schielke, H. J., Brand, B. L., & Lanius, R. A. (2022). The finding solid ground program workbook: Overcoming obstacles in trauma recovery. Oxford University Press.
  • Simeon, D., & Putnam, F. (2022). Pathological dissociation in the national comorbidity survey replication (NCS-R): Prevalence, morbidity, comorbidity, and childhood maltreatment. Journal of Trauma & Dissociation, 23(5), 490–503. https://doi.org/10.1080/15299732.2022.2064580
  • Steele, K., Van Der Hart, O., & Nijenhuis, E. R. S. (2001). Dependency in the treatment of complex posttraumatic stress disorder and dissociative disorders. Journal of Trauma & Dissociation, 2(4), 79–116. https://doi.org/10.1300/J229v02n04_05
  • Subramanyam, A., Somaiya, M., Shankar, S., Nasirabadi, M., Shah, H., Paul, I., & Ghildiyal, R. (2020). Psychological interventions for dissociative disorders. Indian Journal of Psychiatry, 62(8), 280–289. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_777_19
  • Timulak, L. (2007). Identifying core categories of client-identified impact of helpful events in psychotherapy: A qualitative meta-analysis. Psychotherapy Research, 17(3), 305–314. https://doi.org/10.1080/10503300600608116
  • Timulak, L. (2010). Significant events in psychotherapy: An update of research findings. Psychology and Psychotherapy: Theory, Research and Practice, 83(4), 421–447. https://doi.org/10.1348/147608310X499404
  • van Ijzendoorn, M., & Schuengel, C. (1996). The measurement of dissociation in normal and clinical populations: Meta-analytic validation of the Dissociative Experiences Scale (DES). Clinical Psychology Review, 16(5), 365–382. https://doi.org/10.1016/0272-7358(96)00006-2
  • van Minnen, A., & Tibben, M. (2021). A brief cognitive-behavioural treatment approach for PTSD and dissociative identity disorder, a case report. Journal of Behavior Therapy and Experimental Psychiatry, 72, 101655. https://doi.org/10.1016/j.jbtep.2021.101655
  • Wampold, B. E. (2007). Psychotherapy: The humanistic (and effective) treatment. American Psychologist, 62(8), 857–873. https://doi.org/10.1037/0003-066X.62.8.857
  • Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work (Second edition). Routledge/Taylor & Francis Group.
  • Watson, J. C., Steckley, P. L., & McMullen, E. J. (2014). The role of empathy in promoting change. Psychotherapy Research, 24(3), 286–298. https://doi.org/10.1080/10503307.2013.802823
  • Webermann, A. R., Myrick, A. C., Taylor, C. L., Chasson, G. S., & Brand, B. L. (2016). Dissociative, depressive, and PTSD symptom severity as correlates of nonsuicidal self-injury and suicidality in dissociative disorder patients. Journal of Trauma & Dissociation, 17(1), 67–80. https://doi.org/10.1080/15299732.2015.1067941