Book contents
- Frontmatter
- Contents
- Foreword
- Preface
- PART I INTRODUCTION: THE EXPERIENCE OF PSYCHOPATHOLOGY
- PART II THE EXPERIENCE SAMPLING METHOD: PROCEDURES AND ANALYSES
- PART III EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
- 7 Variability of schizophrenia symptoms
- 8 The daily life of ambulatory chronic mental patients
- 9 ‘Goofed-up’ images: thought sampling with a schizophrenic woman
- 10 The social ecology of anxiety: theoretical and quantitative perspectives
- 11 Consequences of depression for the experience of anxiety in daily life
- 12 Dysphoric moods in depressed and non-depressed adolescents
- 13 Capturing alternate personalities: the use of Experience Sampling in multiple personality disorder
- 14 Bulimia in daily life: a context-bound syndrome
- 15 Alcohol and marijuana use in adolescents' daily lives
- 16 Drug craving and drug use in the daily life of heroin addicts
- 17 Stress, coping and cortisol dynamics in daily life
- 18 Vital exhaustion or depression: a study of daily mood in exhausted male subjects at risk for myocardial infarction
- 19 Blood pressure and behavior: mood, activity and blood pressure in daily life
- PART IV THERAPEUTIC APPLICATIONS OF THE EXPERIENCE SAMPLING METHOD
- PART V PSYCHIATRIC RESEARCH APPLICATIONS: PRACTICAL ISSUES and ATTENTION POINTS
- CLOSING Looking to the future
- References
- List of contributors
- Index
13 - Capturing alternate personalities: the use of Experience Sampling in multiple personality disorder
from PART III - EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
Published online by Cambridge University Press: 03 May 2010
- Frontmatter
- Contents
- Foreword
- Preface
- PART I INTRODUCTION: THE EXPERIENCE OF PSYCHOPATHOLOGY
- PART II THE EXPERIENCE SAMPLING METHOD: PROCEDURES AND ANALYSES
- PART III EXPERIENCE SAMPLING STUDIES WITH CLINICAL SAMPLES
- 7 Variability of schizophrenia symptoms
- 8 The daily life of ambulatory chronic mental patients
- 9 ‘Goofed-up’ images: thought sampling with a schizophrenic woman
- 10 The social ecology of anxiety: theoretical and quantitative perspectives
- 11 Consequences of depression for the experience of anxiety in daily life
- 12 Dysphoric moods in depressed and non-depressed adolescents
- 13 Capturing alternate personalities: the use of Experience Sampling in multiple personality disorder
- 14 Bulimia in daily life: a context-bound syndrome
- 15 Alcohol and marijuana use in adolescents' daily lives
- 16 Drug craving and drug use in the daily life of heroin addicts
- 17 Stress, coping and cortisol dynamics in daily life
- 18 Vital exhaustion or depression: a study of daily mood in exhausted male subjects at risk for myocardial infarction
- 19 Blood pressure and behavior: mood, activity and blood pressure in daily life
- PART IV THERAPEUTIC APPLICATIONS OF THE EXPERIENCE SAMPLING METHOD
- PART V PSYCHIATRIC RESEARCH APPLICATIONS: PRACTICAL ISSUES and ATTENTION POINTS
- CLOSING Looking to the future
- References
- List of contributors
- Index
Summary
Despite the classic single case studies of multiple personality disorder by Ludwig et al. (1972) and Larmore et al. (1977) and more recent descriptive and psychophysiological studies of larger series of multiple personality (Bliss, 1980; Horevitz & Brown, 1984; Kluft, 1984a, b, 1985; Putnam, 1984; Putnam et al., 1983), much of the literature on the disorder consists of parital, single clinical case reports from which sweeping conclusions are drawn.
We describe the application of ESM, a new behavioral time-sampling method, to the assessment of rapid mood, self-perceptual, and clinical state changes in a woman with multiple personality disorder. The purpose of the study was to examine the utility of experiential sampling in the study of a clinical syndrome characterized by frequent, rapid state changes (switching of multiple personality alternates) that were readily apparent to the treating psychiatric staff but were of uncertain periodicity in non-clinical, everyday situations. We also wished to make a contribution to the systematic study of the phenomenology of multiple personality disorder.
ESM permits comparison of a naturalistically derived sample of the patient's own experience with clinical observations, standardized single-time-of-day rating instruments, and psychophysiological and other laboratory measures. Subjects collect data about their own experience at different times during the day. ESM can help characterize clinically significant, within-day variations in mood, behavior, and experience such as the immediate precipitants of switch processes or mood changes.
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- Information
- The Experience of PsychopathologyInvestigating Mental Disorders in their Natural Settings, pp. 157 - 166Publisher: Cambridge University PressPrint publication year: 1992