Dissociative Identity Disorder (DID, Formerly Multiple Personality Disorder) is a psychological disorder in which a person displays multiple separate distinct identities (alters) with their own different personalities. In order for the disorder to be classified, there must be at least two distinct alters that act on their own accord. The patient must experience a type of memory loss that goes beyond normal forgetfulness.
The “alters” or different identities have their own age, sex, or race. Each has his or her own postures, gestures, and distinct way of talking. Sometimes the alters are imaginary people; sometimes they are animals. As each personality reveals itself and controls the individuals’ behavior and thoughts, it’s called “switching.” Switching can take seconds to minutes to days.
DID is assumed to come about due to severe physical or emotional trauma. The trauma is usually severe physical and sexual abuse occurring in latechildhood. The steps leading up to DID are as follows:
- A child is harmed by their caregiver and hides the awareness of the memory
- The memories and feelings go into the subconscious
- The process happens multiple times creating multiple different identities
- The dissociation becomes a coping mechanism for the trauma when under a stressful situation.
The dissociative aspect is thought to be a coping mechanism; the person literally dissociates himself from a situation or experience that’s too violent, traumatic, or painful to assimilate with their conscious self. In mental hospitals, the case rate of DID is assumed to be in 3% of all cases. While many believe the disorder does not exist, it definitely exists and the doubt results from lack of media exposure.
Diagnosis: Psychiatrists will determine if DID is present by observing the number of alters present in the patient. As previously noted, more than two warrants DID. The other conditions required for DID include the inability to recall important information for everyday events, causes clinically significant distress in social and occupational areas, and the distrubance is not a normal part of their accepted cultural beliefs. Psychiatrists typically conduct a brief 90 minute interview to determine these factors.
Symptoms: Symptoms typically include multiple mannerisms present with different alters, severe memory loss, depression, flashbacks of trauma, paranoia, differential vocal and auditory expression, sleep disorders, and wild mood swings.
Treatment: Psychotherapy is the major component for treatment. Psychiatrists try to improve the client’s relationships with others and confront the trauma head on. Some medications may work as well.
Additional Information: DID has been featured in many movies and books like Sybil, Fight club, Thr3e, Black Swan, and my personal favorite, The United States of Tara.
Some really good documentaries:
http://www.youtube.com/watch?v=7iHJfIH20TY
http://www.youtube.com/watch?v=w1sXbnBmy8U&feature=related
From the people that brought you Tyler Durden.
:) When Rabbit Howls is the book I recommend to everyone Also, there was no DID in Black Swan, unless I completely...
Oh shit, I became obsessive with this particularly disorder, is fascinate!