keyword
https://read.qxmd.com/read/38362026/ketamine-assisted-psychotherapy-psychedelic-methodologies-and-the-impregnable-value-of-the-subjective-a-new-and-evolving-approach
#1
JOURNAL ARTICLE
Phil Wolfson, Gita Vaid
Psychiatry is in a growth phase in which several psychedelic medicines have entered its arena with great promise. Of these, presently, ketamine is the only medicine that may be legally prescribed. We hypothesize that at subanesthetic doses, ketamine produces a unique spectrum of altered states, ranging from psychoactive to deep ego-dissolving experiences, that are intrinsic to ketamine's therapeutic effects. When these experiences are embedded in a therapeutic relationship-a setting-that fosters an amplification of the recipient's subjective consciousness, personal growth, inner healing, greater clarity, and better relationships may well ensue...
2024: Frontiers in Psychiatry
https://read.qxmd.com/read/36764162/a-novel-ego-dissolution-scale-a-construct-validation-study
#2
JOURNAL ARTICLE
Fiona G Sleight, Steven Jay Lynn, Richard E Mattson, Charlie W McDonald
Ego dissolution (i.e., ego loss, ego disintegration, ego death, or self-loss) is a conscious state marked by a loss or diminution of one's sense of self and a lack of first-person experience. We developed a novel, valid, and internally consistent ego dissolution scale to both (a) assess trait-like aspects of ego dissolution, which have received scant attention to date, and (b) facilitate future research in a variety of contexts (e.g., personality, psychopathology, substance use/psychedelics, contemplative practices)...
February 8, 2023: Consciousness and Cognition
https://read.qxmd.com/read/36527355/a-unified-model-of-ketamine-s-dissociative-and-psychedelic-properties
#3
REVIEW
Miriam Marguilho, Inês Figueiredo, Pedro Castro-Rodrigues
Ketamine is an N-methyl-d-aspartate antagonist which is increasingly being researched and used as a treatment for depression. In low doses, it can cause a transitory modification in consciousness which was classically labelled as 'dissociation'. However, ketamine is also commonly classified as an atypical psychedelic and it has been recently reported that ego dissolution experiences during ketamine administration are associated with greater antidepressant response. Neuroimaging studies have highlighted several similarities between the effects of ketamine and those of serotonergic psychedelics in the brain; however, no unified account has been proposed for ketamine's multi-level effects - from molecular to network and psychological levels...
January 2023: Journal of Psychopharmacology
https://read.qxmd.com/read/35832863/dissociative-identity-disorder-in-an-adolescent-with-nine-alternate-personality-traits-a-case-study
#4
Sang-Hun Lee, Na Ri Kang, Duk-Soo Moon
Since dissociative identity disorder (DID) has symptoms similar to schizophrenia, such as auditory hallucinations and delusional thoughts of being controlled, there are difficulties in its differential diagnosis. A 16-year-old adolescent male patient who was previously diagnosed with schizophrenia from a different hospital was admitted to our inpatient psychiatric unit for the evaluation of auditory hallucinations and suicide attempts. Through psychiatric evaluations, it was determined that the patient suffered from identity alternation, dissociation, and amnesia...
July 1, 2022: Soa--chʻŏngsonyŏn chŏngsin ŭihak, Journal of child & adolescent psychiatry
https://read.qxmd.com/read/35322297/differential-contributions-of-serotonergic-and-dopaminergic-functional-connectivity-to-the-phenomenology-of-lsd
#5
JOURNAL ARTICLE
Timothy Lawn, Ottavia Dipasquale, Alexandros Vamvakas, Ioannis Tsougos, Mitul A Mehta, Matthew A Howard
RATIONALE: LSD is the prototypical psychedelic. Despite a clear central role of the 5HT2a receptor in its mechanism of action, the contributions of additional receptors for which it shows affinity and agonist activity remain unclear. OBJECTIVES: We employed receptor-enriched analysis of functional connectivity by targets (REACT) to explore differences in functional connectivity (FC) associated with the distributions of the primary targets of LSD-the 5HT1a , 5HT1b , 5HT2a , D1 and D2 receptors...
March 24, 2022: Psychopharmacology
https://read.qxmd.com/read/34522516/astral-projection-a-strange-out-of-body-experience-in-dissociative-disorder
#6
Varchasvi Mudgal, Rashmi Dhakad, Rahul Mathur, Ujwal Sardesai, Virendra Pal
Out-of-body experiences (OBEs) are hallucinatory visual experiences that involve seeing the physical body placed in an external visual space. Many psychiatric disorders, brain dysfunctions, pharmacological agents, and altered psychological states are reportedly associated with these phenomena. OBEs have been linked to various brain lesions, particularly in the parietal and temporal regions, psychiatric disorders, severe emotional states like a near-death experience, substance use, migraine, and epilepsy, but very few have been reported in dissociative identity disorder...
August 2021: Curēus
https://read.qxmd.com/read/34478327/psychodynamic-treatment-with-the-addicted-person
#7
JOURNAL ARTICLE
Frederic M Baurer
Psychodynamically trained clinicians have much to offer patients with substance use disorders, but lack a coherent model of treatment for addictions. This paper proposes a bipartite model for approaching addictive illness, separating the addicted person from their illness. Within this framework, the psychodynamic treatment approach seeks to discover and cultivate each person's unique humanity through the therapeutic relationship. Addiction and recovery are conceptualized not as states but as opposing dynamic forces within the individual, each requiring its own therapeutic approach...
December 0: Psychodynamic Psychiatry
https://read.qxmd.com/read/34025510/revisiting-false-positive-and-imitated-dissociative-identity-disorder
#8
JOURNAL ARTICLE
Igor Jacob Pietkiewicz, Anna Bańbura-Nowak, Radosław Tomalski, Suzette Boon
ICD-10 and DSM-5 do not provide clear diagnosing guidelines for DID, making it difficult to distinguish 'genuine' DID from imitated or false-positive cases. This study explores meaning which patients with false-positive or imitated DID attributed to their diagnosis. 85 people who reported elevated levels of dissociative symptoms in SDQ-20 participated in clinical assessment using the Trauma and Dissociation Symptoms Interview, followed by a psychiatric interview. The recordings of six women, whose earlier DID diagnosis was disconfirmed, were transcribed and subjected to interpretative phenomenological analysis...
2021: Frontiers in Psychology
https://read.qxmd.com/read/33464589/plurality-of-psychic-states-in-the-field
#9
JOURNAL ARTICLE
Isabelle DeArmond
The archetypal images of separation and dissociation are very present in Jung's model of individuation, and Jung proposed a dynamic relationship between conscious and unconscious parts of the psyche of analyst and analysand. In addition, numerous contemporary authors emphasize the multiplicity of the self and the emergence of the field created by both participants, allowing for symbolization and transformation. I describe here my attempts to reach the encapsulated psychic split of a client. Defeated in my search for any conscious, developed self-state that could readily match his, I had to nurture the field of our relationship, where a child was imprisoned and allow space for daydreaming...
February 2021: Journal of Analytical Psychology
https://read.qxmd.com/read/33307745/return-of-the-repressed-revisiting-dissociation-and-the-psychoanalysis-of-the-traumatized-mind
#10
JOURNAL ARTICLE
Michael J Diamond
Psychoanalytic treatment is often indicated when trauma and its psyche/soma companion, dissociation, severely disrupt symbolic functioning and associative linking. After Freud's initial thinking on these matters, repression replaced rather than supplemented dissociation (which occasions segregating units of experience) as the primary defensive response to severe trauma. Because psychoanalysis had "repressed" the salience of dissociation as actively motivated (though passively experienced), an unnecessary schism has occurred between trauma theories and mainstream North American psychoanalysis, and within psychoanalysis itself...
October 2020: Journal of the American Psychoanalytic Association
https://read.qxmd.com/read/32698086/spinach-in-the-teeth-how-ego-and-allocentric-perspectives-modulate-neural-correlates-of-embarrassment-in-the-face-of-others-public-mishaps
#11
JOURNAL ARTICLE
Annalina V Mayer, Laura Müller-Pinzler, Sören Krach, Frieder M Paulus
Humans experience vicarious embarrassment when they observe other's mishaps in public settings, even when the protagonist is not embarrassed at all. Though neural correlates of vicarious embarrassment have been studied before, it is yet poorly understood how they are influenced by egocentric or allocentric processes of perspective-taking. In the present study we examined the effects of deliberate allocentric and egocentric perspectives during the evaluation of others' public mishaps that pose a threat to the protagonist's reputation...
September 2020: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://read.qxmd.com/read/32406947/the-symbol-in-the-body-the-un-doing-of-a-dissociation-through-embodied-active-imagination-in-jungian-analysis
#12
JOURNAL ARTICLE
Karin Fleischer
Jung understood dissociation as a natural state of the psyche, capable of turning defensive through development. Based on this premise, and its conception on the equivalence between psyche and matter, the present work describes the un-doing of a dissociation expressed through a chronic enterocolitis disorder. When the symbol remains closer to the body and its most instinctive manifestations, we need to descend to that level in order to let the vertical axis connection be gradually restored through the therapeutic relationship - the horizontal axis...
June 2020: Journal of Analytical Psychology
https://read.qxmd.com/read/32223618/hypnotic-like-aspects-of-the-tibetan-tradition-of-dzogchen-meditation
#13
JOURNAL ARTICLE
Ian E Wickramasekera
Dzogchen meditation has been practiced by Bonpo and Buddhist yogis for at least 1,200 years. Dzogchen utilizes methods of meditation and yogic exercises that are said to help one fully awaken from illusions of self and reality that cause suffering in life. The philosophy and experiential practice of Dzogchen is very similar to hypnosis. Dzogchen techniques utilize hypnotic-like practices of selective attention, visualization, and posthypnotic suggestion to help yogis experience advanced insights into the nature of mind...
April 2020: International Journal of Clinical and Experimental Hypnosis
https://read.qxmd.com/read/32004444/trauma-informed-care-for-adult-survivors-of-developmental-trauma-with-psychotic-and-dissociative-symptoms-a-systematic-review-of-intervention-studies
#14
JOURNAL ARTICLE
Michael A P Bloomfield, Fatin N I B Yusuf, Ramya Srinivasan, Ian Kelleher, Vaughan Bell, Alexandra Pitman
Developmental trauma is associated with an increased risk of psychosis and predicts poor prognosis. Despite this association, little is known about which treatments work best for survivors of developmental trauma with psychosis. We sought to do the first review, to our knowledge, to investigate treatments for people with psychotic and dissociative symptoms who have a history of developmental trauma. We searched MEDLINE, PsychINFO, and Google Scholar for studies reporting psychological and pharmacological treatments of psychotic or dissociative symptoms in adult survivors of developmental trauma...
May 2020: Lancet Psychiatry
https://read.qxmd.com/read/30152736/the-roots-and-evolution-of-ego-state-theory-and-therapy
#15
REVIEW
Eitan G Abramowitz, Moshe S Torem
The purpose of this article is to elucidate the origins of ego-state theory and therapy and to discuss the concept of human personality as a structure comprising numerous ego states. The historical roots of ego-state theory and therapy are reviewed. Also, the evolution of ego-state therapy from classic hypnotherapy to modern methods is identified. The article notes that these methods of ego-state therapy have been described by different authors and under different names. It is suggested that core concepts related to ego-state theory and therapy of guided hypnotic dissociation may underlie the core of clinical effectiveness in many contemporary psychotherapeutic methods...
October 2018: International Journal of Clinical and Experimental Hypnosis
https://read.qxmd.com/read/29935579/subanaesthetic-ketamine-and-altered-states-of-consciousness-in-humans
#16
JOURNAL ARTICLE
P E Vlisides, T Bel-Bahar, A Nelson, K Chilton, E Smith, E Janke, V Tarnal, P Picton, R E Harris, G A Mashour
BACKGROUND: Despite its designation as a 'dissociative anaesthetic,' the dissociative and psychoactive effects of ketamine remain incompletely understood. The goal of this study was to characterise the subjective experiences and accompanying EEG changes with subanaesthetic doses of ketamine. METHODS: High-density EEG was recorded in 15 human volunteers before, during, and after subanaesthetic ketamine infusion (0.5 mg kg-1 over 40 min), with self-reported measures of altered states of consciousness obtained after ketamine exposure...
July 2018: British Journal of Anaesthesia
https://read.qxmd.com/read/28277947/dissociation-in-families-experiencing-intimate-partner-violence
#17
JOURNAL ARTICLE
Alison Miller
This paper, using an illustrative case study, presents the hypothesis that cyclical spouse abusers suffer from a dissociative condition (or perhaps a personality disorder in which dissociation is a prominent feature) that results from disorganized attachment. The partner of the spouse abuser tries various unsuccessful strategies to appease her spouse in order to change his behavior. If the relationship lasts for years, she adapts by developing a milder but parallel dissociative process, developing chains of state-dependent memory and resultant ego states for the different phases of the domestic abuse cycle...
May 2017: Journal of Trauma & Dissociation
https://read.qxmd.com/read/27003483/beyond-empathy-the-tree-of-compassion-with-malevolent-ego-states
#18
REVIEW
Claire Frederick
Therapy with seriously dissociated patients requires the transformation and integration of malevolent ego states that produce a wide assortment of negative experiences and behaviors in the patient. During the course of therapy, they can present dangers to both patient and therapist, as well as to the therapeutic process (Watkins & Watkins, 1984). Perhaps the greatest challenges for therapists in this work are the development and the maintenance of empathy for these personality aspects. Without some degree of empathy, a healing therapeutic alliance cannot be formed, and absent a secure, healing, intersubjective experience, it is unlikely that malevolent ego states can undergo sufficient transformation for integration...
April 2016: American Journal of Clinical Hypnosis
https://read.qxmd.com/read/26675151/hypnosis-and-empathy-a-complex-relationship
#19
REVIEW
Deirdre Barrett
This article takes its inspiration from Wickramasekera II's empathic involvement theory of hypnosis. That model illuminates the mutual territory of hypnosis and empathy-common to much interaction between hypnotist and subject, and to the internal process of subjects as they enact suggestions of the hypnotist. However, the present article suggests that the overlap is not as ubiquitous as the empathic involvement theory asserts. Other aspects of hypnosis involve disengagement from real persons in the environment and dissociating from other ego states of the self...
January 2016: American Journal of Clinical Hypnosis
https://read.qxmd.com/read/24866162/-oh-that-i-might-be-parted-from-my-body-mirror-perplexity-and-the-nonrelational-self
#20
REVIEW
Alexander H Smith
Psychoanalytic models have a commonly held view of necessary and accurate mirroring in the dialectic of emergent and already formed aspects of the self. Mirroring-perplexity, however, is a cognitive and affective state found in a group of patients for whom reflective mirroring results in a dissociative rather than a unifying experience of body and mind. A review of the myth of Narcissus reveals that mirroring requires a relational mediation of self and mirror image through another. This ontological organization affectively links the simultaneous sense of being in the body and in the reflected image after experiencing a state of dyadic union...
June 2014: Psychoanalytic Review
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