Richard P. Kluft Quotes

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The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR.While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.

Richard P. Kluft
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The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR.While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false.Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.

Richard P. Kluft
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Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].

Richard P. Kluft
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My own studies on the natural history of DID indicate only 20% of DID patients have an overt DID adaption on a chronic basis, and 14% of them deliberately disguise their manifestations of DID. Only 6% make their DID obvious on an ongoing basis. Eighty percent have windows of diagnosability when stressed or triggered by some significant event, interaction, situation or date. Therefore, 94% of DID patients show only mild or suggestive evidence of their conditions most of the time. Yet DID patients often will acknowledge that their personality systems are actively switching and/or far more active than it would appear on the surface (Loewenstein et al., 1987).R.P. Kluft (2009) A clinician's understanding of dissociation. pp 599-623.

Paul F. Dell
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You don't have to reinvent the wheel... just steal the hubcaps.” ― Michael P. Naughton,

michael p naughton
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I don't look at emails, Internet or newspapers before 1 P.M. I wake at 7 A.M., eat fruit, drink tea or coffee, and read what I've achieved, or not achieved, the previous day. Then I take a shower and work on my next sentence until 1 P.M. After I've done emails and so on, I write again from 3 P.M. until 8 P.M.; then I socialise.

Orhan Pamuk
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Jesus Christ is Lord of all, and all things have been put under his feet. There are no exceptions. (p. 70)

P.G. Mathew, The Normal Church Life
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Tristan started the car, pulling carefully out onto the street now that the snow had begun to fall."You seemed so happy this last quarter," P.K. prompted."I was. I fell in love.""And?""It didn't work out--isn't working out." Tristan shook his head. "I'm not ready.""Ah," said P.K. They drove the rest of the way in silence. Tristan thought then that he was lucky; Jonathon and Daniel didn't know how to value a silence, but P.K. made it comfortable. He was glad he was here with P.K. and not alone in the unbearable silence of snow.

Z.A. Maxfield, Crossing Borders
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Suppose whatever we can recognize we can find. We can if P=NP.

Lance Fortnow, The Golden Ticket: P, NP, and the Search for the Impossible
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Christian love is not a wave of emotion, but a deliberate conviction of the mind that issues in a biblical way of life. (p. 36)

P.G. Mathew, The Normal Church Life
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Elder's Meditation of the Day - February 18 "laughter is a necessity in life that does not cost much, and the Old Ones say that one of the greatest healing powers in our life is the ability to laugh." --Larry P. Aitken, CHIPPEWA Laughter is a good stress eliminator. Laughter causes healing powers to be distributed through our bodies. Laughter helps heal relationships that are having problems. Laughter can change other people. Laughter can heal the sick. Laughter is spiritual. One of the greatest gifts among Indian people has been our ability to laugh. Humor is natural to Indian people. Sometimes the only thing left to do is laugh. Great Spirit, allow me to laugh when times get tough.

Larry P. Aitken, Two Cultures Meet: Pathways For American Indians To Medicine
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