More threads by David Baxter PhD

David Baxter PhD

Late Founder
A case of simulated fragmentation
by Vaughan Bell, Mind Hacks
October 18, 2011

sybil.jpg

The New York Times has an excerpt of a book that claims to expose one of the most famous psychiatric cases in popular culture as a fraud.

Based on an analysis of previously locked archives the book suggests that the patient at the centre of the ‘Sybil’ case of ‘multiple personality disorder’ was, in fact, faking and admitted so to her psychiatrist.

The diagnosis, now named dissociative identity disorder, is controversial because the idea that someone can genuinely have several ‘personalities’ inside a single body has not been well verified and diagnoses seemed to boom after the concept became well-known.

This particular case became well known because it was written up as a best-selling 1973 book and was later turned into successful film of the same name.

The book and the film are though to have been key in the shaping the concept of the diagnosis and making it popular during the late 70s and 80s.

However, detective work by author Debbie Nathan has seemed to uncover medical notes that suggest the psychiatrist at the centre of the case, Cornelia Wilbur, may have known that his patient had admitted to faking for some time.

One may afternoon in 1958, Mason walked into Wilbur’s office carrying a typed letter that ran to four pages. It began with Mason admitting that she was “none of the things I have pretended to be.

“I am not going to tell you there isn’t anything wrong,” the letter continued. “But it is not what I have led you to believe. . . . I do not have any multiple personalities. . . . I do not even have a ‘double.’ . . . I am all of them. I have been essentially lying.”

Before coming to New York, she wrote, she never pretended to have multiple personalities. As for her tales about “fugue” trips to Philadelphia, they were lies, too. Mason knew she had a problem. She “very, very, very much” wanted Wilbur’s help. To identify her real trouble and deal with it honestly, Mason wrote, she and Wilbur needed to stop demonizing her mother. It was true that she had been anxious and overly protective. But the “extreme things” — the rapes with the flashlights and bottles — were as fictional as the soap operas that she and her mother listened to on the radio. Her descriptions of gothic tortures “just sort of rolled out from somewhere, and once I had started and found you were interested, I continued. . . . Under pentothal,” Mason added, “I am much more original.”



Link to excerpt of book in the New York Times.
 

David Baxter PhD

Late Founder
This is the point I've been trying to make all along. If DID does actually exist, it is extremely rare and it requires extraordinary developmental circumstances for it to develop.

The vast majority of people who claim online to have DID, and the vast majority of people (mis-)diagnosed as DID actually have Dissociative Disorder and/or dissociative or quasi-dissociative states associated with PTSD and/or "inner child" features associated with early abuse.
 
It is a specialist a doctor making those diagnosis then as once said to me who are we to say that doctor is wrong .. I don't think a doctor just sticks that diagnosis on lightly i think they have perimeters to help them guide them into what the diagnosis should be. Unless one has personally dealt with a person with dual personalities then i don't think one can ever understand . It is rare but there are people who do have this so i would not question any doctor really who has taken time to truly get to that diagnosis.
I am not being defensive or combative i just don't want people to feel we are making less of their illness then what has been said to them. Again with the labels who cares what the label is deal with the symptoms that is all one should be concerned with.
 

Daniel E.

daniel@psychlinks.ca
Administrator
then as once said to me who are we to say that doctor is wrong

Well, like a few decades ago, the trend in overdiagnosis was borderline personality disorder. And more recently in the last decade or so, PTSD was the trend in overdiagnosis, with even things like divorce being seen as traumatic enough for a PTSD diagnosis. But what is different about DID is that it is not just a trend in overdiagnosis but also the disorder itself is controversial. So the greatest predictor of DID diagnosis has more to do with the therapist than the patient.
 

David Baxter PhD

Late Founder
It is a specialist a doctor making those diagnosis then as once said to me who are we to say that doctor is wrong .. I don't think a doctor just sticks that diagnosis on lightly i think they have perimeters to help them guide them into what the diagnosis should be. Unless one has personally dealt with a person with dual personalities then i don't think one can ever understand . It is rare but there are people who do have this so i would not question any doctor really who has taken time to truly get to that diagnosis.

The criticisms of the practitioners in the cases of Sybil and "The Three Faces of Eeve" were that they became so excited at the possibility of discovering a case of multiple personality that they inadvertently (or otherwise) jumped to premature conclusions and led the patients into creating and disclosing personalities over time.

The other point I would make is that the majority of practitioners diagnosing DID have no special training or expertise in that diagnosis. Indeed, because genuine cases (if they exist at all) are so rare it is all but impossible to acquire the sort of expertise that would be required.
 
Several years ago when I did my social work internship in a psych hospital there was one particular doctor whose patients mostly all were diagnosed with multiple personality disorder (that's what it was called then). I thought it was really strange that there were so many of them that only he saw.
 

David Baxter PhD

Late Founder
A similar thing happened several years ago with the whole "recovered memories of childhood sexual abuse" thing, especially ritual abuse, which in time led to research into false memory syndrome.
 

Andy

MVP
I believe there are people with this diagnosis but I believe it's one in a million (or rarer), not the numbers that are claimed on the internet for instance. I was in a mental institution for a year and then months here and there and never once saw a case of anyone with MPD/DID with how often it is brought up on forums it seems to be more popular then AvPD (well maybe not so much in the last year) which I find absolutely unreal. I agree that people have dis associative disorders but not the multiple personalities that are claimed (other then the rare disorder). I also doubt there are many specialists in this area at all seeing as it is rare and to actually diagnose someone with it would take months and months of observation not just a quick diagnosis.
These of course are my own personal opinions, Just joining the conversation.:)
 

phoebe22

Member
I'd be interested to know whether the use of hypnotherapy in identifying distinct (alter) personalities can be considered entirely valid. I have heard a variety of different opinions, including the possibility that the "subject" wasn't in an hypnotic state at all, but rather like the person who claims to have forgotten what they did while under the influence of alcohol (when in fact they do remember). I have no opinions and am not suggesting anything ... I've just always found the practice of hynotherapy interesting, but often offering more questions than answers. I admit I do find some instances suspect, particularly past-life regression but remain open to possibilities, whatever they may be.

:2cents:

---------- Post added at 09:46 AM ---------- Previous post was at 09:40 AM ----------

Several years ago when I did my social work internship in a psych hospital there was one particular doctor whose patients mostly all were diagnosed with multiple personality disorder (that's what it was called then). I thought it was really strange that there were so many of them that only he saw.

When I was first on the ward, the psych there was dx'ing everyone with BPD. There were at least 20 of us, all with BPD (and only BPD). What odds?
 

David Baxter PhD

Late Founder
I'd be interested to know whether the use of hypnotherapy in identifying distinct (alter) personalities can be considered entirely valid. I have heard a variety of different opinions, including the possibility that the "subject" wasn't in an hypnotic state at all, but rather like the person who claims to have forgotten what they did while under the influence of alcohol (when in fact they do remember).

Add to that the close link (established in many research studies) between hypnosis susceptibility and suggestibility and it all adds up to a nightmare for trying to determine the validity of the diagnosis.
 
What is sad is that the people that I saw diagnosed with it became much worse off, much more symptomatic, even developing self injury behaviors they didn't have before. :( It didn't really seem to bring relief or help.
 
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