Thursday, July 21, 2011

Chapter 5. Further Discussions on the “Relational stress” (5)

Rika Kayama quotes an episode from a novel “Shizuko-san” written by Yoko Sano. In that episode was described a conflict between a daughter and her mother which can be typically observed in the relational stress. When the daughter was four, she was walking with her mother. She put her hand in her mother’s pocket to grab her hand. Her mother flung her hand loose, tutting. The daughter was deeply hurt, and her conflict with her mother began. This trauma, that Balint might count as the basic fault might not be classed as an overt interpersonal trauma.
My experiences with Japanese DID cases
Previously I presented my clinical experiences with 18 cases of DID. My caseload contines to grow and in 2008 I had a chance to present some data on my 28 patients at ISSTD in Chicago. Here I will show some of these data which are worth noting.
What is most conspicuous is the gender differecne. All of them except for a case (96%) are female. Their average age at the initial assessment was 24.6 years old.
Ten of them (36%) had obvios childhood physical, sexual, or psychological trauma. Among them, three (11%) had sexual and physical abuse by their fathers. Six (22%) were victims of some kind of sexual contact on ther way to and from school, sexual contact by their siblings, or bullying at school. Five (18%) had some kind of emotional pressure from their mothers. Eight (29%) did not yield any particular trauma history when childhood history was taken.
In summary, some of my cases present overt physical and sexual trauma, and some others experiences less overt traumatic stress, and rest of them do not show any clear-cut trauma history. Some of them had constant emotional pressure from their mothers.
Another curious data was obtained. 14 of them (50%) are still living with her parents or are still getting in close contact with their mothers and thus keep experiencing emotional pressure by their mothers.

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