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Quote by Marlene Steinberg

“Another patient with DID described the visual images she had of the personalities inside her in the following way; Interviewer: What does she [the personality] look like? Patient: She wears jeans, she never wears a dress ... Interviewer: Does she look like Josie? Patient: Yes, they look identical except that their manners and their clothing and their hair.. .. Josie's hair is curly with ribbons and Julie has braids and could care less what she looks like. She's tomboy looking. Interviewer: Do they look like you? Patient: I think they look like me. Wthout the glasses. They don't wear glasses... Interviewer: Do you have an image of Diane? Patient: Blonde hair, she looks older. (SCID-D interview, unpublished transcript)”

Quote by Marlene Steinberg

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Handbook for the Assessment of Dissociation: A Clinical Guide

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Marlene Steinberg

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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.”

“It seems like someone new is here?" I nodded. "Is it okay to talk to you?" I nodded again. "Are you the one who doesn't like the grocery store? "Yes," came the same soft voice. "What is it about the grocery store?" "It's not the store; it's the people. We get scared that some big person is going to hurt us. So we don't let her go places where there are lots of people." I felt dizziness in my head and then a different voice—a little stronger but still young—came out: "And then there's all that noise. We won't let her go in places with too much noise." "Is there someone new here?" "Yes." Is it okay if we talk together?" "Yes." "What's the problem with the noise?" "It was always noisy. A lot of yelling and crying. There was too much going on." "Is that the same kind of problem, the other part has?" "Yes. It's too hard for her to watch everyone to figure out who is going to hurt us next." "Don't you think Olga can take care of you?" "We want to think that, but we aren't sure." "Why is that?" "Because she couldn't take care of us before." "Do you all know what year it is?" "1968?" "Oh, I see. No, it's 1996, and Olga is big now. You all live inside her, and she has learned about you. She is also learning how to stop people from hurting you. She is strong and powerful. Were you there when she stopped the woman in the office from yelling at you?" It's 1996? She's big?" I paused to let the information sink in to all the parts that were listening. "She stopped people from yelling at us?" "Yes." Dr. Summer watched and waited. Home had been so chaotic. I had to watch Popi, Mike, Alex, and my mom very carefully. But I don't live there anymore. I'm grown up now.”

“Can the splitting of representations explain multiplicity? Not at all, for two reasons.20 First, a split is into two, not many. The splitting of self and object representations manifest polarity: self-object, good-bad, male-female, friend-foe, and so on, whereas alters generally don't (though they may). Second, hosts and alters are intentional subjects or agents, entities capable of uttering "I." Indeed, one may profitably regard alter as short for alter ego, literally "other I." A given "I" has intentional objects that are its respective self and object representations. In other words, a split representation, even of the self, is an object of thought, not a thinker, not a subject or agent or "I.”

“Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone. So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.”

“The return of the voices would end in a migraine that made my whole body throb. I could do nothing except lie in a blacked-out room waiting for the voices to get infected by the pains in my head and clear off. Knowing I was different with my OCD, anorexia and the voices that no one else seemed to hear made me feel isolated, disconnected. I took everything too seriously. I analysed things to death. I turned every word, and the intonation of every word over in my mind trying to decide exactly what it meant, whether there was a subtext or an implied criticism. I tried to recall the expressions on people’s faces, how those expressions changed, what they meant, whether what they said and the look on their faces matched and were therefore genuine or whether it was a sham, the kind word touched by irony or sarcasm, the smile that means pity. When people looked at me closely could they see the little girl in my head, being abused in those pornographic clips projected behind my eyes? That is what I would often be thinking and such thoughts ate away at the façade of self-confidence I was constantly raising and repairing. (describing dissociative identity disorder/mpd symptoms)”

“Most organised abuser groups call each particular training a “programme”, as if you were a computer. Many specific trained behaviours have “on” and “off” triggers or switches. Some personality systems are set up with an inner world full of wires or strings that connect switches to their effects. These can facilitate a series of actions by a series of insiders. For example, one part watches the person function in the outside world, and presses a button if he or she sees the person disobeying instructions. The button is connected to an internal wire, which rings a bell in the ear of another part. This part then engages in his or her trained behaviour, opening a door to release the pain of a rape, or cutting the person's arm in a certain pattern, or pushing out a child part. So the watcher has no idea of who the other part is or what she or he does. These events can be quite complicated.”

“More than one personality was created in the hope of being the daughter Nancy could consistently love. More than one new personality was created in response to Mother's unexpected fury.”

“Of course, I should have known the kids would pop out in the atmosphere of Roberta's office. That's what they do when Alice is under stress. They see a gap in the space-time continuum and slip through like beams of light through a prism changing form and direction. We had got into the habit in recent weeks of starting our sessions with that marble and stick game called Ker-Plunk, which Billy liked. There were times when I caught myself entering the office with a teddy that Samuel had taken from the toy cupboard outside. Roberta told me that on a couple of occasions I had shot her with the plastic gun and once, as Samuel, I had climbed down from the high-tech chairs, rolled into a ball in the corner and just cried. 'This is embarrassing,' I admitted. 'It doesn't have to be.' 'It doesn't have to be, but it is,' I said. The thing is. I never knew when the 'others' were going to come out. I only discovered that one had been out when I lost time or found myself in the midst of some wacky occupation — finger-painting like a five-year-old, cutting my arms, wandering from shops with unwanted, unpaid-for clutter. In her reserved way, Roberta described the kids as an elaborate defence mechanism. As a child, I had blocked out my memories in order not to dwell on anything painful or uncertain. Even as a teenager, I had allowed the bizarre and terrifying to seem normal because the alternative would have upset the fiction of my loving little nuclear family. I made a mental note to look up defence mechanisms, something we had touched on in psychology.”