multiple personality

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The hit television series premiered its second season with a show dealing with a multiple personality (known now as dissociative identity disorder). She comes to the clinic because the police do not believe she witnessed a murder and wants someone to investigate. As the plot unfolds, it becomes apparent that the young woman switches (goes from one alter to another one)between two primary personalities, though a two additional ones reveal themselves at the end.

For the most part, the writer deals with the controversial mental health health issue of multiple personality in an informative and respectful manner. The different personalities are shown to be distinct from the other ones and the male personality is introduced as “the protector”, which indeed is his function. The writer comments that the alter is “one dimensional”, but never explained what that meant. The control in which the main personality handles a particularly frightening and extremely threatening situation without switching to an alter that was created to handle such fear and anxiety was totally unrealistic. However the positive information given about dissociative identity disorder overall was not sensationalized and gave viewers a good grasp on the issues multiple personalities deal with. It is hoped that other shows will follow this trend and continue to represent this very distressing disorder with respect.

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One of the most perplexing mental health illnesses is Dissociative Identity Disorder. This disorder is best recognized as multiple personality disorder, a disorder that came to the public’s attention through movies such as “The Three Faces of Eve” and “Sybil”. Estimates vary, but only about 1% of the general population and anywhere from 5 to 15% of the psychiatric community suffers from multiple personality.

There has always been controversy surrounding this diagnosis. Does the personality (alter) represent a delusion or something real? Multiple personality is also something that has no objective criteria to observe, so the diagnosis seems very subjective. Some people believe that it is all made up and is produced by a therapist and an overly suggestible client.For those who suffer from DID, the disorder, real or delusional, wrecks havoc in their lives. Getting up in the morning and deciding what to wear is a difficult time because each alter may have his/her own opinion about what to wear. The choice of foods at meal time can be quite problematic as well. In fact, any situation requiring a decision or choice can be quite trying as one tries to sift through all the opinions heard in one’s head.

Just how did this splitting come about? Some people theorize that extremely traumatic events in which the child has difficulty dealing with can cause splitting. By dissociating when this event occurs, the child psychologically separates from the event to such an extent that they may not have direct recall as to what happened. As the child continues to use this ingenious method of escape, this defensive coping strategy becomes habituated and they begin to use it whenever they feel threatened. It now does not have to be triggered by an abusive or life-threatening situation. Over time the repetitive nature of the dissociation may result in separate parts of self that take on identities all their own. It feels very safe to let “separate personalities” function in different settings. At times several personalities unite to carry out a common goal, such as work.

Group forming:   Group therapy often is a good place for people to learn more about their diagnosis and engage in interventions designed specifically for their disorder. It is very helpful to know that they are not the only people who struggle! My group will be forming soon. It is a ten session group focusing on dissociative identity disorder (DID)and post-traumatic stress. Each group member must be in individual therapy or have a very strong support network.Please call (407) 375-1214 for more information.

About the author: Evelyn Wenzel LCSW, CAP is a private practice therapist in Orlando, FL. She works with clients of all ages. She specializes in PTSD, anxiety and depression, addictions, and people struggling with self-injurious behavior.

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