Psychodynamic explanation to multiple personality disorder?
This condition is now called DID (Dissociative Identity
Disorder). Too many people were thinking of it as one of the Axis
Two personality disorders. DID is an Axis One condition.
DID is caused by violent and prolonged trauma in early
childhood, usually including rape, incestuous or otherwise. People
who are able to dissociate create alternate selves to take the
abuse and trauma. Over time, these selves develop personality
patterns (and sometimes personality disorders!) of their own.
It is possible to integrate these parts together with therapy,
but it requires an excellent therapist who is able to deal with
hearing descriptions of horrible abuse. Many are not able to do
this. The abuse experienced by DID survivors is far outside the
usual, and some people aren't strong enough to let themselves admit
such abuse of children can even happen in America. But it can; the
evidence is overwhelming and incontrovertible.
The insensitivity shown to these people is often appalling --
and widespread -- at mental health clinics all over the
Many people with DID pick up ten or a dozen incorrect diagnoses
-- including of ASPD (antisocial personality disorder) -- before
finally being correctly diagnosed, and it's true that repeatedly
being bitterly accused of inventing the abuse is another form of
abuse on top of and compounding the original.
More people need to be educated about the devastation caused by
pedophiles and other child abusers so as to prevent this affliction
and others like it.
All people with DID also have PTSD (post traumatic stress