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Attachment, Trauma and Multiplicity: Working with Dissociative Identity Disorder

Book by Sue Richardson · 12 quotes · Dissociative Identity Disorder, Therapy, Dissociation

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Attachment, Trauma and Multiplicity: Working with Dissociative Identity Disorder Quotes

“The development of an incipient careseeking/caregiving system involves moving from avoidance to intra-subjectivity. This can be very anxiety-provoking. One person described it as a 'crisis of attachment '. Any past internal relating is likely to have been highly ambivalent at best. This is my face and which internal beliefs, such as being unworthy of care, which were formed in identification with the perpetrator, are challenged. The little creature [a hidden dissociated part of the self] may perceive both caregiving and careseeking as dangerous. He or she may fear being vulnerable to further abuse or exploitation and 'flinches, expecting pain again '.”

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“The external therapeutic relationship remains a template for the kind of supportive companionable relating it needed internally. At the same time, this stage facilitates the role of the therapist as a consultant to the system [person with dissociative identity disorder].”

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“All parts need to be honoured for their role in survival and re-framed as helpful before new coping strategies can be developed. The ability to internalise the relationship with the therapist as a caregiver is key to the individuals ability to provide for self-care and management.”

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“Whatever the theory, it is important to note that clinicians such as Kluft draw attention to the clinical error of insisting that all alters talk as one or that only the alter with the legal name should be validated. 'Such stances are commonly associated with therapeutic failure'.”

TherapyMisunderstandingDissociative Identity DisorderPsychotherapyAlter PersonalitiesDissociative PartsAltersAlter Identities
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“While professionals and patients can be blamed for 'believing' in an illness or having one, patients also report problems when they are believed. Some professionals, they commented, have worryingly simplistic ideas of 'integration'. Ignoring the separately named alters in effect offers a psychic death sentence rather than aiding integration. If anything it can create a compliant false-self 'main person' who answers to [his or] her name and keeps all other 'states' in silent terror internally.”

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“Working within the NHS, we are, as therapists, part of the system that has its own logic and values that can be experienced by the DID patient as not consistent with their own needs, and can be experienced as cold, detached and abusive.”

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“Because survival has been equated with internal separation, proximity can set off panic and fears of disintegration, i.e. 'fearing the trembling must turn to such severe shaking the vibration would dissolve her entirely, scattering her irrevocably wide'.”

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“Perhaps DID raises problematic philosophical and psychological concerns about the nature of the mind itself... Ideas of a unitary ego would incline professionals to see multiplicity as a behavioural disturbance. However, if the mind is seen as a seamless collaboration between multiple selves - a kind of trade union agreement for co-existence - it is less threatening to face this subject.”

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“However, it is important to remember that only 15 years ago most major training schools did not accept the existence of child abuse and condemned what they saw as the unhealthy excitement that was considered to emanate from the earliest exponents. The language of their criticism is very similar... to what greets the clinician of today who speaks of DID. It has been a later knowledge that understands the way the shame and trauma of abuse become projected into the professional network leading to splitting and blame.”

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