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“One aspect of DID is the PTSD suffered by some of the alters. PTSD is similar to Panic Attacks in that once turned on, the anxiety is fed into a vicious cycle.”

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David Yeung

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“Due to previous lack of systematic assessment of dissociative symptoms, many subjects experience the SCID-D as their first opportunity to describe their symptoms in their own words to a receptive listener.”

ListeningDissociative Identity DisorderDiagnosisAlter PersonalitiesDissociative DisorderDissociative DisordersDdnosDissociative IdentitiesDissociative States
Book:Interviewer's Guide to the Structured Clinical Interview for Dsm-IV Dissociative Disorders
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“In order to get to know who is in your System, each individual alter needs to complete a piece of paper in the form of a circle (or triangle) which contains the following information: their name, their age (it might be an age range, like age 4-7), and their traits. strengths and skills. (All parts must have a name. If they do not have a name, they need to choose one. lf their name was given to them by a perpetrator and is too upsetting or if it has a negative association, they may wish to change their name—that is perfectly ok. Any name that is not negative or triggering is fine—it does not have to be a standard ‘proper name’ as they are commonly thought of.) On the back of the circle or triangle they need to write down what caused them to split off.”

Dissociative Identity DisorderSystemAlter PersonalitiesMappingMapDissociative Parts
Book:Got Parts?: an Insider's Guide to Managing Life Successfully with Dissociative Identity Disorder
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“Prior to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the diagnosis of Dissociative Identity Disorder had been referred to as Multiple Personality Disorder. The renaming of this diagnosis has caused quite a bit of confusion among professionals and those who live with DID. Because dissociation describes the process by which DID begins to develop, rather than the actual outcome of this process (the formation of various personalities), this new term may be a bit unclear. We know that the diagnosis is DID and that DID is what people say we have. We’d just like to point out that words sometimes do not describe what we live with. For people like us, DID is just a step on the way to where we live—a place with many of us inside! We just want people who have little ones and bigger ones living inside to know that the title Dissociative Identity Disorder sounds like something other than how we see ourselves—we think it is about us having different personalities. Regardless of the term, it is clear that, in general, the different personalities develop as a reaction to severe trauma. When the person dissociates, they leave their body to get away from the pain or trauma. When this defense is not strong enough to protect the person, different personalities emerge to handle the experience. These personalities allow the child to survive: when the child is being harmed or experiencing traumatic episodes, the other personalities take the pain and/ or watch the bad things. This allows these children to return to their body after the bad things have happened without any awareness of what has occurred. They do this to create different ways to make sense of the harm inflicted upon them; it is their survival mechanism.”

Mental HealthMental IllnessPsychiatryDissociative Identity DisorderDissociationMultiplicityMultiple Personality DisorderMultiple PersonalitiesAlter PersonalitiesDissociative DisorderAltersDsmDissociative Identities
Book:Amongst Ourselves: A Self-Help Guide to Living with Dissociative Identity Disorder
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“Delusions Dissociative disorders, even those created by mind controllers, are not psychosis, but this program will create the most common symptom used to diagnose schizophrenia. The child is hurt while on a turntable, with people and television sets and cartoons and photographs all around the turntable. New alters created by the torture are instructed that they must obey their instructions and become the people around them, people on television, or other alters when they are told to. When this program is triggered, the survivor will hear “voices” of the people whom the "copy alters” are imitating, or will have many confused alters popping out who think they are actually other people or movie stars. The identities of the copy alters change when the survivor's surrounding change.”

Mental IllnessPsychologicalPsychiatryDissociative Identity DisorderSchizophreniaRitual AbuseDelusionalPsychosisAlter PersonalitiesSatanic Ritual AbuseFamous PeopleDelusionsMisdiagnosisAltersDdnosHearing VoicesSraFictional CharactersMovie StarsDelusional Disorder
Book:Healing the Unimaginable: Treating Ritual Abuse and Mind Control
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“...when different identity states convey contradictory information and then have amnesia for what the other identity states said, the patient may be thought to be lying. This can appear to be characterological mendacity when it is not.”

LyingMental IllnessDissociative Identity DisorderStigmaLiarAlter PersonalitiesMisdiagnosisPathological LiarFaking
Book:Understanding and Treating Dissociative Identity Disorder
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“When treating their first few DID cases, therapists typically focus too much attention on the alters. This focus tends to distract from what is fundamental–the patients’ pervasive dissociative/posttraumatic distress and maladaptation. Has something similar occurred in psychiatry’s view of DID? Have the compelling phenomena of alters distracted us from the matrix of dissociative and posttraumatic symptoms in which alters are embedded? - Dell, P. F. (2001). Why the Diagnostic Criteria for Dissociative Identity Disorder Should Be Changed, Journal of Trauma and Dissociation, 2 (1).”

PsychiatryDissociative Identity DisorderDissociationPsychotherapyAlter PersonalitiesDissociative DisorderDissociative PartsAlter IdentitiesPosttraumatic Stress
Author:Paul F. Dell
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“Several recent studies (Bliss, 1980; Boon & Draijer, 1993a; Coons & Milstein, 1986; Coons, Bowman, & Milstein, 1988; Putnam et al., 1986; Ross et al., 1989b) are largely consistent in terms of the general trends that they demonstrate. At the time of diagnosis (prior to exploration) approximately two to four personalities are in evidence. In the course of treatment an average of 13 to 15 are encountered, but this figure is deceptive. The mode in virtually all series is three, and median number of alters is eight to ten. Complex cases, with 26 or more alters (described in Kluft, 1988), constitute 15-25% of such series and unduly inflate the mean. Series currently being studied in tertiary referral centers appear to be more complex still (Kluft, Fink, Brenner, & Fine, unpublished data). This is subject to a number of interpretations. It is likely that the complexity of the more difficult and demanding cases treated in such settings may be one aspect of what makes them require such specialized care. It is also possible that the staff of such centers is differentially sensitive to the need to probe for previously undiscovered complexity in their efforts to treat patients who have failed to improve elsewhere. However, it is also possible that patients unduly interested in their disorders and who generate factitious complexity enter such series differently, or that some factor in these units or in those who refer to them encourages such complexity or at least the subjective report thereof.”

Dissociative Identity DisorderDissociationMultiple Personality DisorderAlter PersonalitiesMpdDissociative PartsAltersAlter Personality
Author:Richard P. Kluft
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“The classic host personality, which usually (over 50% of the time) presents for treatment, nearly always bears the legal name and is depressed, anxious, somewhat neurasthenic, compulsively good, masochistic, conscience-stricken, constricted hedonically, and suffers both psychophysioiogical symptoms and time loss and/or time distortion. While no personality types are invariably present, many are encountered quite frequently: childlike personalities (fearful. recalling traumata, or love-seeking), protectors, helpers-advisors, inner self-helpers (serene, rational, and objective helpers and advisors first described by Allison in 1974), personalities with distinct affective states, guardians of memories and secrets (and of family boundaries), memory traces (holding continuity of memory), inner persecutors (often based on identification with the aggressor), anesthetic personalities (created to block out pain), expressers of forbidden impulses (pleasurable and otherwise, such as defiant, aggressive, or antisocial), avengers (which express anger over abuses endured and may wish to redress their grievances), defenders or apologists for the abusers, those based on lost love objects and other introjections and identifications, specialized encapsulators of traumatic experiences and powerful affects, very specialized personalities, and those (often youthful) that preserve the idealized potential for happiness, growth, and the healthy expression of feelings (distorted by traumata) in others (Kluft, 1984b).”

Dissociative Identity DisorderMultiple PersonalitiesAlter Personalities
Book:Handbook of Dissociation: Theoretical, Empirical, and Clinical Perspectives
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