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AllDissociative Identity DisorderDissociationDissociative DisorderDissociative DisordersAlter PersonalitiesDiagnosisDissociative PartsDdnosDepersonalization DisorderDissociativeDissociative StatesIdentity AlterationMental IllnessMultiple PersonalitiesDissociative SymptomsIdentity ConfusionMental DisorderMultiple Personality DisorderBorderline Personality DisorderDerealization

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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as manic depressive mentioned being bothered by his inability to "keep his mind from racing" (SCID-D interview, unpublished transcript).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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“Levels of identity alteration can run from absent to severe (see Figure 11-1 and Table 11-1). What differentiates the various degrees of severity are the distinctness and complexity of the personality states involved and the ability of these states to control a person's outward behavior. Mild identity alteration is widespread in the general population. Many, perhaps most, people are aware of occasions in their lives in which they have assumed different roles or demeanors but remained conscious of their role-switching or alteration, and perceived themselves having been in control of the transition.”

IdentityPersonalityIdentity AlterationDifferent RolesEho StatesRole Switchibg
Book:Handbook for the Assessment of Dissociation: A Clinical Guide
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