| Clinic for Dissociative Studies |
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Clinic ResultsDetailed case studies and research results are beginning to be published in the United Kingdom (e.g. Sinason, 2002). At the Clinic we use a range of methods to assess the effectiveness of treatment, including client feedback and the adult attachment interview. We are preparing to implement the CORE Outcome Measure as a structured assessment of our work with clients. The data from this research will provide practice-based evidence to guide clinical assessment and clinical governance. Prognosis depends on the severity of exposure to the abuse, whether attachment figures were involved, age of onset and termination of such activities, nature of memory and availability of trusted support figures. We have found there are six broad levels of difficulty in the work, in order of difficulty: 1. Still being abused and DID; 2. Still being abused and partially dissociative; 3. Still being abused and no longer dissociative; 4. No longer being abused and DID; 5. No longer being abused and partially dissociative; 6. No longer being abused and no longer dissociative. We have worked with all these levels of complexity and have the highest success with those in categories 4-6. Therapeutic failure is most likely to occur with clients in the first three categories, especially with the absence of appropriate refuges. Nevertheless, at all levels of difficulty, our experience has been that the majority of our clients have been able to take more control over their lives and reduce their levels of inpatient admissions. |
Last modified: Wednesday March 07, 2007 |