The growing recognition of psychiatric conditions resulting from traumatic influences is a significant mental health issue of the 1990s. Until recently considered rare and mysterious psychiatric curiosities, Dissociative Identity Disorder (DID) (until very recently known as Multiple Personality Disorder - MPD) and other Dissociative Disorders (DD) are now understood to be fairly common effects of severe trauma in early childhood, most typically extreme, repeated physical, sexual, and/or emotional abuse.
In 1994, with the publication of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders-IV, Multiple Personality Disorder (MPD) was changed to Dissociative Identity Disorder (DID), reflecting changes in professional understanding of the disorder, which resulted largely from increased empirical research of trauma-based dissociative disorders.
Post-Traumatic Stress Disorder (PTSD), widely accepted as a major mental illness affecting 9-10% of the general population, is closely related to Dissociative Identity Disorder (MPD) and other Dissociative Disorders (DD). In fact, as many as 80-100% of people diagnosed with DID (MPD) also have a secondary diagnosis of PTSD. The personal and societal cost of trauma disorders [including DID (MPD), DD, and PTSD] is extremely high. For example, recent research suggests the risk of suicide attempts among people with trauma disorders may be even higher than among people who have major depression. In addition, there is evidence that people with trauma disorders have higher rates of alcoholism, chronic medical illnesses, and abusiveness in succeeding generations.
What Is Dissociation?
Dissociation is a mental process which produces a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity. During the period of time when a person is dissociating, certain information is not associated with other information as it normally would be. For example, during a traumatic experience, a person may dissociate the memory of the place and circumstances of the trauma from his ongoing memory, resulting in a temporary mental escape from the fear and pain of the trauma and, in some cases, a memory gap surrounding the experience. Because this process can produce changes in memory, people who frequently dissociate often find their senses of personal history and identity are affected.
Most clinicians believe that dissociation exists on a continuum of severity. This continuum reflects a wide range of experiences and/or symptoms. At one end are mild dissociative experiences common to most people, such as daydreaming, highway hypnosis, or "getting lost" in a book or movie, all of which involve "losing touch" with conscious awareness of one's immediate surroundings.
Dissociation can occur any time in our life and there is two kinds of dissociation, childhood and adulthood. Child dissociation is different from adult dissociation. Child dissociation occurs when the child is actually experiencing some sort of trauma, like abuse. Adult dissociation happens in situations like stress or family related issues. Another difference is that child dissociation does not last very long (usually a hour), but adult dissociation lasts for a longer period of time. Dissociation occurs when something so painful is happening that the mind leaves the body to go elsewhere. In Martha Stout’s essay “When I Woke up On Tuesday, It Was Friday,” she defines dissociation as the mind leaving the body and transporting our awareness to a place so far away, it feels like the person is watching from outside their body. In her essay, she tells her audience about the dangers of dissociation, such as blackout, unable to relate to others, a sense of not knowing who one is, and the sense of lost time. She also includes some of her patient’s stories and experiences with dissociation, how they struggle for sanity and how she helps them see a new meaning of life. She tells her audience that often when patients or people dissociate they have lack of self-control and self-awareness. Dissociation can happen to anybody in a dire situation, for instance a child getting abused or some other traumatic event. Martha Stout has her audience/reader rethink about dissociation particularly the harmful side of it. She has help me see that although dissociation is helpful, it could lead to suicide thought, accidents, loss of identity and sanity.
Dissociation is the disconnection or separation of something from something else or the state of being disconnected. Dissociation often occurs when people separate themselves from reality or a certain situation that they just don’t want to face. Being dissociated is like a mouse hiding out and waiting for the cat to leave; it’s like a person watching their own life through a lense. You’re living your life but you are not really apart of it, the theme of dissociation is exemplified in the two short stories: The Veldt by Ray Bradbury and For Esme with love.. by J.D Salinger. The parents in The Veldt and Sorgent X in For Esme with love and squalor exemplifies the theme of dissociation because they are all oblivious to their surroundings and are so separated from reality.
Multiple Personality Disorder (MPD) Diagnostic criteria dictates that the presence of two or more distinct identities (each with its’ own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self), as well as at least two of these identities recurrently taking control of the person’s behavior coupled with the inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness. The disturbance must also be proved to not be due to direct physiological effects of a substance e.g alcohol or due to a general medical condition e.g complex partial seizures. I will take it upon myself to argue that persons with MPD/Dissociative Identity Disorder should be held responsible for bad actions committed when in an alter state because these alters are not independent selves, but rather parts of a single person. And a person should be held responsible for what a part of them did.
The article under review is Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations by Anushka Pai, Alina M. Suris, and Carol S. North in Behavioral Sciences. Posttraumatic Stress Disorder (PTSD) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault (U.S. Department VA, 2007). PTSD can happen to anyone and many factors can increase the possibility of developing PTSD that are not under the person’s own control. Symptoms of PTSD usually will start soon after the traumatic event but may not appear for months or years later. There are four types of symptoms of PTSD but may show in different
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
Dissociative Identity Disorder, also known as Multiple Personality Disorder is a psychological disorder that can be caused by many things, but the most common cause is severe childhood trauma which is usually extreme, repetitive physical, sexual, or emotional abuse. A lot of people experience mild dissociation which includes daydreaming or getting momentarilly distracted while completing everyday tasks. Dissociative identity disorder is a severe form of dissociation. Seveer Dissociation causes a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity. Dissociative identity disorder is thought to stem from a combination of factors that may include trauma experienced by the person with the disorder. When a
Clinicians, however, do not always agree, perhaps because are more comfortable dealing with the domains of anxiety and depression. Several researches and surveys were published in this book trying to shed light on what it was that caused this disorder in people. Triggers the book talks about are the following, heritability, drug use, psychological triggers such as traumatic events, overwhelming joy, childhood traumas which measures six types: separation and losses, physical abuse, sexual abuse, witnessing violence, and neglect. People suffering this disorder can easily correlate it to severe anxiety or stress, panic attacks, depression or drug use therefore causing them to pay a little attention to these symptoms which in time will decrease or it can become a fuel and increase anxiety levels and worsening depersonalization levels. The Diagnosis of Depersonalization is made clinically, by meeting with the patient and thoroughly conducting an evaluation. This book describes several descriptions of the symptoms and as spelled out in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV), Symptoms are recurrent or
Dissociative identity disorder, a condition that has plagued and altered the minds of those who were diagnosed for many years, represents the condition in which an individual displays multiple personalities that overpower his or her behavior around others and even alone. Such personalities or identities can have staggering differences between them even being characterized by a disparate gender, race, or age. One of the sides of them can even be animal-like and display feral qualities. Also, the disorder severs the connection between the victim’s sense of identity, emotions, actions, and even memories from their own consciousness. The cause for this is known to be a very traumatic experience that the person had gone through previously and fails to cope with it, thus they dissociate themselves from the memory in order to keep their mental state in one piece. All these results from the disorder do not begin to tell of the rest of the horrors that gnaw away at the affected human.
Swartz, A. (n.d.). Dissociative Identity Disorder in AllPsych Journal. Psychology Classroom at AllPsych Online. Retrieved December 1, 2011, from http://allpsych.com/journal/did.html
Sexual molestation, beating, neglect, burning, and verbal abuse. All of these horrible happenings are believed to be linked to a condition known as Multiple personality disorder (MPD). Multiple personality disorder, also known as dissociative identity disorder, is a mental illness in which a person has two or more identities or personalities. Single personalities randomly take control of the individual's behavior. Usually, the sufferer gives the personalities their own names. These multiple personalities almost always have characteristics that greatly differ from the person's primary identity. A person with this disorder always experiences some amount of amnesia. Most of the time the individual forgets what each personality has done or said.
My topic of choice for this research paper is Dissociative Identity Disorder or DID. This appellation is rather new; therefore, most are more familiar with the disorder's older, less technical name: Multiple Personality Disorder or MPD. When first presented with the task of selecting a topic on which to center this paper, I immediately dismissed Dissociative Identity Disorder (which for the sake of brevity will be referred to as DID for the remainder of this paper) as a viable topic due to the sheer scope of the disorder. However after an exhaustive examination of other prospective topics, I found myself back at my original choice. There are several reasons why I chose DID. The foremost of which is the widespread fascination of this disorder by many different types of people; most of whom otherwise have no interest in psychology or its associated fields. One would be hard pressed to find someone who hasn’t been captivated at one time or another by the extraordinary, all too well known symptoms of this disorder. This fascination… dare I say ‘allure’ to this disorder is exemplified by the myriad of motion pictures that have been produced based on cases, real or fictitious, of DID. Another reason for my choice is what I feel is the insufficiency of effective treatments for DID. Despite what is known about this disorder, (which is relatively a lot) there are only two chief treatments for DID; the first and most prevalent is psychotherapy; also known as ”talk therapy”, the second is medication. The third and final reason for my choice is my own enchantment with DID. I must admit that ever since I read about Sue Tinker, a woman who was diagnosed with over 200 different personalities. In writing this paper I hope to discover more about this disorder and perhaps be able to identify a few areas that I feel might require more research on the part of psychologists specializing in DID.
Even though our bodies are in one place, our minds may be in another. In Martha Stout’s essay “When I Woke Up Tuesday Morning, It Was Friday,” the author introduces us to the idea of dissociation. Dissociation is when one’s mind is away from the body and he or she does not know what is going on in the physical world. Those that have traumatic histories may experience this. But because of dissociation, victims may not know if they had a traumatic past because a memory of it never really formed. Stout also finds that individuals may use dissociation as a way to protect themselves from trauma. Sometimes the slightest and smallest piece of a traumatic memory may bring into play the dissociation. When these individuals experience dissociation and become their “flyaway selves,” they do not remember what happened to them in the time they were “away.” For example, whenever “Los Angeles” was mentioned to Julia, one of Stout’s patients, she would “flyaway” as a way to protect herself from remembering any of the traumatic experiences that happened to her when she lived in Los Angeles. But Julia did not remember going through any traumatic experiences in her history because the memory never really formed. When she would “flyaway,” Julia would blackout and not recall any of the things she had done in the days previous to her “waking up” again. Stout came to the conclusion that Julia was abused as a child and as a way to escape during the abuse, she would become dissociated with her surroundings and what was happening to her. To not remember one’s own past puts them on a very vulnerable and difficult trail; dissociation may seem a way to protect oneself, but at the same time it’s harmful.
There are many symptoms of depersonalization that patients with this disorder have to deal with. J.C. Dixon studied the symptoms of DPD and found many recurring ones that people explained they had. Examples of this were: other people seemed changed or unfamiliar, things a person was used to seemed strange, body seemed detached, no self- awareness, and no difference between self and not-self (Trueman 2). These are not the only symptoms, another one is a type of obsession, like OCD. A patient may resort to obsessing over their symptoms. They may keep looking at their hands to decide if they look any more or less real than an hour ago, or may repeatedly check hundre...
According to Barlow, Durand & Stewart (2012), Dissociative Identity Disorder (DID) is one of several dissociative disorders in which a person experiences involve detachment or depersonalization. They go on to explain that people with DID ha...
The unusual memoir, A Fractured Mind: My Life with Multiple Personality Disorder, is a powerful and inspiring story of Robert B. Oxnam’s struggle with a rare and terrifying illness. According to the 5th edition of The Diagnostic and Statistical Manuel, multiple personality disorder, also known as dissociative identity disorder is when two or more distinct personality states, or “alters” are present. Each of these “alters” can cause disabling or distressing disruptions of normal functioning and include unique memories and behavior patterns. This illness is the result of developing coping mechanisms for overwhelming experiences and traumatic events occurring early in the lifespan such as child abuse.