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“By contrast, moderate identity alteration differs from its milder countepart in that the alterations are not always under the person's control. In addition, moderate identity alteration does not always manifest the presence of distinct alter personalities. Someone who experiences moderate identity alteration may present with mood changes and behaviors that they perceive as uncontrollable. Patients with nondissociative psychiatric disorders (e.g., manic depressive illness) may report moderate alterations in behavior/demeanor that they cannot control; for example, one patient diagnosed as manic depressive mentioned being bothered by his inability to "keep his mind from racing" (SCID-D interview, unpublished transcript). However, these alterations do not coalesce around distinct personalities. Similarly, individuals who have borderline personality disorder tend to fluctuate rapidly between radically different behaviors and moods; however, these changes do not involve different names, memories, preferences, distinct ages, or amnesia for past events.”

Dissociative Identity DisorderBipolarBorderline Personality DisorderDissociative PartsDissociative StatesIdentity AlterationSelf States
Book:Handbook for the Assessment of Dissociation: A Clinical Guide
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“In some instances the patient will have a visual image of a contrasexual alter. For example, one female patient endorsed the presence of two male alters with the same name, one a boy of about age 10 wearing a baseball cap and the other a slightly older but still aggressive adolescent. Because a patient's use of visual images provides rich evidence for the degree of identity alteration, each of the SCID-D's follow-up sections incorporates questions about visual images to allow the patient to elaborate on this symptom.”

Dissociative Identity DisorderAlter PersonalitiesDissociative DisordersDissociative PartsDissociative SymptomsDissociative StatesIdentity AlterationVisual Image
Book:Handbook for the Assessment of Dissociation: A Clinical Guide
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“Due to previous lack of systematic assessment of dissociative symptoms, many subjects experience the SCID-D as their first opportunity to describe their symptoms in their own words to a receptive listener.”

ListeningDissociative Identity DisorderDiagnosisAlter PersonalitiesDissociative DisorderDissociative DisordersDdnosDissociative IdentitiesDissociative States
Book:Interviewer's Guide to the Structured Clinical Interview for Dsm-IV Dissociative Disorders
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“Although Dissociative Disorders have been observed from the beginnings of psychiatry, the Structured Clinical Interview for DSM-III-R Dissociative Disorders (Steinberg 1985) was the first diagnostic instrument for the comprehensive evaluation of dissociative symptoms and to diagnose the presence of Dissociative Disorders.”

Mental IllnessSkepticismDissociative Identity DisorderDiagnosisSkepticDissociationMultiple Personality DisorderMultiple PersonalitiesDissociative DisorderDissociativeDissociative DisordersMpdDissociative StatesDiagnostic Criteria
Book:Structured Clinical Interview for Dsm-IV Dissociative Disorders (Scid-D)
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