{"quotes":[{"text":"Early identification of patients who suffer from dissociative symptoms and disorders is essential for successful treatment, because these disorders do not resolve spontaneously.","author":"Marlene Steinberg","tags":["diagnosis","dissociative-disorders","dissociative-identity-disorder","mental-health"],"id":12071,"author_id":"Marlene+Steinberg"},{"text":"The most chronic and complex of the dissociative disorders, multiple personality disorder, was renamed multiple personality disorder, was renamed 'dissociative identity disorder' in 1994 in DSM-IV (American Psychiatric Association). The rationale for the name change, was among other things, to clarify that there are not literally separate personalities in a person with dissociative identity disorder; 'personalities' was a historical term for the fragmented identity states that characterize the condition.","author":"Colin A. Ross","tags":["dissociation","dissociative-disorders","dissociative-identity-disorder","multiple-personality-disorder","psychiatry","psychology"],"id":93248,"author_id":"Colin+A.+Ross"},{"text":"The lifetime prevalence of dissociative disorders among women in a general urban Turkish community was 18.3%, with 1.1% having DID (ar, Akyüz, \u0026 Doan, 2007). In a study of an Ethiopian rural community, the prevalence of dissociative rural community, the prevalence of dissociative disorders was 6.3%, and these disorders were as prevalent as mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%) (Awas, Kebede, \u0026 Alem, 1999). A similar prevalence of ICD-10 dissociative disorders (7.3%) was reported for a sample of psychiatric patients from Saudi Arabia (AbuMadini \u0026 Rahim, 2002).","author":"Paul H. Blaney","tags":["africa","dissociative-disorders","dissociative-identity-disorder","dsm","ethiopia","mental-health","multiple-personality-disorder","psychiatry","saudi-arabia","split-personality"],"id":96208,"author_id":"Paul+H.+Blaney"},{"text":"Beneath the surface of the protective parts of trauma survivors there exists an undamaged essence, a Self that is confident, curious, and calm, a Self that has been sheltered from destruction by the various protectors that have emerged in their efforts to ensure survival. Once those protectors trust that it is safe to separate, the Self will spontaneously emerge, and the parts can be enlisted in the healing process.","author":"Bessel A. van der Kolk","tags":["complex-ptsd","complex-trauma","dissociative-disorders","neuroscience","psychology","trauma"],"id":101064,"author_id":"Bessel+A.+van+der+Kolk"},{"text":"We can think of dissociation as psychological disconnection from one or more of three major spheres of experience: (a) the here and now, I.E., orientation to time and place; (b) other people, I.E., interpersonal communion; and (c) one’s own subjective experience, e.G., visceral sensation, physical pain, affect, or sense of identity. The various manifestations of pathological dissociation e.G., amnesia, depersonalization, identity fragmentation–can be understood as manifestations of these dimensions of disconnection.","author":"Steven N. Gold","tags":["amnesia","depersonalization","disconnection","dissociated","dissociation","dissociative-amnesia","dissociative-disorders","identity"],"id":103487,"author_id":"Steven+N.+Gold"},{"text":"I cut myself up really badly with the lid of a tin can. They took me to the emergency room, but I couldn’t tell the doctor what I had done to cut myself—I didn’t have any memory of it. The ER doctor was convinced that dissociative identity disorder didn’t exist. . . . A lot of people involved in mental health tell you it doesn’t exist. Not that you don’t have it, but that it doesn’t exist.","author":"Bessel A. van der Kolk","tags":["denial","dissociative-amnesia","dissociative-disorders","dissociative-identity-disorder","invalidation","mental-health","mental-health-bias","mental-health-stigma","mental-illness-discrimination","mental-illness-stigma"],"id":147494,"author_id":"Bessel+A.+van+der+Kolk"},{"text":"The primary driver to pathological dissociation is attachment disorganization in early life: when that is followed by severe and repeated trauma, then a major disorder of structural dissociation is created (Lyons-Ruth, Dutra, Schuder, \u0026 Bianchi, 2006).","author":"Frank M. Corrigan","tags":["attachment","borderline-personality-disorder","childhood-trauma","dissociation","dissociative-disorders","dissociative-identity-disorder","mental-illness","structural-dissociation"],"id":176395,"author_id":"Frank+M.+Corrigan"},{"text":"My own studies on the natural history of DID indicate only 20% of DID patients have an overt DID adaption on a chronic basis, and 14% of them deliberately disguise their manifestations of DID. Only 6% make their DID obvious on an ongoing basis. Eighty percent have windows of diagnosability when stressed or triggered by some significant event, interaction, situation or date. Therefore, 94% of DID patients show only mild or suggestive evidence of their conditions most of the time. Yet DID patients often will acknowledge that their personality systems are actively switching and/or far more active than it would appear on the surface (Loewenstein et al., 1987).R.P. Kluft (2009) A clinician's understanding of dissociation. Pp 599-623.","author":"Paul F. Dell","tags":["diagnosis","dissociation","dissociative-disorders","dissociative-identity-disorder","hidden","hidden-pain","mental-disorder","mental-health","misdiagnosis","multiple-personalities","multiple-personality-disorder"],"id":185102,"author_id":"Paul+F.+Dell"},{"text":"Treatment for DID should adhere to the basic principles of psychotherapy and psychiatric medical management, and therapists should use specialized techniques only as needed to address specific dissociative symptomatology.Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision.","author":"James A. Chu","tags":["dissociation","dissociative","dissociative-disorders","dissociative-identity-disorder","multiple-personality-disorder","psychiatrists","psychology","psychotherapy"],"id":187988,"author_id":"James+A.+Chu"},{"text":"FLATOW: So you would - how would you treat a patient like Sybil if she showed up in your officeBRAND: Well, first I would start with a very thorough assessment, using the current standardized measures that we have available to us that assess for the range of dissociative disorders but the whole range of other psychological disorders, too. I would need to know what I'm working with, and I'd be very careful and make my decisions slowly, based on data about what she has. And furthermore, with therapists who are well-trained in dissociative disorders, we do keep an eye open for suggestibility. But that research, too, is not anywhere near as strong as what the other two people in the interview are suggesting.It shows - for example, there's eight studies that have a total of 11 samples. In the three clinical samples that have looked at the correlation between dissociation and suggestibility, all three clinical samples found non-significant correlations. So it's just not as strong as what people think. That's a myth that's not backed up by science.' Exploring Multiple Personalities In 'Sybil Exposed' October 21, 2011 by Ira Flatow.","author":"Bethany L. Brand","tags":["controversory","dissociation","dissociative-disorders","dissociative-identity-disorder","exposed","fake","fraud","mental-illness-stigma","multiple-personalities","multiple-personality-disorder","reality","suggestibility","suggestible","sybil"],"id":213289,"author_id":"Bethany+L.+Brand"}],"pagination":{"page":1,"page_size":10,"total":24,"pages":3,"next":"?page=2\u0026page_size=10"}}