What Makes This Book Exceptional

Putnam's text is a landmark in the field of dissociative disorders. Its authoritative combination of clinical wisdom and empirical research helped legitimize DID when it was still a contentious diagnosis. Clinicians consistently praise its clarity and practical focus, making it a favourite among those treating trauma survivors. The International Society for the Study of Trauma and Dissociation (ISSTD) frequently recommends it for its wide-ranging and hands-on approach. Even as terminology has evolved, the core insights into dissociative identity remain highly relevant.

Book Overview

For mental health professionals aiming to deeply understand multiple personality disorder—now classified as dissociative identity disorder (DID)—Frank W. Putnam's classic text is an indispensable resource. Part of the Foundations of Modern Psychiatry series, it offers a thorough examination of the condition's phenomenology, diagnosis, and treatment. Long considered essential reading, the book provides a clear conceptual framework that has shaped modern approaches to DID. Published during a period of controversy, Putnam's rigorous research helped establish DID as a valid clinical entity. This book presents the full historical context, the challenges in diagnosis, and the evolving understanding of dissociative symptoms.

Core Features

• Thorough coverage: The book spans from historical background to modern conceptualization, addressing the controversies and the empirical evidence that validated the diagnosis. Readers gain a comprehensive understanding of dissociative phenomenology.
• Three-phase treatment model: Putnam details the now-standard approach: (1) safety, stabilization, and symptom reduction; (2) confronting and working through traumatic memories; (3) consolidation of identity integration and post-treatment growth. Concrete strategies and common obstacles are discussed for each phase.
• Illuminating case studies: Numerous detailed vignettes illustrate the diversity of presentations, the complexities of therapeutic engagement, and the gradual integration process. These examples serve as powerful teaching tools for clinicians at all levels.
• Diagnostic instruments: Guidance on using structured interviews such as the Dissociative Experiences Scale (DES) and the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) is provided. These tools help accurately assess dissociative symptoms and differentiate DID from other conditions.
• Research foundation: Putnam presents data from his own studies and reviews the literature, offering a balanced perspective on etiology, epidemiology, and treatment efficacy. The text marries empirical evidence with clinical intuition.
• Durable hardcover format: The sturdy binding withstands frequent use, making it ideal for clinical reference libraries and office settings.

Who Will Benefit

• Clinicians and therapists: Psychiatrists, psychologists, social workers, and counsellors working with trauma survivors will find indispensable guidance. Many consider this a must-read for anyone treating dissociative disorders.
• Students and trainees: Graduate students in clinical psychology, psychiatry residents, and mental health trainees preparing for exams or clinical rotations will gain foundational knowledge from this text.
• Researchers: Scholars studying dissociation, trauma, or the history of psychiatric diagnosis will appreciate the thorough research foundation and historical perspective.
• Survivors and advocates: Individuals with personal experience of DID and their supporters may gain understanding, though the book is primarily clinical and best used with professional guidance.

Common Questions

Is this book still relevant given changes in terminology?

Absolutely. Although "multiple personality disorder" was replaced by "dissociative identity disorder" in the DSM-5, the clinical phenomena and treatment principles described remain directly applicable. The insights into dissociative identities and the therapeutic process continue to inform modern practice.

How does this book compare to more recent DID texts?

Putnam's book is a classic that laid the foundation for later works. It offers a comprehensive historical and clinical overview that many contemporary texts reference. Readers often find it complements newer publications focusing on recent research or specific treatment modalities.

Is this book appropriate for self-help?

This book is written for professionals and assumes a clinical background. While trauma survivors may find it informative, it is not a self-help guide. It is best used under the guidance of a qualified clinician.

Closing Remarks

Diagnosis and Treatment of Multiple Personality Disorder remains a landmark contribution to psychiatric literature. Its blend of clinical acumen, research rigour, and compassionate insight has earned it a lasting place on the bookshelves of clinicians worldwide. For those committed to understanding and treating dissociative disorders, this text is an essential reference.

Disclaimer: This book is intended for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.