Kluft R P
Institute of Pennsylvania Hospital, Philadelphia.
Psychiatr Med. 1992;10(4):31-46.
The dissociative disorders are characterized by difficulties in the integration of memory and/or identity. Typically this is manifested by amnesia and either the development of alternate identities or an estrangement from one's own identity. Spontaneous and self-generated dissociative states and phenomena sharing much in common with those that can be induced with hypnosis are thought to play a major role in their development, symptomatology, and perpetuation. Medical heterohypnosis offers a powerful tool to reestablish a functional continuity of memory and identity in many such cases. The application of hypnotic interventions in the treatment of such conditions will be discussed, explored, and illustrated with clinical vignettes.
分离性障碍的特征是在记忆和/或身份整合方面存在困难。通常表现为失忆,以及出现交替身份或与自身身份疏远。自发产生的分离状态和现象与催眠诱导产生的分离状态和现象有很多共同之处,这些状态和现象被认为在分离性障碍的发展、症状表现及持续存在中起主要作用。医学异质性催眠为在许多此类病例中重建记忆和身份的功能连续性提供了有力工具。本文将通过临床案例讨论、探索并举例说明催眠干预在治疗此类疾病中的应用。