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“The identities may develop in number, complexity, and sense of separateness as the child proceeds through latency, adolescence, and adulthood (R. P. Kluft, 1984; Putnam, 1997). —Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision”

Development Dissociative Identity Disorder Multiple Personality Disorder Alter Personalities Dissociative Disorders Alters Alter Identities

Author:James A. Chu

“Switches among identities occur in response to changes in emotional state or to environmental demands, resulting in another identity emerging to assume control. Because different identities have different roles, experiences, emotions, memories, and beliefs, the therapist is constantly contending with their competing points of view. Helping the identities to be aware of one another as legitimate parts of the self and to negotiate and resolve their conflicts is at the very core of the therapeutic process. It is countertherapeutic for the therapist to treat any alternate identity as if it were more “real” or more important than any other. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision”

Psychology Dissociative Identity Disorder Dissociation Multiple Personality Disorder Alter Personalities Dissociative Dissociative Identities

Author:James A. Chu

“A substantial minority of DID patients report sadistic, exploitive, and coercive abuse at the hands of organized groups. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision”

Abuse Child Abuse Dissociative Identity Disorder Multiple Personality Disorder Ritual Abuse Sadistic Satanic Ritual Abuse Dissociative Disorders Organized Abuse Sadistic Abuse

Author:James A. Chu

“The DID patient should be seen as a whole adult person with the identities sharing responsibility for daily life. Despite patients’ subjective experience of separateness, clinicians must keep in mind that the patient is a single person and generally must hold the whole person (i.e., system of alternate identities) responsible for the behavior of any or all of the constituent identities, even in the presence of amnesia or the sense of lack of control or agency over behavior. From p8 International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision: Summary version. Journal of Trauma & Dissociation, 12, 188–212.”

Law Responsibility Treatment Dissociative Identity Disorder Dissociation Amnesia Legal Responsible People System Responsibility

Author:James A. Chu

“Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions. - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5”

Trauma Subtle Typical Symptoms Ptsd Dissociative Identity Disorder Dissociation Hidden Dissociative Disorders Mental Disorders Alters Mental Disorder Bias Alternate Identities Not Obvious

Author:James A. Chu

“Extreme versions of DID occasionally develop in response to particularly horrific ongoing trauma (e.g., children exploited through involvement in years of forced prostitution), with so-called poly-frgamentation, encompassing dozens or even hundreds of personality states. In general, the complexity of dissociative symptoms appears to be consistent with the severity of early traumatiation. That is, less severe abuse will result in fewer dissociative symptoms, and more severe abuse will result in more complex dissociative disorders.”

Dissociative Identity Disorder Dissociative Disorder Dissociative Disorders Polyfragmented Dissociative Symptoms Child Sex Ring Child Prostitution Child Sexuall Abuse

Book:Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders

Source: Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders

“The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that “only 6% make their DID obvious on an ongoing basis” (p. 600). - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5”

Common Education Bias Dissociative Identity Disorder Hidden Rare Dissociative Disorders Misdiagnosis Mental Disorders Misconceptions Mental Health Professionals Clinicians Not Obvious

Author:James A. Chu