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Dissociative Identity Disorder: A Case Study

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Review of Dissociative Identity Disorder
The grouping of Dissociative Disorders within the DSM contains multiple diagnoses that center upon lapses in memory or feelings of bodily attachment and reality as a result of trauma. Specifically, Dissociative Identity Disorder, previously named Multiple Personality Disorder until 1994 (DSM-IV, American Psychiatric Association, 2000), is a stress and trauma related disorder which results in the presentation of multiple distinct and unrelated personality states within one individual. This fragmented personality is usually accompanied the experience of inexplicable memory gaps as a result of split consciousness. (Comer, 2015). Dissociative Identity Disorder (DID) has been a controversial diagnosis since …show more content…

Future sessions yielded more answers to the reasons behind Calliope’s forgetfulness as the psychologist met 5 other subpersonalities. Eventually, Kaly, one of the subpersonalities that identified as a 9 year old girl revealed that Calliope had been raised by her aunt and uncle after witnessing the death of both her parents in a boating accident. Her uncle, who went by the name Mitchell, had been both physically and verbally abusive to Calliope and her aunt (Burke et. al., 2016; Comer, 2015; Spitzer, …show more content…

Because of the role of social factors in the presentation of symptoms it is possible that such cases were seen as demonic because sufferers felt that this sort of identity was the only possible explanation that would be acceptable. Cases of demonic possession including altered personality states date back to the 17th century (Ross, 1989). The beginning of the proper psychological study of the disorder began with Freud, Breuer, Janet and was initially part of a grouping known as “hysteria” or psychosis. Cases of DID after often accompanied by other somatic symptoms which are not explained by medical conditions. Freud especially was interested in these inexplicable phantom symptoms. The landmark case study of Anna was the first in-depth analysis of this particular type of “hysteria” and Anna received Freud’s signature “talking cure,” showing the effectiveness of psychodynamic therapy (Rosenberg & Kosslyn, 2014; 255). For Freud and his companions these issues surrounding multiple personalities stemmed from the excessive use of repression as a coping mechanism. Psychodynamic perspective first to address the issue and still a popular perspective used for treatment and construct

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The client presented in this paper is Truddi Chase, the author of the novel When Rabbit Howls. Truddi was a survivor of severe sexual, emotional, and physical abuse at the hands of her mother and step-father (Chase, 1987). Truddi suffered daily horrors that triggered her to ‘split’ into different personalities that helped her compartmentalize her trauma and face daily life (Chase, 1987). It was not until she sought therapy in her forties that she was diagnosed with dissociative identify disorder (Chase, 1987). Truddi refused to integrate her personalities, choosing instead to tackle life as a team dubbed ‘the Troops’, and by her death she had discovered 92 separate personalities (Chase, 1987).

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Multiple Identities at Once Dissociative Identity disorder or DID for short is an disorder in which the patient has a split personality between multiple personas. These Personas act different from one another throughout their life and help them a plethora of problems like stress or trauma. In such cases like the great football player Herschel Walker he had multiple personas to help him deal with life including one for football, earlier trauma, school, and social confrontations. Even though someone can have multiple personas and it may seem like they overlap, in fact only one is prevalent at a time while the others wait for when they are needed. Herschel Walker as a kid was bullied because of his weight and race.

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Famed psychologist, Sigmund Freud, is perhaps one of the most iconic and influential figures in the sphere of faulty scientific reasoning to date. Though his theories and ideas remain to be integral parts of psychological culture, a large number of them have been wildly disproven by modern scientists, who cite Freud’s misuse of evidence (more specifically, case studies) as a contributing factor to the erroneousness of his claims. Case study, Freud’s preferred method of investigation, extensively examines a single group, person, etc. As a result of this, one cannot use a case study as a dependable source of information, nor can one generalize a case study to a broader population, despite Freud’s multiple attempts to do just that, in a variety of studies dealing with mentally-ill patients. It is outdated and unreliable; a source of evidence that is of little to no scientific value, yet, one that still endures to be staple among discredited scientists and groundless researchers alike.

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One of Freud’s theories is that the “Id – Ego combination dominates a person’s behavior until social awareness leads to the emergence of the superego, which recognizes that

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According to Horne (2002) intervention and planning therapy are closely connected. The primary purpose of the initial interventions and the practices chosen must be contingent upon the nature of the issue being presented as well as the physiotherapist security with a specific method, for example, “cognitive, group, and behavioral rehabilitation” (para. 1). Treatment planning and interventions relate to solving substance abuse issues and the problem that will be identified during the physiotherapist process. And, if intervention is determined, the mission is to effectively resolve the difficulties and work to seek modification for the current issues. There are various phases of presenting problems which can be labelled in terms of spousal problems, close relative issues, as well as extended-family difficulties wherein each stage requires its own exclusive therapy treatment.

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In Me, Myself and Irene, the main character, Charlie, has dissociative identity disorder. A dissociative disorder is a condition that involves disruptions in consciousness, memory, identity, or perception. Dissociative identity disorder can be characterized by the presence of two or more distinct personality states that take control of the persons behavior. Charlie started off as a happy, newlywed and normal guy. His wife Layla cheats on him and ends up leaving him with three children, none of which are his.

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Other specified dissociative disorders, major depressive disorder, bipolar disorders, PTSD, psychotic disorders, substance/medication-induced disorder, personality disorder, conversion disorder (function neurological symptoms disorder), seizure disorder, and Factitious disorder and malingering. Aaron Stampler could not be diagnose with any of these differential diagnosis because dissociative Identity disorder is the only disorder in the DSM-5 where we see disruption of identity characterized by two or more distinct personality states. (American Psychiatric Association & American Psychiatric Association, 2013, p.

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Dissociative Identity Disorder is having two or more separate identities that may not generally know about one another's musings, sentiments, and conduct. The indications for dissociative identity disorder are the vicinity of two or more unmistakable identities or personality states, control of the individual's conduct repetitively taken by no less than two of these identities or personality states, and a powerlessness to review vital individual data. As mentioned some time recently, Batman and his modify inner self Bruce Wayne have two distinct identities. From viewing the movie, I have watches Batman being biting and impatient. On the other hand, Bruce Wayne was more emotionless and quiet.

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Upon further reviewing the criteria for both disorders, I decided that Histrionic Personality Disorder is not congruent with the presentation of Miss Diagnosis’ symptoms. The main reason I ruled it out is the egosyntonic aspect of Histrionic Personality Disorder. Miss Diagnosis was not happy with the way her life was and did not love who she was. She desperately wanted to change. Her actions were less attention seeking than what is characteristic of Histrionic personalities.

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The disruption of marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning” (American Psychiatric association,2013). To be diagnosed with dissociative identity disorder, a person will have at least two, and possibly more, distinct identities or personality states. Each will have its own pattern of sensing, thinking about and relating to self and environment (Bexson, 2005). These identities will repeatedly assume control of the person’s behavior, which is what the narrator possesses in this film when he falls asleep, and dissociates into Tyler Durden. One important similarity between the film Fight Club’s dissociative identity disorder and the real one is the interpretation of a stronger, more confident personality that takes over the narrator.

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Billy Milligan, or popularly known as the “guy from that movie Split”, has recently become the known face for a disorder called dissociative identity disorder, or formally known as multiple personality disorder. Dissociative identity lies under the main category of dissociative disorders in the DSM-5. Dissociative disorders are disorders in which conscious awareness becomes separate or dissociated from previous memories, thoughts, and feelings. Now, what exactly is dissociative identity disorder? Well, DID, for short, is a rare dissociative disorder that a person exhibits two or more distinct and alternating personalities.

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For much of the movie, Split portrayed a man with Dissociative Identity Disorder as an actual person. Split treats these alters as it should: separate identities in their own right, each with different traits and personalities. Kevin identifies with 24 different personalities throughout the movie. The alters, see a psychiatrist by the name of Dr. Fletcher who explains, “The brain has learned to adapt to the trauma.” Which is what happens to people with Dissociative Identity Disorder.

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Dissociative Identity Disorder, or better known as Multiple Personality disorder, is an extreme kind of dissociation where the affected individual creates distinct and different personalities in response to severe trauma or violently stressful situations. They remove themselves from any behaviors, memories, feelings and/or actions that would identify with the main personality, from the person that experienced the events. Each identity has its own name, gender, manner of speech and behavior as well as its own personal history. Causes Dissociation occurs due to an individual’s attempt at coping with a difficult situation, usually trauma. It is more commonly seen among young children whose sense of personality is still impressionable and can

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Most of the DID that we see in the movie stems from the narrator’s discontentment with his career and where he has ended up in life. The main cause of DID, however, is widely believed to stem from a severe or traumatic experience during childhood. The movie gives no pretext of this ever occurring, and instead makes it appear that the narrator’s other identity was created as a way for him to cope with his anxiety. This is far different from nearly every true-to-life account of DID, in which the individual diagnosed usually has experienced some form of childhood trauma. One of the most famous examples, that of Kim Noble, the woman with 100 personalities, involved repeated abuse as a child.

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(Freud, 1949) Help is provided to the clients to enable them strengthen their EGO and protect it from being in any conflict between their ID and SUPEREGO. This theory is used to rectify the client’s character and their system of personality if found to have issues. The theory aims at making the unconscious, conscious by releasing the repressed emotions and experiences. Psychoanalytic theory also aims at helping clients work through their developmental stages not previously resolved well to solve the problem of fixation.

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