Fine C G
Temple University, Dept. of Psychiatry, Philadelphia, PA, USA.
Am J Psychother. 1999 Summer;53(3):361-76. doi: 10.1176/appi.psychotherapy.1999.53.3.361.
The ebb and flow of the diagnosis of Dissociative Identity Disorder (DID) and other dissociative conditions has led to the evolution of theories and treatment modalities to resolve the fluctuating and ephemerous symptoms of these conditions. This paper summarizes the structured cognitive-behavioral-based treatment of dissociative disorders that will foster not only symptom relief but also an integration of the personalities and/or ego states into one mainstream of consciousness. This model of DID therapy is called the tactical integration model; it promotes proficiency over posttraumatic and dissociative symptoms, is collaborative and exploratory, and conveys a consistent message of empowerment to the patient.
分离性身份障碍（DID）及其他分离性障碍的诊断情况起伏不定，这促使了相关理论和治疗方式的演变，以解决这些障碍波动且短暂的症状。本文总结了基于结构化认知行为疗法的分离性障碍治疗方法，该方法不仅能缓解症状，还能促进人格和/或自我状态整合到一个主流意识中。这种DID治疗模式被称为战术整合模型；它能提高对创伤后和解离症状的应对能力，具有协作性和探索性，并向患者传达始终如一的赋权信息。
