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On trauma, perversion, and "multiple personality"

I Brenner1

  • 1Philadelphia Psychoanalytic Institute, USA.

Journal of the American Psychoanalytic Association
|January 1, 1996
PubMed
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This study explores how perverse sexuality organizes "multiple personality" disorder. Clinical cases suggest perverse structures in dissociative states may manage anxiety from early psychic trauma.

Area of Science:

  • Psychiatry
  • Psychoanalysis
  • Psychology

Background:

  • Review of psychoanalytic theories on sexual trauma and perversion.
  • Exploration of dissociation and "multiple personality" (MPD) from the author's perspective.

Observation:

  • A clinical case involving transsexualism, homosexuality, and sadomasochistic heterosexual practices during altered ego states.
  • Transference analysis highlighting the central role of sadomasochism.

Findings:

  • Hypothesis that perverse structures form in dissociative states to contain anxiety and aggression from early psychic trauma.
  • Perverse sexuality as a potential organizing influence in MPD.

Implications:

  • Discusses diagnostic challenges, countertransference, reconstruction, and psychoanalytic technique in treating such complex cases.

Related Experiment Videos

  • Understanding the function of perverse structures in dissociative disorders.