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Negative Therapeutic Reaction and Stuck Cases: Mind Control Transference in the Treatment of Dissociative Identity Disorder

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To complete this course for credit, your exam must be successfully completed by Mar 30th, 2023.

This course was updated 3 days ago. If you're about to take the exam, you may benefit from reviewing the exam questions listed below before starting on the actual exam.

About the Course:

The mind control (invasion) transference (MCT) is an extreme form of traumatic transference in patients with dissociative identity disorder (DID) and related very severe, complex dissociative trauma disorders. It is defined as he patient’s belief that the therapist’s overt helpfulness and concern is really in the interest of gaining access to the patient’s mind in order to malevolently invade and control the patient psychologically. To some extent, all DID patients have some aspect of this type of transference. This is because coercive control is at the center of the type of extreme, tortuous perpetration that most DID patients report experiencing. The MCT becomes a dominant transference in several specific clinical situations, that are not mutually exclusive: 1) Intra- or extra-familial childhood perpetrators that are mental health clinicians, who use “therapy” like techniques, including hypnosis as part of childhood abuse, and/or are psychologically extremely intrusive. 2) Parents with DID who are psychologically invasive and consciously or not invade the child’s mind, often to access, control, or create self-states that correspond in some way to their own. 3) Sadistic abusers, often in organized groups, with a variety of manifest belief systems, who focus on complete enslavement of victims using extreme torture to dominate, control, completely abase, and humiliate victims, and to create automatic obedience. 4) Patients who have been abused psychologically as adults by mental health providers, often involving sexual victimization, where the perpetrator uses psychological techniques to control, dominate, and humiliate victims. Many victims of these types of abuse may continue to be victimized/revictimized and/or trafficked by perpetrators into adulthood. They are often susceptible to intimate partner violence with extreme coercive control, and may be particularly vulnerable to coercively controlling mental health providers. For many of these patients, psychotherapy, especially by providers knowledgeable about dissociation, may be experienced as another attempt at mind control/invasion for the purpose of enslavement. This may lead to a myriad of seemingly endless impediments to progress in treatment. In this presentation, I will describe the MCT, and mind-control countertransference, in depth, and how both manifest in psychotherapy. I will discuss clinical interventions that can assist therapy to move forward – if only very slowly – particularly if there has been superimposed revictimization in adulthood by mental health providers.

This course is based on the recorded webinar, Negative Therapeutic Reaction and Stuck Cases: Mind Control Transference in the Treatment of Dissociative Identity Disorder created by Richard Loewenstein, MD in 2018.

Publication Date:

October 14th, 2018

Course Material Author

Richard Loewenstein, MD
Richard J. Loewenstein M.D. is the founder and Medical Director of The Trauma Disorders Program at Sheppard Pratt Health Systems, Baltimore, MD and Clinical Professor of Psychiatry at the University of Maryland School of Medicine. The Trauma Disorders Program includes a 22-bed inpatient unit, an outpatient program, a fellowship program, and research, consultation and teaching components. He did a research fellowship at the National Institute of Mental Health in Bethesda, MD. He is the author of over 75 papers and chapters on sleep disorders, consultation-liaison psychiatry, dissociation, dissociative disorders, and trauma disorders. He is a fellow of the International Society for the Study of Dissociation and Distinguished Life Fellow of the American Psychiatric Association. He has received numerous awards including the Lifetime Achievement Award of the International Society for the Study of Trauma and Dissociation (the organizations highest award). He is an advisor to the longitudinal Treatment of Patients with Dissociative Disorders (TOPDD) Study headed by Bethany Brand, Ph.D. of Towson University. He has over 30 years experience in the diagnosis and treatment of thousands of adults with severe complex trauma and dissociative disorders (CT/DD), particularly those with dissociative identity disorder (DID). Since 1992, he has been attending psychiatrist and team leader on the inpatient Trauma Disorders Unit at Sheppard Pratt Health System. Here he gained extensive experience in the medication management and provision of electroconvulsive therapy (ECT) for complex trauma and dissociative disorder patients. In addition, since the early 1980s, he has worked with CT/DD/DID outpatients, either as individual therapist, or as medication manager in collaboration with non-medical therapists. Also, he has extensive experience in the differential diagnosis and management of somatic symptoms and conversion disorders in this patient population, to assess the contribution of medical and/or psychological factors in the somatic symptoms in these patients.

Richard Loewenstein, MD authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Course Creator

ISSTD Staff
These questions were created by staff and volunteers at ISSTD.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for intermediate levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Explain the mind control transference, and how it manifests in psychotherapy
  2. Assess and make more successful clinical interventions with patients manifesting this type of traumatic transference
  3. Discuss the types of countertransference that may be particularly evoked in this clinical situation

Disclosures

Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.
Planners

The planners have reported the following: There are no relevant disclosures.

Course Material Author

The authors have disclosed any disclosures within the material.

Course Creator: ISSTD Staff
There are no relevant disclosures.
Commercial support

There is no commercial support for this distance-learning course.

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Course Number 102302
1.5 CE credit hour
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  • Recorded Webinar
Exam Fee $8.96
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Course Materials $45.00

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