Table 1.
Interventions that experts endorse using‘very often’ during at least one stage of treatmenta | PITQ-t items assessing abilitytargeted by interventionb | PITQ-p items assessing abilitytargeted by interventionc |
---|---|---|
Establishing safety | 1, 2 | 12, 18, 19 |
Establishing/repairing alliance | 5 | 2 |
Teaching/practicing grounding | 8 | 7, 28 |
Educating about disorders/treatment | 4 | 1 |
Diagnosing psychiatric illnesses | * | * |
Teaching/practicing self-care | 14 | 14 |
Developing healthy relationships | 17 | 17 |
Affect tolerance and impulse control | 11, 12 | 10, 11 |
Stabilizing from current stressors | 6 | 4, 5 |
Teaching/practicing containment | 7 | 6 |
Ego strengthening activities | 3, 20 | 22, 24 |
Acceptance of DD diagnosis | 4 | 1 |
Processing when and why dissociation occurs | 15, 16 | 15, 16 |
Assess response to medications | * | * |
CBT focused on cognitions | 3, 9, 13, 20, 21, 24 | 3, 8, 13, 22, 23, 24, 27, 28 |
Awareness of emotion | 10 | 9 |
Processing patient’s reactions to therapy | 5 | 2 |
Stabilizing following intrusions from alleged perpetrators | 6 | 4, 5 |
Cooperation with/between parts | 26, 27 | 29, 32 |
Teaching/discussing attachment | ^ (17, 20, 21) | ^ (17, 22, 23) |
Identifying/working with parts | 25 | 30 |
Discussing therapeutic relationship | 5 | 2 |
Awareness of body sensation | 10 | 9 |
Exposure to traumatic memories/abreaction | 18, 23 | 20, 26 |
a Interventions endorsed by at least 45% of experts; Brand et al. (2012).
b PITQ-t items 4–29 (see Table 5 for item content) are taken verbatim from PITQ items; PITQ-t items 1–3 rephrase the content of the remaining 3 PITQ items for clarity.
c See Table 7 for PITQ-p item content.
* Not a patient-targeted ability.
^ PITQ family of measures does not explicitly query, but is very closely related to (items in parentheses).