P.6

 Complex Trauma, Somatoform Dissociations & Psychometric Assessment

R. Kurz (London GB)


Background

Dr Rainer Kurz is a Chartered Psychologist who authored more than 100 academic publications and 50 psychometric tests. He will discuss the benefits and pitfalls of personality and ability assessments in a complex trauma case where somatoform dissociations, dyslexia and a ‘Twice Exceptional’ pattern of very high intelligence coupled with extreme weakness in auditory processing combined into a puzzling presentation. He will share his observations how Buddhism, personality theory and Dan Siegel’s contemporary model of Psychiatry converge.

 

Method

The mother of a toddler was diagnosed as 'schizophrenic, schizoid and paranoid' in highly irregular circumstances. Due to self-reported somatoform symptoms SKID-D and PTSD assessments were arranged coupled with cognitive and personality tests.

 

Results

Four cognitive profiles spanning 25 years revealed very high verbal intelligences coupled with information processing and memory difficulties. Spadafore (1983) listening comprehension result was at the level of a 9-year old making the mother vulnerable to manipulation and bullying. MCMI-III results were grossly misleading due to the poor construction of this tool and were contradicted by general personality questionnaires. SKID-D and PTSD assessments as well as medical records corroborated the account given by the mother but personal disclosure of somatoform dissociation instances were not reflected in Dissociative Experiences Scale results.

 

Conclusions

The in-depth assessments threw doubt on the accuracy of the original diagnosis. The trait characteristics in conjunction with the 'toxic' environment explained what had happened in the past. The workshop will interactively explore each assessment type with plenty of opportunity for delegates to share their experiences.

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Background

Dr Rainer Kurz is a Chartered Psychologist who authored more than 100 academic publications and 50 psychometric tests. He will discuss the benefits and pitfalls of personality and ability assessments in a complex trauma case where somatoform dissociations, dyslexia and a ‘Twice Exceptional’ pattern of very high intelligence coupled with extreme weakness in auditory processing combined into a puzzling presentation. He will share his observations how Buddhism, personality theory and Dan Siegel’s contemporary model of Psychiatry converge.

 

Method

The mother of a toddler was diagnosed as 'schizophrenic, schizoid and paranoid' in highly irregular circumstances. Due to self-reported somatoform symptoms SKID-D and PTSD assessments were arranged coupled with cognitive and personality tests.

 

Results

Four cognitive profiles spanning 25 years revealed very high verbal intelligences coupled with information processing and memory difficulties. Spadafore (1983) listening comprehension result was at the level of a 9-year old making the mother vulnerable to manipulation and bullying. MCMI-III results were grossly misleading due to the poor construction of this tool and were contradicted by general personality questionnaires. SKID-D and PTSD assessments as well as medical records corroborated the account given by the mother but personal disclosure of somatoform dissociation instances were not reflected in Dissociative Experiences Scale results.

 

Conclusions

The in-depth assessments threw doubt on the accuracy of the original diagnosis. The trait characteristics in conjunction with the 'toxic' environment explained what had happened in the past. The workshop will interactively explore each assessment type with plenty of opportunity for delegates to share their experiences.

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Rainer Kurz
GB-KT6 5QE Surbiton
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