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Quote by Joan Frances Casey

“Steve said he was glad that I trusted him to develop relationships with the other personalities. He knew that my acceptance of them was a sign of greater health, but he really liked me best and wanted to know when I'd be integrated—when the other personalities would be gone. "Look, Steve," I said, "whether you like it or not, all of the personalities are part of this entity. No personality is ever going to disappear.”

Quote by Joan Frances Casey

Work

The Flock: The Autobiography of a Multiple Personality

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Joan Frances Casey

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“Neurobiological differences have been demonstrated between dissociative identities within patients with DID and between patients with DID and controls. Given the current evidence, DID as a diagnostic entity cannot be explained as a phenomenon created by iatrogenic influences, suggestibility, malingering, or social role-taking. On the contrary, DID is an empirically robust chronic psychiatric disorder based on neurobiological, cognitive, and interpersonal non-integration as a response to unbearable stress. While current evidence is sufficient to firmly establish this etiological stance, given the wide opportunities for innovative research, the disorder is still understudied.”

“The tools of reason are cold and inert; they cannot be used to form the foundations of those values from which we become animate. So when contemporary philosophers, scientists, politicians, and even the common man attempt to justify their beliefs based on reason alone, they are ultimately doomed to fail in their efforts. Science and logic are powerful tools of excavation to uncover facts, but at the depths of the canyon from which they dig, the question of why will always echo back to them.”

“The first time I caught the ball before it touched the ground, Mike yelled, "Good job!" I held on to the feeling, capturing his words in my fist. In this way I created a part that could play basketball—a part that could focus on the ball to the exclusion of all other distractions. These types of "happy" and "good" parts countered desperate times and feelings and made it possible for me to succeed in school, receive praise and positive reactions from others, excel fearlessly in sports, and develop friendships.”

“Because DID requires the presence of amnesia, DID patients are, by DSM-5 definition (American Psychiatric Association, 2013), unaware of some of their behavior in different states. Progress in treatment includes helping patients become more aware of, and in better control of, their behavior across all states. To those who have not had training in treating DID, this increased awareness may make it seem as if patients are creating new self-states, and “getting worse,” when in fact they are becoming aware of aspects of themselves for which they previously had limited or no awareness or control. Although some DID patients create new self-states in adulthood, clinicians strongly advise patients against so doing (Fine, 1989; ISSTD, 2011; Kluft, 1989).”

“Managers usually have extensive knowledge of events and of the system. They are often available to explain to the therapist the internal systemic dilemmas that are not otherwise evident. Generally, they are fairly empty of affect. Another term for managers has been internal self-helpers (Putnam, 1989).”

“To preemptively protect the child so that the child may anticipate the abuse rather than be surprised by it, protector parts become persecutors modeled on the abusers. Thus, parts who were protectors when the person was a young child may become persecutors in time, holding anger and rage and meting out punishments to other parts of the self.”

“It is clear that the various personalities I am seeing are quite different from one another. The physical changes are startling. I have come to know Missy, Jo, Renee, and Joan Frances well and am no longer surprised by the move from one personality to another. In fact, I experience each of them as different from the others in the same way as my other patients are different from one another. Although they share the same body, they are not the same and do not wear the body in the same way. It may be more accurate to say that the various personalities share the same physical space in a serial manner. Their descriptions of their parents have virtually nothing in common. Renee even denies that they are her parents. She doesn't claim different parents. She doesn't claim any at all, saying that she is "a creation of this entity alone.”

“Robin and Reagan are unique in that they date their creation not to a single traumatic event but to the need of the group to maintain a nonconficted, nonabreactive memory trace. The other past-keepers are both reactive and information-providing personalities-they appear in my office to give me information the system seems to think I need, or in response to my touching a critical nerve in the Jo, Missy, Joan Frances, or Renee personalities.”

“The Karen personality was created when Jo was nine and her mother said once too often, "Why can't you be like your cousin Karen?" Jo's internal Karen was the perfect mimic of her cousin, and fulfilled Nancy's demand that the child be neat and organized.”

“Over and over, I thought, I needed to separate into parts in my head. I needed to separate into parts in my head, but I couldn't make sense of this. They were just words that didn't come together into something meaningful. A thought came up, I chased it and was able to hold on to it long enough to ponder it: I could not know this or something bad would have happened.”