Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Personality has a myriad of definitions though for the purpose of this paper, we shall use the
general definition according to Jess Feist (1994, pp.6-7), she refers to personality as:-
individual that give some measure of consistency to that person’s behaviour .These traits
may be unique, common to some group or shared by the entire species, but their pattern is
A disorder as defined by the Merriam Webster Online Dictionary as an abnormal physical and
mental condition.
Thus, multi-personality disorder, which is now known as Dissociative Identity Disorder (DID), is
defined as a psychotic disorder characterized by having at least one “alter” personality that
controls behaviour. The “alters” are said to occur spontaneously and involuntarily and function
According to Barlow & Brown (1996, p. 109), DID is characterized by the following in the
DSM-IV:
b) at least two of these identities or personality states recurrently takes control of the
person’s behaviour;
ordinary forgetfulness;
d) the disturbance is not due to the direct effects of a substance, (for example a black-out
1
Dissociation as defined in the DSM-IV is referred to as a disruption in a person’s consciousness,
memory, identity, or perception of the environment (Barlow & Brown, 1996, p.105).
DID in the DSM-IV, is included in a category referred to as the dissociative disorders which are
characterized by alterations in perceptions or a sense of detachment from one’s self, from one’s
Dissociative Fugue, which according to Barlow & Brown (1996, p.109) is sudden and
unexpected travel away from home or work, accompanied by an inability to recall one’s past and
information, usually traumatic or stressful in nature (Barlow & Brown, 1996, p.109).
one’s mental processes or body that is accompanied by intact reality testing (Barlow & Brown,
1996, p.109).
2
An individual that suffers from dissociative identity disorder only displays one personality at one
time and the alternation of personalities usually produces lapses in time in the personality that
has been displaced (Bryant 1995). The alternation or “switching” between personalities can be
quite abrupt and often takes just seconds (Putnam et.al., 1986).
The general causes of dissociative identity disorder often (though they may vary) include:
childhood abuse, over-exposure to repetitive traumatic events, and lack of proper support from
(http://www.buzzle.com/editorials/9-24-2004-59666-asp ).
Dissociative Identity disorder is more prevalent in women, particularly those who report having
suffered physical or sexual abuse during childhood (Boon & Draiger, 1993) and are often in their
twenties or thirties though they generally range between the ages of eleven and sixty-seven
(Vitkus, 1993, p.49). The case studies used by Vitkus (1993, pp. 37-45) and Barlow & Brown
(1996, pp. 101-108), presents a case study of a patient called Sherry and Wendy respectively
who suffer from dissociative identity disorder. Sherry was fortunate enough, as she only had two
alter personalities while Wendy had several as her abuse was very severe and begun at a very
The statistics that support physical and sexual abuse as the main reason behind the development
of multi-personality disorder are quite startling, out of a sample carried out of a hundred persons
with DID, 97% had experienced significant trauma, usually physical and sexual abuse (Putnam
et.al. , 1986). A history of incest was observed in 68% of this sample. In another sample, 95% of
the ninety-seven cases reviewed, reported physical or sexual abuse (Ross et.al., 1990). Some
patients reported being buried alive; others reported being tortured with burns or with cuts.
3
The number of alter personalities varies widely among individuals with DID ranging from one to
as many as fifteen. Though this figure may be off due to those who have very many personality
disorders; an association has been found between the number of reported childhood traumas and
A person with dissociative identity disorder develops two or more distinct personalities often
called sub-personalities, each with a unique set of awareness, behaviours, thoughts, and emotions
According to Vitkus (1993, pp.49-50), alter personalities generally form three basic clusters:
Core personalities contain the characteristics that generally describe the patient as he or she is
known to most people. These personalities are usually meek, passive and obedient, and they aim
The second cluster consists of one or more personalities that are self-confident, outgoing and
assertive. These personalities often become aggressive, reckless or promiscuous. Many times
these personalities attack people who have mistreated them in their lives such as abusive parents,
though more often than not their anger is directed towards the core personality.
Sometimes they may attempt to “punish” the core personality through suicide attempts or by
inflicting painful wounds. Wendy Howe, the case study used by David Barlow & Timothy
Brown (1996, p.108) to bring out DID, more often than not cut or burned herself during a
dissociative state to make the memory stop. Although she momentarily felt better, she would
4
The third cluster includes personalities that act as intermediaries between the submissive and the
aggressive personalities. These intermediaries often not only serve as referees who reconcile the
different needs of the other personalities but also function as rational spokespersons who can
sympathize with the meek core personalities, yet at the same time understand the wild and
According to Vitkus (1993, pp.50-51) interactions among different personalities have two
common properties:
Firstly, these interactions are characterized by asymmetrical amnesia also called directional
awareness. The core personality typically has no knowledge of the other personalities, whereas
these other personalities at least have a limited knowledge of the core. In most cases the
Secondly, the interaction between personalities is trance logic (a suspension of the rules of logic
and reason). Alter personalities revert to trance logic to explain their attempts to harm the core
personality. Fifty-three percent of the suicide attempts in the sample taken by Putnam et.al.
(1986), resulted from an alter personality attempt’s to kill the core personality, a process referred
to as “internal homicide” by researchers. Sherry had two alter personalities, her alter, Karla in
this particular interaction was not concerned by the fact that if Sherry did manage to kill herself
during her suicide attempts she would also die. To Karla this did not matter as she would simply
float to another body but at present she had to be with Sherry (Vitkus, 1993, p.51).
Though according to Comer (2004, p.220), the interaction varies from case to case, there are
5
a) The mutually amnesic relationships, the sub-personalities have no awareness of one
b) Mutually cognizant patterns: each sub-personality is well aware of the rest. They may
c) One-way amnesic relationships: some sub-personalities are aware of others, but the
awareness is not mutual. Those that are aware are called co-conscious sub-personalities,
are “quiet observers” who watch the actions and thoughts of the other sub-personalities
In terms of vital statistics, sub-personalities may differ in features as basic as age, sex, race and
family history.
Abilities and Preferences: sub-personalities may have different areas of expertise or abilities; one
may be able to drive, speak a foreign language or play a musical instrument while others cannot
(Coons et al., 1988); their handwritings may also differ (Coons, 1980). In addition to having
Perspectives
Two perspectives have been put forward to try and explain why dissociative identity disorder
6
I. Psychodynamic Perspective:
This perspective views dissociative identity disorders as a result of the person’s use of repression
to block from consciousness unpleasant or traumatic events (Sue et.al, 2000, p. 169). The split in
personality may develop because of traumatic early experiences combined with an inability to
escape them (Sue et.al, 2000, p.170). Some researchers believe that one or more personalities
According to Kluft (1987a), there are four factors that are necessary in the development of
In addition to these factors an individual who is highly susceptible to hypnosis may also be able
I. Behavioural Perspective
The behavioural explanations of dissociative identity disorder include role playing and selective
attention. Role playing may be combined with selective attention to certain cues. The person
7
responds only to certain environmental stimuli and then behaves in a way that would be
appropriate if only those stimuli were present (Sue et.al, 2000, p. 171).
More often than not, individuals with DID are misdiagnosed with depression, personality
disorder, anxiety, substance abuse and schizophrenia. The symptoms for DID is memory loss in
8
According to Barlow& Brown (1996, pp.111-112), the process of dismantling the walls that have
a) Recognizing the existence and gradually getting to know the different alters
c) Learning new coping strategies and obtaining increased supports so that more awareness
d) Confronting and reliving the early traumas to understand the original need for the walls
and to process the intense negative feelings and thoughts associated with these memories,
and
e) Coming to understand the ways in which the traumas affected many ways of coping and
learning how the present differs from the past in ways that allow new and more adaptive
strategies to be used.
Psychologists go through the steps with their patients and when they are ready, the
psychologists help them to fuse the different personalities to the primary (core) personality.
Conclusion
Dissociative Identity Disorder is largely a new personality disorder, and as such due to its
complex nature and the number of misdiagnosed cases, an individual may have to undergo six to
seven years of therapy before being accurately and conclusively diagnosed with multi-
personalities.
9
In the recent past the number of reported cases has increased due to the reported increases in
physical and sexual child abuse. The society as such has an even greater responsibility to ensure
that children are well protected in order to prevent some of these personality disorders. The state
as well through Social and Child Services should enact laws that protect vulnerable children and
remove them from environments that are detrimental to their holistic development. Such children
should be placed in environments that are loving and supportive in order to enable them to face
the negative feelings and emotions associated with the abusive period in their lives. In this way
they are able to move on and develop stable and secure personalities.
REFERENCES
Barlow, D. H., & Brown, T.A. (1996). A Casebook in Abnormal Psychology. Pacific Grove:
Boon, S., & Draiger, N. (1993). Multiple personality disorder in the Netherlands: A clinical
10
Sue, D. W., & Sue, S. (2000). Understanding Abnormal Behaviour (6 Ed.). Boston,
disorder: A case report. Journal of Abnormal Psychology, 98, 326-329. In Sue, D., Sue,
D. W., & Sue, S. (2000). Understanding Abnormal Behaviour (6th Ed.). Boston, New
Comer, R. J. (2004). Abnormal Psychology (5th Ed.). New York: Worth Publishers
Coons, P. M., Bowman, E. S., & Mulstein, V. (1988). Multiple personality disorder: A clinical
Comer, R. J. (2004). Abnormal Psychology (5th Ed.). New York: Worth Publishers
Ellenberger, H.F. (1970). The Discovery of the Unconscious. New York: Basic Books. In
Comer, R. J. (2004). Abnormal Psychology (5th Ed.). New York: Worth Publishers
Feist, F. (1994). Theories of Personality (3rd Ed.). Fort Worth: Harcourt Brace College
Publishers
of Psychology, 132, 389-404. In Sue, D., Sue, D. W., & Sue, S. (2000). Understanding
Abnormal Behaviour (6th Ed.). Boston, New York: Houghton Mifflin Company
11
Kluft, R. P. (1987a). Dr. Kluft replies, American Journal of Psychiatry, 144,125. In Sue, D.,
Sue, D. W., & Sue, S. (2000). Understanding Abnormal Behaviour (6th Ed.). Boston,
Putnam, F. W., Guroff, J. J., Silberman, E. K., Barban, L., & Post, R. M. (1986). The clinical
Clinical Psychiatry, 47, 285-293. In Barlow, D.H., & Brown, T.A. (1996). A Casebook
Putnam, F. W., Guroff, J. J., Silberman, E. K., Barban, L., & Post, R. M. (1986). The clinical
Ross, C, A., Miller, S. D., Reagor, P., Bjornson, L., Fraser, G. A., & Anderson, G. (1990).
Structured interview data on 102 cases of multiple personality disorder from four centres.
American Journal of Psychiatry, 147, 596-601. In Barlow, D.H., & Brown, T.A. (1996).
Company
Vitkus, J., (1993). Casebook in Abnormal Psychology (2nd Ed.). New York: McGRAW-HILL,
INC.
12
13