More threads by David Baxter PhD

David Baxter PhD

Late Founder
Multiple Personalities: Why the Obsession?
by Molly Carter, Mental Health Families
March 2, 2011

The other night, I was watching the TV drama Private Practice. The show displayed a therapy patient that, at first glance, appeared to have Multiple Personality Disorder. If anyone knows anything about mental illnesses, they know that this illness is so rare, most professionals in the field will never come across a patient that actually suffers from it. Many argue that it doesn't actually exist. But we see it depicted in movies and on television all the time.

The technical name for what most people would call Multiple Personality Disorder is Dissociative Identity Disorder and it results from an extreme repetitive trauma (typically some sort of neglect or abuse, whether physical, emotional, or sexual) in young childhood. The patient becomes so distressed that they experience an extreme dissociation from themselves. They don't connect with their feelings, their past, or their identity. The theory goes that the child's psyche is not developed enough to face the trauma that occurred, so the brain dissociates itself from the experience and the emotions that stem from the abuse.

What we, as the general public, think of as Multiple Personality Disorder is the extreme case of Dissociative Identity Disorder. It evolves when two or more distinctive personalities develop in an individual's psyche. There different identities will have different names, ages, races, or even genders. Often they speak differently, have different postures, and may even have a different personal history. When one personality takes over, the other is often left in the dark, meaning they will have no memory of the experience.

It's believed that about .01% of the population may suffer from some form of Dissociative Identity Disorder, but I don't know if I buy all that. Although I'm not necessarily an expert on Multiple Personality Disorder, I would tend to believe that it is much less.

But why are we fascinated by the idea of it? There are books written about it and there are movies made depicting it (Sybil and Primal Fear are just two examples).

Perhaps it's because it is an easy way to escape. When things become too hard, too frustrating, too sad or painful, we allow someone else to step up to the plate. Then we don't have to deal with it, maybe no one has to deal with it. I don't know why we are so intrigued by the idea. I guess because it is an escape, a way to leave ourselves and not have to deal with the life that is going on around us. A way to forget and not have to concern ourselves with it anymore.

In reality, I would never want to suffer from such an extreme disease. But on some days, I can understand America's obsession with it. On some days, I wish someone else could handle the crappy job, the rude cashier, the whiny toddlers. If only for 15 minutes.
 

amastie

Member
I don't see obsessiveness with regard to the subject of Dissociative Identity Disorder. Rather, I see an obvious platform for raising sensation by virtue of it being now legally legitamized as well as extremely different from the experience of most people. Sensation is what script writers of the most populart tv series are about - giving the viewer an opportunity to raise their shackles - or flex their empathy muscles - about things that, once, was the province of aliens (they're still around, aren't they?), black-hearted demonic souls, things that go bump in the night...

One psychiatrist here in Australia long ago likened talk of DID with talk of alien abduction. I've never been abducted but if someone else says they have, I will likely leave an open mind and ask what it is that they experienced. Maybe their experience might be interpreted by me in a different way. Maybe my experience can be too, but what does it doesn't matter? Alien abduction is how those people interpret their experience, and if it adds up to them, then I wish for them support by fellow alien abductees. I believe there are a number who have proclaimed such experience. The rest of us can only speculate from our own experience, or just let it go. What does it matter to the rest of us, unless we are seeking to satisfy our need for sensation through tv mini series and the like. That, in itself, will never bring us knowledge, only entertainment. I just feel sorry that so often sensationalst stories bring into disrepute the experience of good people who rightly claim ownership of their experience, whatever that is, and however much it might be foreign to others.

amastie
 

David Baxter PhD

Late Founder
As I've said before, Dissociative Identity Disorder is rare and overdiagnosed. It fascinates people and seems to have a lot of drama associated with it for those who claim to have it as well as for practitioners who often mistakenly diagnose it.

Why this should be so it curious but most people either diagnosed or self-diagnosed with DID would probably be more accurately diagnosed with Dissociative Disorder, PTSD, or even an anxiety disorder.
 

Daniel E.

daniel@psychlinks.ca
Administrator
I don't see obsessiveness with regard to the subject of Dissociative Identity Disorder.

The article is also about avoidance: "it is an escape, a way to leave ourselves and not have to deal with the life that is going on around us."

Avoidance behavior is a key component of anxiety disorders, depression, etc.
 

amastie

Member
David, perhaps so, but it's not my experience.

Daniel, whether one is said to have DID or any form of dissociative disorder, I agree that it's *all* about avoidance., but to what extent, and at what cost? There is, I believe, Avoidant Personality Disorder, another example of avoidance. I don't know what is other people's experience. I'm not concerned at this point whether they are self-deceived or not, though I do abhor any manipulating of vulnerable people for the sake of feeding the egos of their "therapists" or, indeed, sought by those same vulnerable people without proper reference to specialists who can best work out what is happening to them. It requires a lot of knowledge and integrity on the part of the therapist. Again, I can't speak for others.

- amastie
 
Unless one has truly lived with an individual that has had DID or multple personalities whatever they won't know what it is like The therapist can speculate all they want Unless they have gone through that life with that person I hate it how some just push it aside as nothing but there is definelty a change in personality in being
I do know it is not the same person in front of me it is sometimes very frightening it is sometimes very heart wretching and for these professionals that doubt it theyhave not seen or lived with a person that does have multiple faucets as you say . I don't know how they minimise someones experiance with this illness
 

Jazzey

Account Closed
Member
I'm not sure that they're minimizing it, Eclipse. I think rather, there's a fear of overdiagnosing that condition. Which if I understood, has been a trend in the past.

I kind've think of dissociation on this spectrum. With each patient experiencing it differently from others and with different magnitudes of strength to it? So sometimes, when someone is severely dissociative, I think it's easy for some therapists to believe that it could be DID when in fact it's just the way that this particular patient experiences dissociation. If that makes sense?

Just a different spectrum of depth to the dissociative symptoms. And I'm happy to see that we're being careful not to immediately diagnose DID. That's the way I look at it anyway. I know that initially I was asked if I felt that I had other personalities in me. I don't. It's just the way that I respond to dissociative episodes.

We trust our mental health care providers - so we believe what they tell us. I'm happy that they didn't diagnose me immediately as DID -because I would have believed it rather than focusing on my recovery and finding coping mechanisms for the dissociation.

At the end of the day, where dissociation is concerned, I'm not sure labels help. IMHO....for those of us who suffer from it, the label itself isn't really helpful...but the tools to manage it are essential.
 
At the end of the day, where dissociation is concerned, I'm not sure labels help. IMHO....for those of us who suffer from it, the label itself isn't really helpful...but the tools to manage it are essential.

I agree totally and yes each individual experience is different and with right tools one can heal in a way that is all that matters
 

amastie

Member
I'm ready to believe that DID is wrongly diagnosed at times. How often I couldn't guess at. I expect that any and all diagnoses are wrong sometimes, but I think that in the case of DID and the dissociative disorder spectrum, there is so much defensiveness too that objective debate is difficult to sustain. I have seen defensiveness in professionals (a very well known one I hold little regard for) but also in myself and others who are diagnosed along the spectrum. There are times that I *want* to go back forty years when my first psychiatrist diagnosed me as being "manic depressive" (now bipolar). I was rapt then, finally to be given a diagnosis which made sense of my behaviour. In a strange way, being given a diagnosis made me feel that I wasn't 100% crazy, but a "normal" person with an illness. Diagnoses can do many things, both self-defeating but also self-affirming I've found. In the end though, what matters most is not the diagnosis, but what we (and our caretakers) impose on the diagnosis. If it's hard to remain objective in a debate on the subject, it's harder still to remain objective about the diagnosis.

My family are good and kind people, all of them, yet I've never been able to be supported by them. They admit that they aren't good with mental illness. They would also prefer me to be manic depressive again rather than have a diagnosis which is so obscure and, to their way of thinking, associated with "multiple personality disorder" which they've heard of only through tv movies. In frustration, I've wailed to my psychiatrist "Make me bipolar!", knowing that neither us can overlook what has shown to be consistent evidence of my being highly dissociative. My highs - I still have them - are easily settled with a little anti-anxiety medication, or even conscious mindfulness, but I didn't know that forty years ago, and neither did my psychiatrist at the time. He would have given me ECT if the Haloperidol hadn't shut me up for all of one fortnight. What a difference! (As others complained of feeling like a zombie, I rejoiced in being mentally still.) Being unused to that, people at work thought I'd suddently taken sick. But the Haloperidol lasted only a fortnight. From then it was a matter of gauging how much I talked.

The difference between forty years ago and the last twenty years is the broader knowledge of the psychiatrist and her readiness to look at the *context* of the symptoms, and not just the symptoms themselves. When I received that first diagnosis, I would spend ten minutes with the psychiatrist - if I talked too much, he cut back on the Haloperidol; if I talked too little, he bumped it up. Ten minutes could easily gauge if I was high. He never did question the fact that I rarely had "lows" - though "highs" alone, I think, can mark one as in the mood disorder spectrum. (I asked my current psychiatrist if I might as well have some form of cyclothymia - "perhaps, but it does't arise nearly to the extent" of my dissociativeness, and I can see that she is right). Other people see in me the highs because they are so easy to see, but they don't see the "man" inside who can take me over when no-one is around, prevent me from accomplishing simple tasks. It is "him" who would have me be unable to wipe up a spill with his derisive laughter that on more than one occasion has erupted aloud through me.

The hardest of my experience is not seen by others. That's so often the case in someone who is dissociative.

- amastie
 
<The hardest of my experience is not seen by others. That's so often the case in someone who is dissociative.>

This is what i was trying to say Amastie often times the symptoms the others personalities are not seen only by people that get to know that person that have dealt with that person for years.
 

amastie

Member
Very true, Eclipse, and thank you.
A question I would ask is one that really needs a separate thread. Will start that now.
Take care,
- amastie
 
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