No abstract

TC-PPAP-I073. Introductory Course: Psychotherapy of phobia, anxiety and panic 247s attached grandfather he had developed a lot of dissociative symptoms including depersonalization, autoscopy, fugue, psychogenic amnesia, Ganser's syndrome and DID on the basis of traumatic experiences under the dissociated family circumstances from his early childhood. As for DID, at least 4 personalities, i.e. a host personality, a child personality, a cool personality and a female personality, were supposed to exist in this case. Among them the female personality was the perpetrator. In Japan only 5 cases of DID had been reported until 1990 since the first case was introduced in a book in 1919, whereas more than 30 cases have come to appear in journals or academic meetings from 1991 to 1997. Compared with the clinical picture of DID in North America the rate of sexual abuse and the number of alter-personalities are low with the cases in Japan. Although the incidence is still quite low in Japan DID can be said to be validated as a clinical entity in spite of Mersky's severe criticism about it. It is to be noted that in most of the cases alter-personalities appear spontaneously without any suggestion by psychiatrists. The influence of mass-media may not be denied but the severity of psychopathology in some cases can not be explained by it.