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Quote by Bethany L. Brand

“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).”

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Bethany L. Brand

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“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.”

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“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.”

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“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.”

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“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.”

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“So you really have the same conversations with two or or three people who look exactly like me?' She nodded. 'Don't you feel embarrassed repeating yourself like that?' 'Not at all,' Dr Laine said. 'Remember, I'm not saying the same thing three times to you. I'm saying it once to three different people.' That would take a while to sink in. At least it explained my history of people looking exasperated at work or school or even in shops when I sometimes asked questions. They'd obviously just gone through it with someone else who looked exactly like me!”

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