Abstract
Pierre Janet's numerous important contributions to the understanding of dissociative disorders grew out of his background in philosophy, psychology, and medicine. A religious and even mystical man, he tempered his lifetime studies of psychopathology with precise observation and rigorous documentation. Janet was the first to articulate the clinical principles of the dissociative disorders and to systematically explore and treat the traumatic memories underlying dissociated behavior. He pioneered the use of abreaction and age-regression hypnotherapy techniques for exploring hidden trauma. Our clinical understanding of the dissociative disorders and their treatment stems in large measure from Pierre Janet's careful and thoughtful investigations a century ago..
Similar content being viewed by others
References
Abeles, M., and Schilder, P. (f1935). Psychogenic loss of personal identity.Arch. Neurol. Psychiat. 34: 587–604.
American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revised, American Psychiatric Association, Washington, D.C.
Barkin, R., Braun, B. G., and Kluft, R. P. (1986). The dilemma of drug therapy for multiple personality disorder. In Braun, B. G. (ed.),Treatment of Multiple Personality Disorder American Psychiatric Press, Washington, D.C., pp. 107–132.
Benson, D. F., Miller, B. L., and Signer, S. F. (1986). Dual personality associated with epilepsy.Arch. Neurol. 43: 417–474.
Bernstein, E. M., and Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale.J. Nerv. Ment. Dis. 174: 727–735.
Blank, A. S. (1985). The unconscious flashback to the war in Vietnam veterans: Clinical mystery, legal defense and community problem. Sonneberg, S. M., Blank, A. S. and Talbott, J. A. (eds.),The Trauma of War: Stress and Recovery in Vietnam Veterans American Psychiatric Press, Washington, pp. 293–309.
Bliss, E. L. (1980). Multiple personalities: A report of 14 cases with implications for schizophrenia and hysteria.Arch. Gen. Psychiat. 37: 1388–1397.
Bliss, E. L. (1983). Multiple personalities, related disorders and hypnosis.Am. J. Clin. Hypnos. 26: 114–123.
Bliss, E. L. (1984). Spontaneous self-hypnosis in multiple personality disorder.Psychiat. Clin. N. Am. 7: 135–148.
Bliss, E. L., and Jeppsen, E. A. (1985). Prevalence of multiple personality among inpatients and outpatients.Am. J. Psychiat. 142: 250–251.
Bowers, K. S., and Meichenbaum, D. (eds.) (1984).The Unconscious Reconsidered Wiley, New York.
Braun, B. G. (1984). Hypnosis creates multiple personality: Myth or reality? Int. J. Clin. Exp. Hypn. 32: 191–197.
Braun, B. G. (1986).Treatment of Multiple Personality Disorder American Psychiatric Press, Washington, D.C.
Braun, B. G., and Sacks, R. G. (1985). The development of multiple personality disorder: Predisposing, precipitating, and perpetuating factors. In Kluft, R. P. (ed.),The Childhood Antecedents of Multiple Personality American Psychiatric Press, Washington, D.C.
Cattell, J. P. (1972). Depersonalization phenomena. In Arieti, S. (ed.),American Handbook of Psychiatry Basic Books, New York.
Carlson, E. B., and Putnam, F. W. (1989). Integrating research on dissociation and hypnotizability: Are there two pathways to hypnotizability? Dissociation (in press).
Carlson, E. T. (1986). The history of dissociation until 1880. In Quen, J. M. (ed.),Split Minds Split Brains New York University Press, New York.
Charcot, J. M., and Marie, P. (1892). On hystereoepilepsy. In Tuke, H. (ed.),A Dictionary of Psychological Medicine Churchill, London.
Coons, P. M. (1988). Psychophysiologic aspects of multiple personality disorder: A review. Dissociation 1: 47–53.
Coons, P. M., Bowman, E. S., and Milstein, V. (1988). Multiple personality disorder: A clinical investigation of 50 cases.J. Nerv. Ment. Dis. 176: 519–527.
Cooper, L. M., and London, P. (1976). Children's hypnotic susceptibility, personality and EEG patterns.Internatl J. Clin. Hypn. 24: 140–166.
Crabtree, A. (1986). Explanations of dissociation in the first half of the Twentieth Century. In Quen, J. M. (ed.),Split Minds Split Brains University Press, New York.
Kluft, R. P. (1982). Varieties of hypnotic intervention in the treatment of multiple personality.Am. J. Clin. Hypn. 26: 73–83.
Kluft, R. P. (1985). Childhood multiple personality disorder: Predictors, clinical findings and treatment results. In Kluft, R. P. (ed.),Childhood Antecedents of Multiple Personality American Psychiatric Press, Washington, D.C.
Kluft, R. P. (1986). Treating children who have multiple personality disorder. In Braun, B. G. (ed.),Treatment of Multiple Personality Disorder Washington, D.C., American Psychiatric Press, pp. 79–106.
Kolb, L. C. (1985). The place of narcosynthesis in the treatment of chronic and delayed stress reactions of war. In Sonneberg, S. M., Blank, A. S., and Talbott, J. A. (ed.),The Trauma of War: Stress and Recovery in Vietnam Veterans American Psychiatric Press, Washington, pp. 211–226.
Kolb, L. C. (1987). A neuropsychological hypothesis explaining posttraumatic stress disorders.Am. J. Psychiatry. 144: 989–995.
Loewenstein, R. J., Hornstein, N., and Farber, B. (1988). Open trial of Clonazepam in the treatment of posttraumatic stress symptoms in multiple personality disorder.Dissociation. 3: 3–12.
Loewenstein, R. J., Putnam, F. W. (1989). A comparison study of dissociative symptoms in patients with complex partial seizures, multiple personality disorder and posttraumatic stress disorder.Dissociation. (in press).
Ludwig, A. M. (1983). The psychobiological functions of dissociation.Am. J. Clin. Hypn. 26: 93–99.
Ludwig, A. M., Brandsma, J. M., Wilbur, C. B., Bendfeldt, F., and Jameson, H. (1972). The objective study of a multiple personality.Arch. Gen. Psychiat. 26: 298–310.
Markowtisch, H. J. (1988). Transient psychogenic amnesia.Ital. J. Neurol. Sci. (Suppl) 9: 49–51.
Mesulam, M. M. (1981). Dissociative states with abnormal temporal lobe EEG: Multiple personality and the illusion of possession.Arch. Neurol. 38: 176–181.
Nash, M. R., Lynn, S. J., and Givens, D. L. (1984). Adult hypnotic susceptibility, childhood punishment, and child abuse: A brief communication.Int. J. Clin. Exp. Hypn. 32: 6–11.
Nemiah, J. C. (1981). Dissociative Disorders. In Freedman, A. M., and Kaplan, H. I. (ed.),Comprehensive Textbook of Psychiatry (third edition), Williams and Wilkins, Baltimore, pp. 1544–1561.
Nissen, M. J., Ross, J. L., Willingham, D. B., MacKenzie, T. B., and Schacter, D. L. (1988). Memory and awareness in a patient with multiple personality disorder.Brain Cogn. 8: 117–134.
Nowlis, D. P. (1969). The child-rearing antecedents of hypnotic susceptibility and of naturally occurring hypnotic-like experiences.Int. J. Clin. Exp. Hypn. 25: 125–146.
Noyes, R., and Kletti, R. (1977). Depersonalization in response to life-threatening danger.Psychiatry. 18: 375–384.
Orne, M. T., Dinges, D. F., and Orne, E. C. (1984). On the differential diagnosis of multiple personality in the forensic context.Int. J. Clin. Exp. Hypn. 32: 118–169.
Pettinati, H. M., Horne, R. L., and Staats, J. M. (1985). Hypnotizability in patients with anorexia nervosa and bulimia.Arch. Gen. Psychiat. 42: 1014–1016.
Perry, C., and Laurence, J. R. (1984). Mental processing outside of awareness: The contributions of Freud and Janet. In Bowers, K. S., and Meichanbaum, D. (eds.),The Unconscious Reconsidered Wiley, New York.
Pitman, R. K. (1987). Pierre Janet on obsessive-compulsive disorder (1903).Arch. Gen. Psychiatry. 44: 226–232.
Pope, H. G., Hudson, J. I., and Mialet, J. P. (1985). Bulimia in the late nineteenth century: The observations of Pierre Janet.Psychol. Med. 15: 739–743.
Putnam, F. W. (1985). Dissociation as a response to extreme trauma.The Childhood Antecedents of Multiple Personality American Psychiatric Press, Washington, pp. 65–98.
Putnam, F. W. (1986). The treatment of multiple personality disorder: State of the art. In Braun, B. G. (ed.),Treatment of Multiple Personality Disorder Washington, D.C., American Psychiatric Press, pp. 175–198.
Putnam, F. W. (1988). The switch process in multiple personality disorder and other state-change disorders.Dissociation 1: 24–32.
Putnam, F. W. (1989).Diagnosis and Treatment of Multiple Personality Disorder Guilford, New York.
Putnam, F. W., Guroff, J. G., Silberman, E. K., Barban, L., and Post, R. M. (1986). The clinical phenomenology of multiple personality disorder: Review of 100 recent cases.J. Clin. Psychiat. 47: 285–293.
Putnam, F. W. (1989). Conversion symptoms. In Joseph AB, Young R. (eds.),Disorders of Movement in Psychiatry and Neurology Blackwell, Cambridge, Mass. (in press).
Putnam, F. W., Zahn, T. P., and Post, R. M. (in press). Differential autonomic nervous system activity in multiple psersonality disorder.
Rapaport, D. (1942).Emotions and Memory (Menninger Clinic Mongraph Series No. 2), Williams and Wilkins, Baltimore.
Ribot, T. (1981).The Diseases of the Personality Open Court Publishing, Chicago.
Riley, R. L., and Mead, J. (1988). The development of symptoms of multiple personality disorder in a child of three.Dissociation 1: 41–46.
Ross, C. A., and Anderson, G. (1988). Phenomenological overlap of multiple personality disorder and obsessive-compulsive disorder.J. Nerv. Dis. 176: 295–299.
Ross, C. A., Heber, S., Anderson, G., Norton, G. R., Aderson, B., del Campo, M., and Pillay, N. (1989). Differentiating multiple personality disorder and complex partial seizures.Gen. Hosp. Psychiat. 11: 54–58.
Ross, C. A., Norton, G. R., and Anderson, G. (1988). The Dissociative Experiences Scale: A replication study.Dissociation 1: 21–22.
Sargent, W., and Slater, E. (1941). Amnesic syndromes in war.Proc. Roy. Soc. Med. 34: 757–764.
Shimizu, M., and Sakamoto, S. (1986). Depersonalization in adolescence.Japanese J. Psychiat. Neurol. 40: 603–608.
Sidtis, J. J. (1986). Can neurological disconnection account for psychiatric dissociation? In Quen, J. M. (ed.),Split Minds Split Brains University Press, New York.
Silberman, E. K., Putnam, F. W., Weingartener, H., Braun, B. G., and Post, R. M. (1985). Dissociative states in multiple personality disorder: A quantitative study.Psychiat. Res. 15: 253–260.
Spanos, N. P., Weekes, J. R., Menary, E., and Bertrand, L. D. (1986). Hypnotic interview and age regression procedures in the elicitation of multiple personality symptoms: A simulation study.Psychiatry 49: 298–311.
Spiegel, D. (1984). Multiple personality as a post-traumatic stress disorder.Psychiat. clin. N. Am. 7: 101–110.
Spiegel, D. (1986). Dissociating damage.Am. J. Clin. Hypn. 29: 123–131.
Spiegel, D., Hunt, T., and Dondershine, H. E. (1988). Dissociation and hypnotizability in post-traumatic stress disorder:Am. J. Psychiat. 145: 301–305.
Spiegel, H. (1963). The dissociation-association continuum.J. Nerv. Ment. Dis. 136: 374–378.
Torch, E. M. (1981). Depersonalization syndrome: An overview.Psychiatr. Quart. 53: 249–258.
Torch, E. M. (1987). The psychotherapeutic treatment of depersonalization disorder.Hillside J. Clin. Psychiatry 9: 133–151.
Torem, M. S. (1986). Dissociative states presenting as an eating disorder.Am. J. Clin. Hypn. 29: 137–142.
van der Hart, O., and Horst, R. (1989). The dissociation theory of Pierre Janet.J. Traum. Stress 2: 399–414.
Vanderlinden, J., and Vandereycken, W. (1988). The use of hypnotherapy in the treatment of eating disorders.Int. J. Eating Dis. 7: 381–387.
van der Kolk, B. (1987).Psychological Trauma American Psychiatric Press, Washington, D.C.
van der Kolk, B., Blitz, R., Burr, W., Sherry, S., and Hartmann, E. (1984). Nightmares and Trauma: A comparison of nightmares after combat with lifelong nightmares in veterans.,Am. J. Psychiat. 141: 187–190.
van der Kolk, B., and Kadish, W. (1987). Amnesia, dissociation, and the return of the repressed. In van der Kolk, B. (ed.).Psychological Trauma American Psychiatric Press, Washington, D.C.
Vincent, M., and Pickering, M. R. (1988). Multiple personality disorder in childhood.Can. J. Psychiatry 33: 524–529.
Weiss, M., Sutton, P. J., and Utecht, A. J. (1985). Multiple personality in a 10-year-old girl.J. Am. Acad. Child Psychiat. 24: 495–501.
White, R. W., and Shevach, B. J. (1942). Hypnosis and the concept of dissociation.J. Abnorm. Soc. Psychol. 37: 309–328.
Wolff, P. H. (1987).The Development of Behavioral States and the Expression of Emotions in Early Infancy University of Chicago Press, Chicago.
Author information
Authors and Affiliations
About this article
Cite this article
Putnam, F.W. Pierre Janet and modern views of dissociation. J Trauma Stress 2, 413–429 (1989). https://doi.org/10.1007/BF00974599
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00974599