Dissociation and Potential Space on the Rorschach as Predictors of Concurrent PTSD and Substance Dependence Treatment Outcomes
Item
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Title
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Dissociation and Potential Space on the Rorschach as Predictors of Concurrent PTSD and Substance Dependence Treatment Outcomes
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Identifier
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d_2009_2013:f0c63d4812f6:11881
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identifier
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12526
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Creator
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Anen, Stephen John,
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Contributor
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Denise Hien
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Date
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2013
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Language
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English
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Publisher
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City University of New York.
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Subject
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Clinical psychology | Dissociation | Posttraumatic Stress Disorder | Potential Space | Rorschach | Substance dependence | Trauma
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Abstract
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Both posttraumatic stress disorder (PTSD) and substance use disorders (SUD) are ongoing public health crises. Dissociative experiences are considered core processes within both of these conditions (van der Kolk & van der Hart, 1989; Briere & Runtz, 1987; Schafer et al., 2010). Dissociation, which involves the compartmentalization of psychic experience, also exerts a significant influence over psychotherapies that aim to address both PTSD and SUD (Davidson & Foa, 1991; Spitzer, Barnow, Freyberger, & Grabe, 2007). However, dissociation is a wide concept that encompasses several perceptual, cognitive, affective, memory, and self-state processes (Bernstein & Putnam, 1986; Briere, Weathers, & Runtz, 2005). Through separate self-reports and projective measures that operationalize dissociation in distinct ways, this study investigated the quality and intensity of dissociative experiences in a sample of treatment-seeking individuals with comorbid PTSD and SUD. Additionally, this dissertation explored whether these measures of dissociation had significant relationships with treatment outcome. Results: Cross-sectional correlation analysis identified convergence between certain measures of dissociation, but not others. Within hierarchical regression analysis, specific subscales of dissociation demonstrated discrepant relationships with response-to-treatment variables. Altogether, this study further evidenced the multidimensional nature of dissociative processes and, subsequently, the value of multi-method assessment. In addition, separate types of dissociation appeared to differentially influence treatment, indicating a pathway through which to improve customization of treatment planning.;Keywords: substance dependence, posttraumatic stress disorder, Rorschach, dissociation, potential space.
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Type
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dissertation
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Source
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2009_2013.csv
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degree
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Ph.D.
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Program
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Psychology
