On Treating the Older Patient with Multiple Personality Disorder: “Race against Time” or “Make Haste Slowly?”

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Abstract
Multiple personality disorder (MPD) is recognized with increasing frequency in child and adult patients, but its discovery and its treatment in patients 60 and over remains rare. Eight MPD patients diagnosed between 60 and 72 years of age were treated. Affectively intense, hypnotically facilitated treatments that are successful in work with younger MPD patients are not always appropriate for the older patient, whose medical and mental health must be safeguarded from undue stress. Precautions are advisable to mitigate the rigors of the treatment and alternative hypnotherapeutic interventions may prove necessary. The “slow-leak” and “fractionated-abreaction” techniques for dealing with painful affective material in the medically compromised patient are useful techniques with these patients.

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