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Dissociative Identity Disorder paper - comments?

Dancing David said:
The problem comes about by the unethical use of the diagnosis, out of the five or so people who I met that had received the MPD diagnosis. 4 had active major substance abuse problems, all of them had a history closed head trauma.

My issue is that it should be viewed a tentative holding diagnosis and only used when all others have been ruled out.

DID has a high co-morbidity rate with other disorders, it's not a stand alone sort of condition.
"Axis-I comorbidity in female patients with dissociative identity disorder and dissociative identity disorder not otherwise specified. Patients with dissociative disorders averagely suffered from 5 comorbid disorders."
"Dissociative symptoms and dissociative disorder comorbidity in patients with obsessive-compulsive disorder."
 
Ah, neologisms are us apparently.

I recall the term being around since my childhood so it's a few decades old at least. You just haven't heard of it. That can happen.

Citations, please, for this scenario wherein therapists inculcate their patients, with the mechanisms fully documented.

Unknown? I think not, given that the foundation of psychiatry was at least partially built on its study, and there were famous cases a century and more before "Sybil".

Ah yes, "Sybil". Who had absolutely no MPD/DID symptoms before she encountered her "therapist", who coached her to act out the fantasy of multiple personalities.

1791 Eberhardt Gmelin

1812 Benjamin Rush

1816 Dr. Samuel Latham Mitchel
Mary reynolds

Justinus Kerner
"On the history of dissociative identity disorders in Germany: the doctor Justinus Kerner and the girl from Orlach, or possession as an "exchange of the self". The treatment of possession by animal magnetism and exorcism represents the special romantic-magnetic therapy of the German medical doctor Justinus Kerner in the early 19th century. This article describes the man, his methods, and his thinking and presents one of his most famous case studies, the girl from Orlach, which, by today's standards, was a true case of dissociative identity disorder (DID)."

1906 Morten Prince
Christine Beauchamp

For someone who demands citations, you're a bit remiss in just tossing out a stream-of-consciousness list of seemingly-random words you want us to believe are relevant. If you are expecting us to google them all, figure out what you are talking about and get back to you then you may be some time waiting.

On the other hand if you have a coherent case to make with actual links to relevant content, be my guest.

However it seems like your argument is something like "I can cite earlier cases of people acting something like they have multiple personality disorder. Therefore the outdated conception of MPD/DID as something caused by childhood trauma, as opposed to caused by a combination of unethical therapy and people's desire to act out with impunity, must be correct!". That conclusion doesn't follow from the premise.

Cultural narratives like demonic possession are just as good an excuse to act crazy as a cultural narrative of MPD/DID. I think we should file these sorts of behaviours alongside falling over when a televangelist waves his hand at you, or speaking in tongues, or making up fake miracle stories. They're things people do at first because society provides them with a narrative to fake and rewards for faking it, and maybe they even eventually fool themselves into thinking it's real.

Surely you are aware that the vast majority of published, peer-review studies done on DID correlate it to childhood trauma, what theory do you have to account for this?

I'll just repeat myself for your benefit I guess.

The MPD/DID narrative these people are following is that childhood abuse licenses you to act out and blame it on an alter. They're messed up people with unfortunate histories who like having an excuse to play a role and do things they normally couldn't get away with, and maybe pretend afterwards they have no memory of them indulging themselves. Plus people who suffered childhood abuse are far more likely to be victimised by shonky therapists who specialise in telling victims of childhood abuse that they have repressed memories, or should bung on an MPD/DID act, or whatever other nonsense is fashionable. That explains the correlation between childhood abuse and MPD/DID playacting perfectly well.

Now you have carefully avoided making any actual factual claims whatsoever, I've noted. So you don't actually have a position to discuss, as opposed to a string of unsupported quasi-citations. However if you did happen to be a believer in MPD/DID being actually caused directly by child abuse, then you'd have a job of explaining to do. Specifically, why the huge spike in MPD/DID diagnoses when the Sybil story popularised the narrative, and why are the sufferers always patients of the same small group of therapists who are in some cases MPD/DID malingerers themselves?

The mere existence of the odd pre-Sybil case with similarities isn't the issue. It's the fact that in a period when child abuse was trending down, diagnoses exploded up, correlating with a popular narrative and a group of shonky therapists but not with actual child abuse rates.
 

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