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Dissociative Identity Disorder Quotes

Browse 391 quotes about Dissociative Identity Disorder.

Dissociative Identity Disorder Quotes

“It was early in my career, and I had been seeing Mary, a shy, lonely, and physically collapsed young woman, for about three months in weekly psychotherapy, dealing with the ravages of her terrible history of early abuse. One day I opened the door to my waiting room and saw her standing there provocatively, dressed in a miniskirt, her hair dyed flaming red, with a cup of coffee in one hand and a snarl on her face. “You must be Dr. van der Kolk,” she said. “My name is Jane, and I came to warn you not to believe any the lies that Mary has been telling you. Can I come in and tell you about her?” I was stunned but fortunately kept myself from confronting “Jane” and instead heard her out. Over the course of our session I met not only Jane but also a hurt little girl and an angry male adolescent. That was the beginning of a long and productive treatment.”

“Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy. * Other parts have a broader range of feeling. Because emotions are often held in certain parts of the personality, different parts can have highly contradictory perceptions, emotions, and reactions to the same situation.” * This explains many feelings, emotions, and doubts about the unknown haunting us at times. * Awareness and discovering the inner world may help, tremendously.”

“Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.”

“On one level, accepting that I was one of several — possibly hundreds of — personalities turned my head inside out. It was like trying to catch your breath standing under a waterfall. There was too much information to take it all in at once. I needed time to process - but time was the thing I was always missing. On the other hand, it explained so much I felt a weight rise from my shoulders. It wasn't like the diagnosis for schizophrenia, which I'd always instinctively known was wrong. This feels right.”

“Like many people trying to understand DID, Oprah wondered if the different personalities were the different facets of Kim coming to life. In other words, one of us is Angry Kim, one of us is Sad Kim or Happy Kim or Worried Kim, and so on, and we come to life when the body is in those moods. That's not how it works. We're not Mr Men - we can't (in most cases) be defined by a single characteristic. We're rounded human beings, with happy sides to our personalities, frivolous sides, angry sides, reflective sides. Oprah couldn't hide her surprise. 'Like a normal person?' she said. 'Yes,' I replied, 'because I consider myself to be normal.”

“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." "What about Robin and Reagen? Little Joe?" he asked. "Those personalities were absorbed, not exiled. No one inside will ever disappear. We're all real. We all matter.”

“The Flock required only four or five hours of sleep a night. That a lot of time for work. And the amnesia that in the past had crippled us became an advantage. Our production multiplied because each personalfty could focus on a separate task. Jo, for example, worked for many hours researching and writing a paper, unaware of what else needed to be done. When I pushed Jo aside to fulfill my graduate-assistant duties, I didn't worry about the progress of the paper. When Jo came back to work, she picked up precisely where she had left off, with no concern about her "lost time". She had near-perfect recall of all that she experienced. This was augmented by her near-perfect amnesia for all the time that elapsed between her points of consciousness. Being a multiple apparently created more efficient use of my conscious and semiconscious mind. I didn't want to give up my greater productivity to become just like everyone else.”

“A few days later, I waited outside Dr. Brandenberg's door and realized that I was tired of excusing the medical community for "not knowing anything about multiples." MPD had been recognized as a disorder for at least a hundred years. It had been brought to the attention of the professional and public communities through Three Faces of Eve in the 1950s and again by Sybil in the 1970s. Literature related to the disorder had snowballed in the clinical journals. I could understand that not every mental-health professional had treated a case, but I couldn't accept that mental-health professionals knew so little about it. At the very least, the doctors had access to the journals that had provided Jo with her wealth of information on the topic.”

“The implication that the change in nomenclature from “Multiple Personality Disorder” to “Dissociative Identity Disorder” means the condition has been repudiated and “dropped” from the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association is false and misleading. Many if not most diagnostic entities have been renamed or have had their names modified as psychiatry changes in its conceptualizations and classifications of mental illnesses. When the DSM decided to go with “Dissociative Identity Disorder” it put “(formerly multiple personality disorder)” right after the new name to signify that it was the same condition. It’s right there on page 526 of DSM-IV-R. There have been four different names for this condition in the DSMs over the course of my career. I was part of the group that developed and wrote successive descriptions and diagnostic criteria for this condition for DSM-III-R, DSM–IV, and DSM-IV-TR. While some patients have been hurt by the impact of material that proves to be inaccurate, there is no evidence that scientifically demonstrates the prevalence of such events. Most material alleged to be false has been disputed by someone, but has not been proven false. Finally, however intriguing the idea of encouraging forgetting troubling material may seem, there is no evidence that it is either effective or safe as a general approach to treatment. There is considerable belief that when such material is put out of mind, it creates symptoms indirectly, from “behind the scenes.” Ironically, such efforts purport to cure some dissociative phenomena by encouraging others, such as Dissociative Amnesia.”

“[T]he disorder currently known as dissociative identity disorder (where an individual has more than one distinct personality) was called multiple personality disorder in DSM-III-R. Even though the diagnosis ended in the words personality disorder, it was not classified as a personality disorder. It always has been and remains a clinical disorder to be coded on Axis I. To avoid confusion, the name of the disorder was changed in the DSM-IV. Now all mental disorders listed in the DSM-IV-TR that end in the words personality disorder, represent personality disorders and need to be coded on Axis II.”

“300.14* Hysterical neurosis, dissociative type* In the dissociative type, alterations may occur in the patient's state of consciousness or in his identity, to produce such symptoms as amnesia, somnambulism, fugue, and multiple personality.”

“Most often, the "host" has some recognition of other parts of the personality, although a degree of amnesia may be involved. However, occasionally, the "host" does not know about the existence of other dissociative parts of the personality, and loses time when others dominate executive control (Putnam, Guroff, Silberman, Barban, & Post, 1986). As C. R. Stern (1984) pointed out, it is more often the case that the "host" actively denies (active nonrealization) evidence of the existence of other dissociated parts of the personality rather than dissociative parts "hiding" themselves from the host. This nonrealization may be so severe that when presented with evidence of other dissociative parts, the host may "flee" from treatment.”

“To achieve a diagnostic assessment, it is important to remember that diagnosis does not hinge on the subjects answer to any single question on the SCID-D. A positive response regarding one dissociative symptom often has several possible ramifications, which must be explored through persistence with related questions. Isolated dissociative symptoms may occur in a number of different psychiatric syndromes, both dissociative and nondissociative. An isolated dissociative symptom, such as use of an alternate name or an amnestic episode, is insufficient grounds for diagnosis. To provide evidence sufficient for an accurate diagnosis, the symptom must exist in combination with other symptoms that, as a group, conform to the characteristic pattern of one of the five disorders oudined in the Diagnostic Work Sheets in Appendix 2.”

“Complex structural dissociation involves an extensive range of phobias that exacerbate and maintain dissociation and impede functional adaptation. They include the phobia of (1) mental actions (i.e., an individual's inner experience of emotions, thoughts body sensations, needs, wishes); (2) dissociative parts of the personality; (3) attachment and attachment loss; (4) traumatic memory; and (5) change and healthy risk taking (van der Hart et al., 2006).”

“Sometimes a stare comes from too much anxiety or stress. Your system can become overwhelmed." I didn't know it then. but parts inside were scared because he was looking at us so closely. He's getting too close. He's going to find out about us. I didn't make the effort to try to catch any of these thoughts.”

“I still didn't know very much about the complex coping mechanism that had helped me survive my childhood. It was as if my conscious mind wasn't strong enough yet to fully grasp that I had parts. I knew it superficially, but I didn't feel it all the way through.”

“Copresence occurs when an alter personality in the background takes joint control of the body without displacing the primary personality, or when it influences the primary personalities mental state from the background.”

“My initial response on being told I suffered Dissociative Identity Disorder all those years earlier had been denial. I'd denied it to Rob Hale, I'd denied it to Valerie Sinason, to Evelyn Laine and John Morton. You could have lined up everyone from Lady Gaga to the Queen of Sheba and I'd have denied it to them as well. There was absolutely no way I shared my body with other personalities.”

“In this paper I propose the existence of two distinct presentations of DID, a Stable and an Active one. While people with Stable DID struggle with their traumatic past, with triggers that re-evoke that past and with the problems of daily functioning with severe dissociation, people with Active DID are, in addition, also engaged in a life of current, on-going involvement in abusive relationships, and do not respond to treatment in the same way as other DID patients. The paper observes these two proposed DID presentations in the context of other trauma-based disorders, through the lens of their attachment relationship. It proposes that the type, intensity and frequency of relational trauma shape—and can thus predict—the resulting mental disorder. - Through the lens of attachment relationship: Stable DID, Active DID and other trauma-based mental disorders”

“The creation of these "happy" parts felt different from the splitting that began at my fingertips when I was under attack. Entering these "good" parts felt less noticeable. There was some dizziness and light-headedness, but it was mainly just a gentle shifting in my mind. I was unsure of where my body started and ended for just a few seconds.”

“Some of my parts were hard workers. My well developed memory helped me remember people: their names and positions and what they said during meetings. Rather than making me seem checked out, my dissociation made me seem calm and collected. In fact, the general dissociative state I was always in helped me function very well. I collected information, interacted on a personal and professional level, and was quite adept at managing most tasks in my life from this superficially numb and calm place. Most people, including me, didn't notice. This way of being and interacting was really all I knew.”

“Patients with complex trauma may at times develop extreme reactions to something the therapist has said or not said, done or not done. It is wise to anticipate this in advance, and perhaps to note this anticipation in initial communications with the patient. For example, one may say something like, "It is likely in our work together, there will be a time or times when you will feel angry with me, disappointed with me, or that I have failed you. We should except this and not be surprised if and when it happens, which it probably will." It is also vital to emphasize to the patient that despite the diagnosis and experience of dividedness, the whole person is responsible and will be held responsible for the acts of any part. p174”

“The client as a whole has to take responsibility for the actions of any alter. DID clients complain that 'it's not fair, it wasn't me' when an alter has behaved in a way that is seen to be unacceptable. By working from the start with the client as a whole, this can be minimised. Some alters may be easier to deal with, e.g. they are more co-operative, more trusting, not hostile. However, the therapist should respect and treat all alters equally as far as is possible. From Chapter 6, by Sara Scott.”

“FLATOW: So you would - how would you treat a patient like Sybil if she showed up in your office BRAND: Well, first I would start with a very thorough assessment, using the current standardized measures that we have available to us that assess for the range of dissociative disorders but the whole range of other psychological disorders, too. I would need to know what I'm working with, and I'd be very careful and make my decisions slowly, based on data about what she has. And furthermore, with therapists who are well-trained in dissociative disorders, we do keep an eye open for suggestibility. But that research, too, is not anywhere near as strong as what the other two people in the interview are suggesting.It shows - for example, there's eight studies that have a total of 11 samples. In the three clinical samples that have looked at the correlation between dissociation and suggestibility, all three clinical samples found non-significant correlations. So it's just not as strong as what people think. That's a myth that's not backed up by science." Exploring Multiple Personalities In 'Sybil Exposed' October 21, 2011 by Ira Flatow”

“I want everyone that has been abused by someone in their childhood to know that you can get past it. Having DID is not the end of the world; it's the beginning of your new life. DID allows the victim of exceptional abuse the ability to “forget” the abuse and continue living. Without it, I may have gone crazy as a teen and spent my life in a as a teen and spent my life in a psychiatric hospital.”

“Talking about yourself as a plural is actually more accurate than referring to yourself as 'I,' because it includes all of you, not just the one personality who is speaking at that moment.”

“The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that “only 6% make their DID obvious on an ongoing basis” (p. 600). - Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5”

“At cocktail parties, I played the part of a successful businessman's wife to perfection. I smiled, I made polite chit-chat, and I dressed the part. Denial and rationalization were two of my most effective tools in working my way through our social obligations. I believed that playing the roles of wife and mother were the least I could do to help support Tom's career. During the day, I was a puzzle with innumerable pieces. One piece made my family a nourishing breakfast. Another piece ferried the kids to school and to soccer practice. A third piece managed to trip to the grocery store. There was also a piece that wanted to sleep for eighteen hours a day and the piece that woke up shaking from yet another nightmare. And there was the piece that attended business functions and actually fooled people into thinking I might have something constructive to offer. I was a circus performer traversing the tightwire, and I could fall off into a vortex devoid of reality at any moment. There was, and had been for a very long time, an intense sense of despair. A self-deprecating voice inside told me I had no chance of getting better. I lived in an emotional black hole. p20-21, talking about dissociative identity disorder (formerly multiple personality disorder).”