We all daydreamed, gotten lost inside a movie, has even had an out of body experiences; don’t worry it’s all common, but it is also a mild form of dissociation. Dissociation is a separation within an individual’s actions, memories, thoughts feelings, or has a sense of being unreal. Among the most incomprehensible or mystifying and controversial is the rare dissociative identity disorder. It’s the most severe and chronic manifestation of the dissociative disorders.
This colossal dissociation of identity from a conventional cognizance embodies those with dissociative identity disorder, (DID; previously known as multiple personality disorder) in which two more diverse characteristics are said to interchangeably switch the person’s demeanor. Dissociative identity disorder is thought to stem from severe trauma mostly in the person’s early childhood (usually around the age 9), due to extreme cyclical sexual, physical and/or emotional abuse. The dissociative aspect is assumed to be a managing method, because literally each personality has its own mannerisms, voice, age, sex, and even race; by dissociating their selves from a situation or experience that are too painful violent to assimilate with their conscious self. Typically, the original personality denies any awareness of the other identities.
Understanding the development of multiple personalities is difficult, even for highly trained experts; making a diagnosis of DID take time. It’s estimated that individuals with dissociative identity disorder has spent seven years in the mental health system prior to diagnosis. This is because of the similarities of symptoms of many psychiatric diagnosis of treatment that they seek. The DSM-IV provides the following criteria to diagnose dissociative identity disorder:
1. Two or more distinct identities or personality states are present, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.
2. At least two of these identities or personality states recurrently take control of the person's behavior.
3. The person has an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.
4. The disturbance is not due to the direct physiological effects of a substance (such as blackouts or chaotic behavior during alcohol intoxication) or a general medical condition (such as complex partial seizures). www.fortea.us/english/psiquatria/dissociative.htm: Analytical Overview, Jacqueline Costello. York College of Pennsylvania
These dissociated states are not fully mature personalities, but rather they represent a disjointed sense of identity. The ranges of identities are from 2 to more than 100. At least two of these identities or personality states recurrently take control of the person’s behavior. Particular identities may emerge in specific circumstances, alternative identities are experienced as taking control in sequence one at expense of the...