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Victim-survivors of emotional, physical, sexual abuse, attachment trauma and neglect, present with an array of complex symptoms and behaviours, including substance abuse, anxiety, depression, eating disorders, c-PTSD, dissociative disorders, self-harm and suicidality. A client’s presentation and symptoms can shift markedly in the course of a session.
The DSM-5 defines dissociation as ‘disruption, interruption, and/or discontinuity of the normal, subjective integration of behaviour, memory, identity, consciousness, emotion, perception, body representation, and motor control’. Dissociative disorders (DD) in DSM-5 include, dissociative amnesia, depersonalization / derealization and dissociative identity disorder. Dissociation is also a symptom experienced in post-traumatic stress disorder, depression, anxiety, schizophrenia, bipolar disorder, eating disorders and borderline personality disorder.
Dissociation is a defense mechanism enabling a person to cope with overwhelming or traumatic experiences. It is one of the most common mental health diagnoses with one in ten people meeting the criteria for a dissociative disorder during their lifetime. It is also one of the most misunderstood and overlooked mental health presentations.
In this webinar, Dr Mary-Anne Kate and Dr Colin Ross, experts in assessment and diagnosis for DD’s will present two dissociation screening tools.
Dr Mary-Anne Kate is the creator of the Multidimensional Inventory of Dissociation – 60 item version (MID-60). She will provide an overview of dissociation and introduce the MID-60, including insights about dissociative disorder-specific subscales and related symptoms. Mary-Anne will guide participants through a series of case studies, including dissociative identity disorder (DID), the dissociative subtype of PTSD, as well as examining how dissociation commonly manifests in clients with neurodevelopmental conditions such as autism and ADHD, and mental health presentations such as anxiety. She will provide advice on distinguishing DID from false-positive DID, ego states, other specified dissociative disorder type 1 (OSDD-1), and false-negative dissociative disorders, and discuss fluctuations in subjective awareness of dissociation and symptoms and experiences.
Dr Colin Ross is the creator of the Dissociative Disorders Interview Schedule DSM-5 Version (DDIS). The DDIS is a structured interview that diagnoses the DSM-5 dissociative disorders plus somatic symptom disorder, major depressive disorder, and borderline personality disorder. In addition, it inquires about childhood physical and sexual abuse, substance abuse, psychotic symptoms, ESP/paranormal experiences and past psychiatric history. The DDIS has been shown to be valid and reliable and is included in the American Psychiatric Association’s Handbook of Psychiatric Measures. The DDIS takes 30-40 minutes to administer and can be used in any setting. It is usually administered along with the Dissociative Experiences Scale (DES). Attendees will be shown examples of data from DDIS research studies and will be taught how to administer the DDIS; they will be provided with copies of the DES, the DDIS and its scoring rules. This includes a consent form for the DDIS. The DES and DDIS are public domain documents and can be used without permission.
Dr Mary-Anne Kate is an award-winning researcher specialising in dissociation and interpersonal trauma, and mental health. She is a Scientific Committee member of International Society for the Study of Trauma and Dissociation (ISSTD).
Mary-Anne currently lectures on the Master of Professional Psychology and Bachelor of Psychological Science programs at Southern Cross University and has previously taught on the Master of Mental Health. She recently developed the master’s unit on Psychological Assessment and Psychopathology, and the undergraduate unit Understanding Psychological Diagnoses, and is the lead author of the Dissociative and Somatic Disorder chapter in the Australasian Wiley textbook Abnormal Psychology.
In 2021 Mary-Anne was awarded the Morton Prince award for Scientific Research. In 2018 she was awarded the Chancellor’s Doctoral Research Medal from the University of New England and in 2019 the David Caul Award from the ISSTD for her PhD on childhood maltreatment, parent-child dynamics, and dissociation. Mary-Anne developed the Multidimensional Inventory of Dissociation – 60 item version (MID-60) to screen for dissociative symptoms, DSM-5-TR dissociative disorders and PTSD.
Mary-Anne also has extensive experience improving the quality of life and mental health of refugees, migrants, and other vulnerable groups, including in a diplomatic role in Cairo, as a policy advisor in an influential EU think tank, and strategic policy development in Canberra. Mary-Anne is passionate about creating a mentally healthy and equitable society.
Colin A. Ross, M.D., completed medical school at the University of Alberta and his psychiatry training at the University of Manitoba in Canada. He is a Past President of the International Society for the Study of Trauma and Dissociation, and is the author of over 270 papers and 36 books. He has spoken widely throughout North America and Europe, and in China, Malaysia, Australia and New Zealand. He has been a keynote speaker at many different conferences, and has reviewed for over 30 different professional journals.
Dr. Ross directed hospital-based Trauma Programs in Texas from 1991 to 2022. Additionally, he directed programs in Michigan and California for 20 years. He now has his own partial hospitalization and intensive outpatient programs at two locations in Texas.
Dr. Ross’ books cover a wide range of topics. His clinical books focus on trauma and dissociation and include: Dissociative Identity Disorder. Diagnosis, Clinical Features and Treatment of Multiple Personality, Second Edition (1997); Schizophrenia: Innovations in Diagnosis and Treatment (2004); The Trauma Model: A Solution to the Problem of Comorbidity in Psychiatry (2007); Trauma Model Therapy: A Treatment Approach for Trauma Dissociation and Complex Comorbidity (2009); Structural Dissociation: A Proposed Modification of the Theory (2013); and Treatment of Dissociative Identity Disorder: Techniques and Strategies for Stabilization (2018).
Dr. Ross has published a series of treatment outcome studies in peer-reviewed journals, which provide evidence for the effectiveness of Trauma Model Therapy. Many of his papers involve large series of cases, with original research data and statistical analyses, including a paper entitled ‘Trauma and Dissociation in China’ in the American Journal of Psychiatry.
Colin has presented for Delphi seven times between 1997 – 2024. His 2020 webinar Hearing Voices: Understanding and Treatment and training with Dr Mary-Anne Kate, Expert guidance in screening for dissociative disorders and differential diagnosis are available On-Demand. He was a guest presenter in the webinar, The Elephant in the Room: Trauma Spirituality and Healing
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