Dissociative Identity Disorder and
The Controversy Surrounding Its Diagnosis
William Parkinson
Long Beach City College Title
Dissociative Identity Disorder and the Controversy Surrounding Its Diagnosis
My Opinion Prior to This Course Before taking this psychology class, I had been skeptical of the Dissociative Identity Disorder. I had the same experiences as most people from the media. I had seen Sybil, the 1976 film starring Sally Field, and read “The Minds of Billy Milligan” while I was in high school. The subject piqued my curiosity, but I always saw it as a little too fantastical, especially the Milligan case, to possibly be legitimate. I merely discounted DID as a pseudo-disorder extremely clever individuals could use to avoid consequences or prosecution. A decade or so later, I found myself dating a woman who, after a couple months of the relationship, revealed that she was, in fact, diagnosed with DID. Needless to say, the relationship was tumultuous, unhealthy and very unfulfilling. Nonetheless, even with first hand experience, I was still left with tinge of doubt whether my ex’s case was “real”, or rather a well-crafted ruse to collect disability income. Worse, might the therapist be trying to his mark?
Information From Textbook and Course Originally known as Multiple Personality Disorder, or MPD, DID is the most rare of the dissociative disorders. Like other dissociative disorders, DID is characterized by abrupt dissociations, or breaks in consciousness. Where it differs from other dissociative disorders is in those breaks. Rather than simply losing identity, awareness and even memory, another identity, a completely different personality, takes the place of the other. DID diagnosis requires that there be at least two personalities, but there are often more. There is a main identity known as the “core”, that doesn’t know about the alternate identities, but is aware of gaps in memory and time. Each alternate identity, too, has its own memories and behaviors that are completely different, separate and, importantly, hidden from the core identity. As with other dissociative disorders, DID switching is usually triggered suddenly by psychological stress. Unlike other dissociative disorders, DID is not
Diagnosis of dissociative identity disorder (DID) accounts for an estimated 1% of the general population and up to 20% of inpatient and outpatient psychiatric populations (Brand & Loewenstein, 2010). DID can also be triggered and manifested in individuals which is why trauma is especially prevalent in individuals diagnosed with DID; about 71% have experienced childhood physical abuse and 74% sexual abuse (Foote, Smolin, Kaplan, Legatt, & Lipschitz, 2006). Due to trauma being so prevalent in DID many individuals with dissociative disorders suffer from a multitude of psychiatric issues that may include
Each identity has unique characteristics whether or not the personalities are aware of each other. The Mayo Clinic’s article states, “Each identity may have a unique name, personal history and characteristics, including obvious differences in voice, gender, mannerisms and even such physical qualities as the need for eyeglasses” (Mayo Clinic Staff). People with dissociative identity disorder may experience amnesia from time to time. The Cleveland Clinic’s article states, “The person may experience amnesia when an alter takes control over the person’s behavior” (“Dissociative Identity Disorder”). In certain instances, patients with DID may actually benefit from their disorder. The Cleveland Clinic’s article states, “In some cases, the person with DID may benefit from a particular alter (for example, a shy person may use a more assertive alter to negotiate a contract)” (“Dissociative Identity Disorder”). Though, in most cases, people suffering from dissociative identity disorder will have problems and added chaos in their lives due to their disorder. The Cleveland Clinic’s article also states, “More often DID creates a chaotic life and problems in personal and work relationships. For example, a woman with DID may repeatedly meet people who seem to know her but whom she does not recognize or remember ever meeting. Or she may find items around the home that she does not remember buying” (“Dissociative Identity Disorder”).
In chapter 15 of Exploring Psychology, the author discuss the basics of psychological disorders. Within this assignment, the psychological disorder of my choosing is Dissociative Identity Disorder. The commonality of the disorder is rare. Although we’ve disassociated ourselves in some form or the other with our ability to daydream, Dissociative Identity Disorder (DID) is more severe and is usually linked to trauma. Formerly the disorder was known as Multiple Personality Disorder (MPD). Individuals who suffer from this disorder usually have more than one aspect of themselves or personalities, whom he or she is completely unaware of. Sufferers of the disorder have to deal with a variety of symptoms such as memory loss, depression, anxiety, hallucinations, black-outs, impulsiveness, and perception of being detached from the self. The severity of the trauma is usually extreme, repetitive, and long-term. The individual may have an extensive history of physical, emotional, and/or sexual abuse.
Dissociative identity disorder is called a multiple personality disorder up until 1994 when they changed the name to give us a better understanding of the condition. Some people believe that patients with DID can become easily hypnotized and their symptoms are iatrogenic, "meaning they have arisen in response to therapists' suggestions. Brain imaging studies, however, have corroborated identity transitions in some patients." Usually a primary identity will carry the individual's name and is passive, dependent, guilty, and depressed. When an
The mental illness called dissociative identity disorder or DID brings up many controversies in the world of psychology. Many psychologists have their doubts as to whether it is a "real" diagnosis or not. In the article "Dissociative Identity Disorder: A Controversial Diagnosis" the author goes into detail, providing facts that have been collected from many sources and gives information as to why it is such a controversial topic. The article answers many questions regarding the topic, providing the reader with enough information to understand why there is such a controversy surrounding this topic.
Dissociative identity disorder is a condition to where a person has had a split in themselves that has caused one or more personalities to come forth. Doctors have hypothesized that by experiencing traumatic events in early childhood whether it’s physical, sexual, or mental abuse; even witnessing a murder or experiencing a great loss in life can trigger multiple personalities. Dr. Cornelia Wilbur had a patient in the 60s, Shirley Mason, also known as Sybil Dorsett, who had sixteen split personalities. Sybil showed through countless therapy sessions her different personalities. Allen Frances, M.D., does not believe that DID exist in the mind or body of someone, he believes that this disorder is diagnosed too often to patients for it to be true. Although some doctors and experts
Multiple types of human behaviors have been explored and researched. Psychologists have created several perspectives in order to explain human behaviors. These perspectives can be applied to human behavior to comprehend the motive as to why the behaviors arise. DID (Dissociative identity disorder) is a misunderstood disorder. It was once called Multiple Personality Disorder. These people have several identities as a way to defend themselves after a traumatic event. Psychologists before did not understand the disorder and were confused by DID. Countless amounts of people have been incorrectly diagnosed and others believed they had been possessed, but due to research and psychological perspectives, we are able to understand why this disorder exists and how to treat it. Psychological perspectives were created in order to explain all types of mental illnesses and various behaviors. They have helped psychologists diagnose patients in order to correctly treat them. Dissociative identity disorder has been studied continuously by psychologists in order to find the rationale behind the disorder, using the psychological perspectives psychodynamic and biological.
This paper explores 3 references. A website about Dissociative Identity Disorder (DID), a book about this disorder and a couple of people who suffer from it, and a magazine article about one person that has experienced DID. This research discusses what DID is, it symptoms, what cause it, and two people that had/have this disorder.
The opposing side of Dissociative Identity Disorder claims DID is not a real condition and should be taken out of DSM-V for reasons concerning patients faking their symptoms, patients misdiagnosed and the treatments used on them. The first evidence used to show DID is not a real condition says patients diagnosed are faking their symptoms. David H. Gleaves of Texas University, author of The Sociocognitive Model of Dissociative Identity Disorder: A Reexamination of the Evidence, claims, “Individuals who are diagnosed as having DID are generally attention seeking and it is obvious in the clinical presentation” (43). The opposition believes patients may want to fake their symptoms for a diagnosis to avoid being identified as insane by others around them. It has been said DID symptoms are easily recognized, but patients diagnosed may show symptoms that are difficult to follow. Inexperienced clinicians still diagnose these patients as having Dissociative Identity Disorder. Inexperienced clinicians may also not recognize that some of these symptoms are linked to other disorders that they may be less familiar with. “Dissociative symptoms have been found to discriminate patients with DID from those with a variety of other disorders, including schizophrenia, eating disorders, panic disorder, borderline personality disorder, partial complex seizures, and simple posttraumatic stress disorder” (Gleaves 44). Dissociative Identity Disorder is a disorder that doctors can diagnose patients with if they are unsure what else this could be. This can be unbeneficial to the patients who are misdiagnosed because they are not actually receiving the correct treatment they need for the condition. Gleaves also states the treatment of Dissociative Identity Disorder can create or worsen the disorder by clinicians putting thoughts into the patient’s head.
This paper will discuss dissociative identity disorder which is one of several dissociative disorders. Dissociative identity disorder has not been around as long as many other mental disorders, the earliest cases of persons reporting dissociative identity disorder symptoms were not recorded until the 1790’s. (Frey R.J., Ph.D. Cataldo L.J., RN, Ed.D. Longe J.L., 2015.). Even though it has not been around for that long psychiatrists are debating whether dissociative identity disorder was previously misdiagnosed and underreported, or currently over diagnosed. (Frey et al 2015.). Psychiatrists may not find out wither if it is over, under or misdiagnosed but people need to know what DID is. People also should
Dissociative personality disorder (DID), formerly known as multiple personality disorder, is an illness that is characterized by two or more distinct sub-personalities that repeatedly take control of the patient’s conscience and behavior. Each unique personality may exhibit behavior patterns, memories, and social relationships exclusive to that personality. According to the National Alliance of Mental Illness, the occurrence of DID is in one percent of the population of the United States (National Alliance of Mental Illness, n.d.). There is a rough estimate of 316 million people in the United States according to the census in 2013. Rendering to this statistic, 3.16 million people have Dissociative Identity Disorder in the United States.
Dissociative identity disorder used to be considered a rare disorder. Between the years 1816 and 1944 there was only seventy-two diagnosed cases (Freeland). It wasn't until the release of Sybil, written in 1973 about
Dissociative identity disorder, which was formerly known as multiple personality disorder, is a disorder that a person seems to experience at least two or more personalities. Dissociative identity disorder is usually the effect of severe trauma during a person’s early childhood. This trauma is usually repetitive physical, sexual, or emotional abuse to a child. The children that are the receiving end of this abuse tend to use this dissociative aspect as a coping mechanism. Some people who suffer from dissociative identity disorder also may have suffered from post-traumatic stress disorder. The different personalities of a person with dissociative identity disorder, have their own race, sex, and age. They
“The average patient with DID has been in the mental healthcare delivery system an average of 6.8 years and has received more than three other diagnoses, reflecting either misdiagnoses or comorbidities, before receiving an accurate diagnosis of DID” (Kluft 2005). This means that DID can be hard to diagnose right away . One of the scholarly article examines Dissociative Identity Disorder (DID) from a diagnostic perspective in an attempt to produce a definitive categorization for the controversial disorder. The article begins by acknowledging the controversy about DID by stating that many clinicians have doubts about whether it even exists. Still, the disorder does appear in the DSM-IV and most recent addition, the DSM-5, so it is respected by American Psychiatric Association. The diagnostic criteria for DID in the DSM-IV requires the display of several core personalities that are totally unaware of one another. Formally this is how DID is recognized, and its place within the DSM-IV at all bears witness to the genuine nature of the disorder. Next, the article discusses one of the more popular conceptions of DID: that it is a “defensive response that results naturally from continuous and
This research paper aims to explore the mental disease known as Dissociative Identity Disorder (DID), previously known as multiple personality disorder. I explore the meaning, symptoms, and effects of DID. My research describes those diagnosed with DID and the probable reasons of why they have the disorder. This study also explains the many different treatments and the effects those treatments might have on a person that has the disorder. I include a research study done on someone diagnosed with DID, the method used to help treat her, and the results of her treatment. Lastly, I state my opinion on DID and the methods I believe with help people prevent, treat, and cope with