Dell P F
Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk 23501.
J Nerv Ment Dis. 1988 Sep;176(9):528-31. doi: 10.1097/00005053-198809000-00002.
Therapists who have treated patients with multiple personality disorder (MPD) were surveyed about professional skepticism regarding the existence of MPD. Of these therapists, 78% reported that they had encountered intense skepticism from fellow professionals. Much of this skepticism appears to be explainable in terms of a) the lengthy decline of psychiatry's interest in dissociation, b) underappreciation of the prevalence of individuals with dissociative ability, and c) misconceptions about the natural clinical presentation of patients with MPD. These factors, however, could not explain the behavior of those skeptics who deliberately interfered with the clinical care of patients and who engaged in repeated acts of harassment against the patient and/or therapist. Half of the survey respondents reported that they had encountered these latter forms of extreme skepticism.
对曾治疗过多重人格障碍(MPD)患者的治疗师进行了调查,询问他们对MPD存在与否的专业怀疑态度。在这些治疗师中,78%报告称他们遭到了同行的强烈怀疑。这种怀疑很大程度上似乎可以用以下几点来解释:a)精神病学对分离症兴趣的长期下降;b)对具有分离能力个体的患病率认识不足;c)对MPD患者自然临床表现的误解。然而,这些因素无法解释那些故意干扰患者临床护理以及对患者和/或治疗师进行反复骚扰行为的怀疑者的行为。一半的调查受访者报告称他们遇到过这些后一种形式的极端怀疑态度。