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Quote by Etzel Cardena

“Another reason for the name change is that the term personality refers to characteristic pattern of thoughts, feelings, moods, and behaviors of the whole individual. The fact that patients with DID consistently switch between different identities, behavior styles, and so on is a feature of the individual's overall personality. Our phrasing changes in diagnostic criteria clarified that although alters may be personalized by the individual, they are not to be considered as having an objective, independent existence.”

Quote by Etzel Cardena

Work

Handbook of Psychology, Clinical Psychology

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Etzel Cardena

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“KIuft (1985a, b) describes eight year old Tom, who could "space out," but remain aware of partially dissociated alter personalities. One, Marvin, was based on the character Captain Kirk of the TV series "Star Trek," and on the TV series character "Hulk." Marvin also represented Tom's father. Another alter personality was derived from Mr. Spock, who was also identified with his mother. Two female alter personalities had names taken from 'The Flintstones." The use of fantasy is clearly apparent despite the fantasized characters being identifications with real characters in the child's life. Tom gives us a glimpse of the transition of his fantasies becoming dissociated mental structures.”

“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'.”

“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.”

“Peg's very young alters formed around her father's abuse. But when she was 8 another alter group formed, as Peg reported, from ritualized sexual torture by a neighbor who forced Peg to ritually injure two other children. By age 13 Peg had fallen victim to her older brother's sexual violence as well and this led to more splitting. In her teens and twenties Peg added more alters in response even to nontraumatic life disappointments, since the splitting mechanism worked so well to insulate her from suffering.”

“In summary, the conclusion that having DID is generally rewarding is unfounded because the vast majority of the attention such patients receive is skeptical, critical, exploitative, or hostile; they are often ignored if they do present symptoms of DID. It is certainly possible that some individuals have attempted to feign the disorder. However, the hostile treatment that one would most likely receive would make feigning another disorder more rewarding.”

“In the world of alters, anything is possible. This is because alters are partly based upon make-believe, and the underiying reasoning is not derived from normal linear logic but consists of 'trance logic', the toleration of completely unrealistic and contradictory ideals which might be found in a state of hypnosis.”

“Children in our culture are familiar with transformation of identity from comics, movies, television, and books. Who has not watched a child zooming around on the sidewalk or in the backyard, pretending to be a superhero or some other figure? Who can doubt the child's intensity of imaginative involvement in this transformation? I think it is reasonable to say that the normal child partly believes in this transformation on a transient basis. It is not necessary to wonder where the MPD child gets the idea of creating someone else inside to cope with the abuse. The strategy of transformation of identity to gain strength, coping power, even and vulnerability is readily available in the child's environment.”