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“Given that recent research has demonstrated the complex psychopathology of DID, equating the disorder with one specific but broadly denned behavior (multiple identity enactment) is clearly unwarranted. The latter should be conceptualized as one observable behavior that may or may not be related to a feature of the disorder (identity alteration). As an analogy, equating major depressive disorder with "acting sad" would be similarly unwarranted because the former is a complex depressive disorder characterized by a clear group of depressive symptoms, whereas the latter is one specific behavior that may or may not be related to one of the symptoms of the disorder (sad affect). One could also easily generate a list of factors that affect whether one acts sad that would have little relevance to the complex psychopathology of depressive disorders.”

“In summary, the conclusion that having DID is generally rewarding is unfounded because the vast majority of the attention such patients receive is skeptical, critical, exploitative, or hostile; they are often ignored if they do present symptoms of DID. It is certainly possible that some individuals have attempted to feign the disorder. However, the hostile treatment that one would most likely receive would make feigning another disorder more rewarding.”