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Quote by Ellert R.S. Nijenhuis

“Most often, the "host" has some recognition of other parts of the personality, although a degree of amnesia may be involved. However, occasionally, the "host" does not know about the existence of other dissociative parts of the personality, and loses time when others dominate executive control (Putnam, Guroff, Silberman, Barban, & Post, 1986). As C. R. Stern (1984) pointed out, it is more often the case that the "host" actively denies (active nonrealization) evidence of the existence of other dissociated parts of the personality rather than dissociative parts "hiding" themselves from the host. This nonrealization may be so severe that when presented with evidence of other dissociative parts, the host may "flee" from treatment.”

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Ellert R.S. Nijenhuis

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“To achieve a diagnostic assessment, it is important to remember that diagnosis does not hinge on the subjects answer to any single question on the SCID-D. A positive response regarding one dissociative symptom often has several possible ramifications, which must be explored through persistence with related questions. Isolated dissociative symptoms may occur in a number of different psychiatric syndromes, both dissociative and nondissociative. An isolated dissociative symptom, such as use of an alternate name or an amnestic episode, is insufficient grounds for diagnosis. To provide evidence sufficient for an accurate diagnosis, the symptom must exist in combination with other symptoms that, as a group, conform to the characteristic pattern of one of the five disorders oudined in the Diagnostic Work Sheets in Appendix 2.”

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