Middleton W, Butler J
Dissociative Disorders Unit, Belmont Private Hospital, Carina, Queensland, Australia.
Aust N Z J Psychiatry. 1998 Dec;32(6):794-804. doi: 10.3109/00048679809073868.
Series of patients fulfilling diagnostic criteria for Dissociative Identity Disorder (DID), otherwise known as multiple personality disorder, have particularly been reported on in North America and increasingly in other countries. The present study investigated the trauma and past treatment histories, symptom profiles and dissociative phenomenology of 62 patients fulfilling diagnostic criteria for DID seen in Brisbane (Queensland, Australia).
From 1992, systematic assessments, including the Dissociative Experience Scale and the Dissociative Disorders Interview Schedule, were performed with a personal series of 57 patients with DID seen by one of the authors (WM) and five patients seen by the second author (JB).
The histories of childhood trauma, the clinical profiles and dissociative indices of these patients closely approximate those described in series reported in other countries.
Patients fulfilling diagnostic criteria for DID are regularly seen in Australian inpatient and outpatient settings. The dissociative symptomatology of the patients examined in the present study represents a significant component of a complex syndrome associated with a history of severe ongoing developmental trauma dating from early childhood.
符合分离性身份障碍（DID）诊断标准的一系列患者，即通常所说的多重人格障碍患者，尤其在北美地区被报道过，在其他国家的报道也日益增多。本研究调查了在布里斯班（澳大利亚昆士兰州）符合DID诊断标准的62例患者的创伤史、既往治疗史、症状特征及分离现象学。
自1992年起，对第一作者（WM）诊治的57例DID患者以及第二作者（JB）诊治的5例患者进行了系统评估，包括分离体验量表和分离性障碍访谈量表。
这些患者的童年创伤史、临床特征及分离指数与其他国家报道的系列研究结果极为相似。
在澳大利亚的住院和门诊环境中，经常能见到符合DID诊断标准的患者。本研究中所检查患者的分离症状是一种复杂综合征的重要组成部分，该综合征与始于幼儿期的严重持续性发育创伤史相关。
