Dissociation

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Dissociation
Emeritus Professor Russell Meares

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The concept of dissociation continues to be vague, confusing, and even controversial, (Dell, 2009, p.225). A principal controversy concerns the notion of defence. In this talk neurophysiological data is presented suggesting that there are physiologically two different kinds of dissociation. The first, and basic form is of disintegration of not only of psychic life but of brain function. It is suggested that certain patients, notably those with the borderline diagnosis, live in a fairly enduring state of 'primary dissociation'. Intermittently they show 'secondary dissociation', a different pattern of brain function with activation of prefrontally connected inhibitory mechanisms. 'Secondary dissociation' is conceived as defensive. Data are presented supporting the proposal are derived from studies not only of borderline patients but of PTSD patients who dissociates compared with those who do not. The Jacksonian Model of Self provides an organizing structure for conceiving dissociation as reflected in these data.

Master of Medicine and (Psychotherapy); Master of Science in Medicine (Psychotherapy)
Psychotherapy Think Tank / Grand Rounds
Mental Health Sciences Centre, Cumberland Hospital. NSW, Australia
Recorded: 15 April 2010

Russell Meares

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TITLE	SPEAKER	DURATION
Dissociation	Russell Meares	47'04"
Dissociation	Russell Meares
Dissociation	Russell Meares

Emeritus Professor Russell Meares

Russell Meares is an Emeritus Professor of Psychiatry at Sydney University and Director of Mental Health Sciences at Westmead Hospital in Sydney.

- Trained at Maudsley and Bethlem Royal Hospitals, 1963 -1968, co-founding with Robert Hobson the Conversational Model of psychotherapy.

- Founder of the academic department of Psychiatry, University of Melbourne, at the Austin Hospital 1969.

- Foundation Chair of Psychiatry of Sydney University at Westmead Hospital, 1981, Foundation President of the Australian and New Zealand Association of Psychotherapy in 1989.

His most recent books are: “Intimacy and Alienation”, 2000; “Metaphor of Play”, revised and enlarged edition, 2005. Awarded Distinguished Psychiatrist of the Year, at UCLA, 2007 and the RANZCP NSW Branch, Meritorious Service Award, 2009.

Free Papers ...

	The Conversational Model: An Outline Russell Meares
	Psychotherapy with borderline patients: I. A comparison between treated and untreated cohorts Russell Meares, Janine Stevenson, Anne Comerford
	Psychotherapy with Borderline Patients: 2. A preliminary cost benefit study Russell Meares, Janine Stevenson
	An Outcome study of Psychotherapy for Patients With Borderline Personality Disorder. Russell Meares, Janine Stevenson
	Five-year outcome of outpatient psychotherapy with borderline patients. Janine Stevenson, Russell Meares, Roberto D'Angelo