Assessing Trauma-Related Dissociation with the Trauma and Dissociation Symptoms Interview (TADS-I): Challenges and New Developments Suzette Boon Ph.D
24-25 of October 2024 9.300-17.00
Online
For participants who are citizens of other countries where there is no war and a stable economy, the cost is 400 euro
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Does this patient suffer from dissociative amnesia or are memory problems caused by episiodes of absorption or something else?
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Are the voices psychotic or dissociative?
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How to evaluate the identity problems? Are they caused by the existence of dissociative parts of the personality or can they be explained as part of personality disorder problems or another psychiatric condition?
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How to distinguish dissociative parts of the personality from borderline modes or ego- states?
In this 2 day workshop Suzette Boon will focus on these and other questions introducing a new diagnostic interview the Trauma and Dissociation Symptoms Interview (TADS-I).
On the first day of this workshop Suzette Boon will give general overview of the dissociative disorders and other trauma-related disorders such as complex PTSD and somatoform dissociation. We will look at the clinical phenomenology of the DSM-5 and ICD-11 dissociative disorders. She will present the Trauma and Dissociation Symptoms Interview (TADS-I ) and discuss how to use the interview.
Video vignettes will be presented.
The second part of this workshop will focus differential diagnosis (for instance personality disorders, psychotic disorders, mood disorders, and false positive DID)
Learning Objectives:
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Participants will be able to recognize and differentiate the DSM-5 and ICD-11 dissociative disorders and will increase their awareness of other complex trauma-related disorders.
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Participants will be aware of problems concerning differential diagnosis and learn to distinguish dissociative disorders from personality disorders, mood and affect disorders and disorders in the schizophrenia spectrum.
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Participants will become aware of the problems of false -positive DID diagnoses and learn how to distinguish these from genuine DID
Assessing dissociative disorders is challenging for many clinicians because:
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Definitions on dissociation differ and are not always clear. Some clinicians consider dissociation a phenomenon that exists on an continuum (from normal to pathological) other consider dissociation a phenomenon that is always pathological and refers to a division of self.
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Patients generally do not present with dissociative symptoms but have a tendency to hide or dissimulate these symptoms.
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There is a lot of overlap with other disorders such as complex PTSD and other anxiety disorders, and personality disorders
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Differential diagnosis from many other psychiatric disorders (e.g psychosis, bipolar disorder, autism spectrum disorders) may be difficult
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Main classification systems (DSM and ICD) differ with respect to dissociative disorders
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Clinicians do not receive systematic education about diagnosis and treatment of dissociative disorders
The TADS-I (Boon & Matthess, 2016) is a new clinician-administered semi-structured interview to assess dissociative symptoms and disorders and other trauma-related symptoms. This interview enables the clinician to make DSM-5 and ICD-11 diagnoses; thus, it also includes a large section on somatoform dissociative symptoms. Secondly, it includes a section on other trauma-related symptoms in order to: (1) develop a more complete clinical picture of possible comorbidity, including symptoms of PTSD and complex PTSD; (2) achieve greater insight into the (possible) dissociative organization of the personality; and (3) differentiate complex dissociative disorders from personality disorders and other disorders, such as a (complex) posttraumatic stress disorder (CPTSD), mood disorder or psychotic disorders. Finally, the TADS-I aims at making a distinction between symptoms referring to a division of the personality and symptoms that may involve other alterations of consciousness but are not per se dissociative. Data of a preliminary study are currently analysed.
This training is for mental health professionals: psychiatrists, psychologists, psychotherapists, and other health practitioners who have experience of working with early adversity and trauma.
PRESENTER
Suzette A. Boon
Suzette A. Boon PhD, 1949, is a clinical psychologist and psychotherapist. She has more than thirty years of experience working in mental health institutions. She is a trainer and supervisor for the Dutch Society for Family Therapy and the Dutch Society for Hypnosis. Since the late eighties, she has specialized in the diagnosis and treatment of complex dissociative disorders. She has worked as a researcher at the Free University of Amsterdam (Psychiatric Department). She translated and validated the Dutch version of the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) and received a PhD for her thesis Multiple Personality Disorder in the Netherlands in 1993. She has published several books, book chapters and many articles on both the diagnosis and treatment of dissociative disorders.Suzette Boon is working in a private practice, mainly as a trainer and supervisor. She has been giving workshops all over Europe and the USA on topics related to complex trauma and dissociation.She has developed a skills training manual for patients with a complex dissociative disorder and currently has eight years of experience using this manual in structured groups in the Netherlands. In addition, she has been supervising projects in Norway and Finland using this manual. Its English version (with Kathy Steele, MN, CS and Onno van der Hart, PhD) was published in March 2011 by Norton publishers. Translations have been published in Finnish, Swedish, Dutch, German, Norwegian, French, Italian and Spanish.She is currently doing research with a new diagnostic interview to assess chronic trauma-related disorders, in particular the dissociative disorders – the Trauma and Dissociation Symptoms Interview (TADS-I). This new instrument that follows an earlier version (IDDTS, 2006) has been introduced in several European countries. For further information please contact Suzette.Suzette Boon is co-founder of the European Society for Trauma and Dissociation (ESTD) and was the first president of this Society.The International Society for the Study of Dissociation (ISSD) granted her the David Caul Memorial Award in 1993, the Morton Prince Award in 1994 and the President’s Award of Distinction and the status of Fellow in 1995 for her contributions to the diagnosis, treatment, research and education in the field of dissociative disorders. In 2009, she received the Life Time Achievement Award, and in 2011 the Pierre Janet writing Award for the book Coping with Trauma-Related Dissociation a Skills Training for Patients and their Therapists.
