Session Nine – Content Level: Intermediate
Opening treatment of dissociative disorders

Objectives:

1.    Discuss dissociative parts or self-states theory as it applies to dissociative disorders
2.    Identify different types of parts or self-states and their roles in the internal organization of the mind in dissociative disorders
3.    Discuss the theories of detachment and compartmentalization in dissociation
4.    Describe important factors in opening the treatment of dissociative disorders clients/patients
5.    Apply theory to case material provided by the students and instructor

Readings:
A.    Howell, EF (2011) Understanding and treating Dissociative Identity Disorder: A Relational Approach. NY: NY Routledge, Chapter 1, pp. 15-26.
B.    Howell, EF (2011) Understanding and treating Dissociative Identity Disorder: A Relational Approach. NY: NY Routledge, Chapter 3, pp. 55-71.
C.    Chefetz, RA (2015) Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real. NY, NY: Norton, Chapter 4, pp. 96-132.
D.    Butler, C.,  Dorahy, M.J. & Middleton, W. (2019) The Detachment and Compartmentalization Inventory (DCI): An assessment tool for two potentially distinct forms of dissociation, Journal of Trauma & Dissociation, 20:5, 526-547.

Additional Materials: 
Turkus, J. (unpublished): Slides on pre-treatment.
Individual instructors may provide material from own patients to illustrate the beginning of treatment of dissociative disorders. The material may be in any format including verbal discussion, PowerPoint presentation, handout, video, etc.

Timed outline:
30 minutes: Introduction of students and instructors (not eligible for CEs)
15 minutes:    Discussion of Readings A & B – ego- or self-states in dissociative disorders
15 minutes:    Discussion of Readings A & B – role of self-states in the internal organization of the mind in dissociative disorders
30 minutes:     Discussion of Reading D – detachment and compartmentalization 
30 minutes:     Discussion of Readings C and Turkus slides – opening of treatment
60 minutes:     Discussion of application of readings to disguised case material from students