Hypnoanalytic Treatment of Severe Borderline Neurosis by Means of Spontaneous Multiple Personalities: A Case Report
A 32-year-old female nurse had been hospitalized several times over about ten years for uncontrolled impulsive behavior, which she could in no way motivate for herself. She had made several suicidal attempts and experienced bouts of rage, during which she could smash everything within reach. At times she also had intensely sadistic periods with aggression even towards her child, whom she normally protected above everything else. She also had occasional uncontrolled sexual stimuli and an intense need to purchase mainly unnecessary romantic garments. These changes of behavior were frequently accompanied by amnesia. She had been given drug treatment and conversation therapy, the benefit of which, however, had been small and of short duration. Having read of the multiple personality phenomenon, the patient consulted a psychiatrist to obtain treatment by hypnosis.
She was easily induced into deep hypnosis. This revealed seven different personalities, each representing one of the behavior patterns manifested previously. After hypnosis treatment the situation was easy to control, as the patient was better able to understand her earlier behavior. Owing to the distance, therapy was arranged in such a way that the patient came to live in the locality where the therapist had his practice, for 2–3 weeks at a time during which period treatment was given every day. The dynamic background of the multiple personalities was analyzed by hypnoanalytic methods, and at the time of writing this report about 90 hours of therapy had been given. At this stage the patient only has one multiple personality left, which impairs her ability to enjoy sexuality. The article describes in detail the course of the therapy and the methods by which the split mechanism between the different multiple personalities was eliminated.
KeywordsSuicidal Attempt Impulsive Behavior Sexual Stimulus Dynamic Background Multiple Personality
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