Disintegrated experience: the dissociative disorders revisited

We present proposed changes to the dissociative disorders section of the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders and review the concept of pathological and nonpathological dissociation, including empirical findings on the relations between trauma and dissociative phenomenology and between dissociation and hypnosis. The most important proposals include the creation of two new diagnostic entities, brief reactive dissociative disorder and transient dissociative disturbance, and the readoption of the criterion of amnesia for a multiple personality disorder diagnosis. We conclude that further work on dissociative processes will provide an important link between clinical and experimental approaches to human cognition, emotion, and personality.     

Self-Care as Key to Others' Care: The Perspectives of Globally Situated Experienced Senior-Level Sport Psychology Practitioners

Engaging in self-care has been proposed as a means of counteracting work–life stress that can negatively impact efforts by sport psychology practitioners (SPPs) to effectively and ethically care for their clients. Utilizing Hill's Consensual Qualitative Research methodological approach, researchers examined the perceptions, experiences, and meanings that 20 internationally located, experienced, senior-level SPPs attributed to their self-care. The researchers identified 3 main domains: (a) defining self-care for SPPs, (b) describing the self-care challenges SPPs faced, and (c) identifying the strategies used to overcome those challenges. The experienced and senior-level practitioners participating in this study recognized a need to sustain a relatively balanced approach in their professional and personal lives. They presented a perspective of self-care as necessary to effectively support and provide care for clients. The SPPs identified self-care as an important contributor to their sport psychology professional quality of life. Study findings have implications for the well-being of both novice and more experienced SPPs.     

Dissociative Experiences and Trauma Exposure Among Newly Arrived and Settled Young War Refugees

War-traumatized refugee adolescents are a vulnerable and understudied group. This study of two different groups of war-traumatized youth (N = 77) resettled in Sweden (newly arrived refugee adolescents, n = 42, 13–19 years, and settled students with childhood war experiences, n = 35, 11–18 years) evaluated their war experiences, refugee journey, general trauma exposure, posttraumatic stress symptoms, and dissociative experiences. Both groups had experienced many traumas and a substantial proportion reported levels consistent with posttraumatic stress (71% in the newly arrived group and 34% among the settled students) and dissociation (36% and 23%, respectively). The study also provides information about the type of adverse events experienced by war-refugee adolescents, including their own subjective appraisals of the worst events. The results show that the extent of trauma exposure and posttraumatic and dissociative symptomatology among refugee adolescents are considerable even after a period of resettlement, a finding that has educational, clinical, and social implications.     

Effects of criterion-level probing on demonstrating newly acquired discriminative behavior.

The purpose of the study was to determine whether probes of the final criterion-level discrimination administered during and after training provided an accurate measure of acquisition. Training and probe stimuli were designed to make training and probe trials initially very discriminable and then progressively less discriminable as training progressed. Initially, the discrimination required on probe trials was more difficult than the discrimination required on training trials. However, this difference in difficulty was gradually eliminated as training stimuli were topographically altered and made identical to probe stimuli by the end of training. Results showed that while correct responding was maintained throughout training, error patterns occurred on all probe trials administered during training. Error patterns developed regardless of whether probe trials occurred only at the beginning of training sessions (temporally discriminable probes) or were randomly interspersed in the training sessions (temporally indiscriminable probes). Probe error patterns seemed to be controlled by the stimulus properties of training and probe trials. Thus, probes did not measure acquisition as it occurred during training. Probe error patterns were maintained when probes were administered after completion of training. This final measure of acquisition did not agree with the demonstration of acquisition provided by the final training trial. The results suggest that probe trials can measure a different stimulus-response relationship from that trained when training starts with an easier or known discrimination and probes involve a final or criterion test of a more difficult or unknown discrimination. Stimulus control of correct responses versus error patterns is discussed.     

Conditional discrimination after errorless and trial-and-error training.

Children were trained on a visual discrimination by stimulus shaping, stimulus fading, or trial-and-error. Those who did not acquire the conditional discrimination received a second, different training. More children initially trained by stimulus shaping acquired the conditional discrimination than did those initially trained with stimulus fading or trial-and-error. After a history of fading or trial-and-error training, children were less likely to acquire the conditional discrimination even after the more successful procedure of shaping was later used.     

Individual differences and state effects on mind-wandering: Hypnotizability, dissociation, and sensory homogenization

Consciousness alterations can be experienced during unstructured, monotonous stimuli. These effects have not been linked to particular cognitive operations; individual differences in response to such stimulation remain poorly understood. We examined the role of hypnotizability and dissociative tendencies in mind-wandering (MW) during a sensory homogenization procedure (ganzfeld). We expected that the influence of ganzfeld on MW would be more pronounced among highly hypnotizable individuals (highs), particularly those high in dissociative tendencies. High and low hypnotizables, also stratified by dissociation, completed the sustained attention to response task during ganzfeld and control conditions. High dissociative highs made more commission errors during ganzfeld, suggesting increased MW, whereas the other groups displayed the opposite pattern. Increases in commission errors from the control condition to ganzfeld were associated with more alterations in consciousness and negative affect, but only among highs. Sensory homogenization had opposite effects on MW depending on the interaction of hypnotizability and dissociation.     

Differential patterns of spontaneous experiential response to a hypnotic induction: A latent profile analysis

A hypnotic induction produces different patterns of spontaneous experiences across individuals. The magnitude and characteristics of these responses covary moderately with hypnotic suggestibility, but also differ within levels of hypnotic suggestibility. This study sought to identify discrete phenomenological profiles in response to a hypnotic induction and assess whether experiential variability among highly suggestible individuals matches the phenomenological profiles predicted by dissociative typological models of high hypnotic suggestibility. Phenomenological state scores indexed in reference to a resting epoch during hypnosis were submitted to a latent profile analysis. The profiles in the derived four-class solution differed in multiple experiential dimensions and hypnotic suggestibility. Highly suggestible individuals were distributed across two classes that exhibited response patterns suggesting an inward attention subtype and a dissociative subtype. These results provide support for dissociative typological models of high hypnotic suggestibility and indicate that highly suggestible individuals do not display a uniform response to a hypnotic induction.