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Psychodynamic explanation to multiple personality disorder?

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βˆ™ 2011-05-19 14:24:46

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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 country.

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 disorder).

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