History Dissociative identity disorder (DID), originally referred to as Multiple Personality Disorder (MPD) was first identified in 1815. Throughout the 19th century several prominent figures in psychology studied MPD, including Jung and Freud (Ellason & Ross, 1995). The term dissociative was established in the late 1800s by Pierre Janet, a French psychologist. Janet described the term dissociative as a state in which an individual’s personality is split into several inaccessible pieces (Joel, 2012). Less than a decade later Morton Prince, an American psychologist, utilized this term to describe a patient who appeared to have multiple personalities (Joel, 2012). Around 1910, the diagnosis of MPD decreased due to the belief that different personalities …show more content…
Throughout the 1990s etiological research increased on the diagnosis of MPD. Psychologists began to look at a new etiological perspective, labeled the sociocognitive model (Boysen & VanBergen, 2013). This model states DID is caused by social and cultural norms. For example, whenever the interest in DID increased, the amount of people being diagnosed with this disorder increased. In addition, this model includes the iatrogenic perspective. Proponents of this perspective postulate DID is caused by influence from the therapist (Boysen & VanBergen, 2013). Etiological concerns continue to be a popular topic of research pertaining to DID, and contribute to the controversy of the …show more content…
The DSM-5 lists several differential diagnoses such as major depressive disorder, bipolar disorder, factitious disorder and malingering. Research has been conducted surrounding three major differential diagnoses: schizophrenia, post-traumatic stress disorder (PTSD), and borderline personality disorder (BPD). According to Ellason and Ross (1995) 24% to 49% of individuals who are diagnosed with DID have been diagnosed with schizophrenia at one point in their lives. Both schizophrenia and DID are characterized by Schneiderian symptoms. Schneiderian symptoms include auditory hallucinations, somatic passivity, delusional thinking, and thought insertion or withdrawal (Ellason and Ross, 1995). Studies have shown while these symptoms are present in schizophrenia, they are more prevalent in DID (Ellason and Ross, 1995). Ellason and Ross (1995) completed a study on 108 mental health patients diagnosed with DID. The Positive and Negative Syndrome Scale (PANSS) was utilized to determine the level of positive and negative symptomatic disturbances in each individual (Ellason and Ross, 1995). The results from the DID patients were compared to a group of 240 patients with schizophrenia. Data analysis indicated positive symptoms were more prevalent in the individuals with DID, and negative symptoms were more prevalent in the patients with schizophrenia (Ellason and Ross,
This paper summarizes the article, “A Longitudinal Naturalistic Study of Patients With Dissociative Disorders Treated by Community Clinicians” (Brand, McNary, Classen, Loewenstein, Myrick, Lanius & Pain, et al., 2009). Reviewing this article revealed DID presents numerous challenges for the practitioners who perform assessments for a clinical diagnosis. Most Professionals approach this disorder with caution because of it's interrelated problems, as well as the on going controversies surrounding DID. So, in order for this study to work effectively, there would need to be a wide variety of people who deal with this disorder. Patients would include people from different countries all ethnic back grounds, and a large scale of psychological doctors.
According to Mental Health America (n.d), in its article regarding Schizophrenia, Schizophrenia is a serious disorder which affects how a person thinks, feels and acts. Someone with schizophrenia may have difficulty distinguishing between what is real and what is imaginary may be unresponsive or withdrawn; and may have difficulty expressing normal emotions in social situations. Schizophrenia is considered as a severe mental illness as it can lead to serious injury to the patient or people around them. Schizophrenia is a chronic brain disorder that affects about one percent of the population. When schizophrenia is active, symptoms can include delusions, hallucinations, trouble with thinking and concentration, and lack of motivation.
Some scientist believe that DID does not exist. They have questions on the existence of DID for example, how come those who have had severe stress or trauma as a child have not been diagnosed of having DID and why only a few of those who suffer with DID have no history of trauma. Since there's no specific way to indicate if one has the disorder a lot of the psychiatrists have conducted a mental-health interview. Once they have been diagnosed there are different ways to get treatment like therapy, psychotherapy, and medications; because DID is similar to different disorders, such as anxiety and depression, most of the time they are being prescribed medications for those disorders. Those who have DID have a difficult time maintaining their job and sustaining their
Consequently, it is very difficult to correctly diagnose an individual with D.I.D. (D.I.D. Research). D.I.D. must be distinguished from or determined if comorbid with a variety of disorders (Dissociative Identity Disorder). Symptoms of D.I.D. could be mistaken for mood disorders such as bipolar disorders or major depressive disorder (D.I.D. Research). Other misdiagnoses include personality disorders such as borderline personality disorder and psychotic disorders such as schizophrenia (Dissociative Identity Disorder). D.I.D. may also be mistaken for other dissociative disorders such as dissociative amnesia (D.I.D.
Doctors must also rule out drug and alcohol use by running test and may have to do imaging scan of the brain by MRI or CT scan. An evaluation of schizophrenia is come to through an assessment of particular signs and indications, as depicted in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). According to Doble, the DSM-5 expresses that the criteria for schizophrenia must have two or more of the dynamic stage side effects, each going on for a huge bit of no less than a one-month time span: daydreams, mind flights, disrupted discourse, horribly scattered or mental conduct, and negative symptoms. At slightest one of the qualifying manifestations must be fancies, pipedreams, or confused speech
The disruption of marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning” (American Psychiatric association,2013). To be diagnosed with dissociative identity disorder, a person will have at least two, and possibly more, distinct identities or personality states. Each will have its own pattern of sensing, thinking about and relating to self and environment (Bexson, 2005). These identities will repeatedly assume control of the person’s behavior, which is what the narrator possesses in this film when he falls asleep, and dissociates into Tyler Durden. One important similarity between the film Fight Club’s dissociative identity disorder and the real one is the interpretation of a stronger, more confident personality that takes over the narrator.
In recent years, the general trend has progressed towards the biogenetic endorsement of Schizophrenia. The biogenetic model focuses on combining two previous models, genetic and biological, into one coherent framework (Angermeyer et al 152). By doing this, the hope that the negatives of one model would be balanced out with the positives of the other model. For example, a consequence of endorsing the genetic model was a phenomena called genetic essentialism. In a case study by Nicolas Rusch, he defines genetic essentialism as a mindset that “…implies that genes are the unchangeable basis of a person’s identity…” which subsequently increased the prejudice against the diagnosed (Rusch pg 328).
Before going into the legal aspects and how this disorder can affect criminal law or any legal proceeding it must be understood of what dissociative identity disorder is. Dissociative identity disorder formerly and commonly known as multiple personality disorder is characterized by “the presence of two or more distinct personality states or inexperience of possession and a recurrent episodes of amnesia which can vary within cultures (DSM-V 2013 p.291)”. This mental condition for most common people is hard to believe that this mental state actually occurs in our society and in other cultures seems like a form of possession. A person with dissociative identity disorder often have recurrent gaps of every day events, other important information and most likely any dramatic events that are ordinary from normal forgetting (DSM-V 2013). Mostly symptoms are clinically significant distress or impairment with work
Oswald diagnoses Frankie with multiple personalities; also known as Dissociative Identity Disorder. Dissociative Identity Disorder, also referenced to as DID, is brought on by traumas that occur earlier in someone’s life. Dr. Oswald uses several different types of treatments to trigger memories of these events that caused her to develop the disorder. He begins with using different kinds of hallucinogens, to make her vulnerable enough to allow these personalities to come out. This system is a hit or miss, on which personality presents itself.
is an illness in which schizophrenic and manic symptoms are both prominent in the same occurrence of the disease. The irregularity of mood typically takes the form of euphoria, accompanied by grandiose ideas and joined by increased self-esteem, but sometimes irritability or excitement are more apparent and joined by aggressive or forceful behavior and persecutory thoughts. In both cases, there is impaired concentration, overactivity, increased energy and a loss of normal social self-consciousness. Delusions of reference, persecution or grandeur, may be existing (Perry, Alexander, Liskow, & DeVane,
Reichenberg, A. (2010). The assessment of neuropsychological functioning in schizophrenia. Dialogues Clin Neurosci, 12(3), 383-392. World Health Organization. Schizophrenia, schizotypal and delusional disorders.
People suffering from schizophrenia may experience “delusions, hallucinations, and trouble with thinking and concentration “(Parekh). Treatment for schizophrenics remains lifelong, even when symptoms decrease. Psychological therapy and medicines may help manage this illness. Antipsychotic medications are the most commonly prescribed drugs, “thought to control symptoms by affecting the brain neurotransmitter dopamine” (Pruthi). Antidepressants and anti-anxiety medications help for some patients as well.
For much of the movie, Split portrayed a man with Dissociative Identity Disorder as an actual person. Split treats these alters as it should: separate identities in their own right, each with different traits and personalities. Kevin identifies with 24 different personalities throughout the movie. The alters, see a psychiatrist by the name of Dr. Fletcher who explains, “The brain has learned to adapt to the trauma.” Which is what happens to people with Dissociative Identity Disorder.
Other specified dissociative disorders, major depressive disorder, bipolar disorders, PTSD, psychotic disorders, substance/medication-induced disorder, personality disorder, conversion disorder (function neurological symptoms disorder), seizure disorder, and Factitious disorder and malingering. Aaron Stampler could not be diagnose with any of these differential diagnosis because dissociative Identity disorder is the only disorder in the DSM-5 where we see disruption of identity characterized by two or more distinct personality states. (American Psychiatric Association & American Psychiatric Association, 2013, p.
People with dissociative identity disorder (DID) have severe difficulties in their day-to-day lives because they cannot distinguish between the several personas inside them (Reinders & Veltman, 2019). The DSM-V specifies the following conditions that must be met for a DID diagnosis to be made: when a person has dual identity disorder, they have a hard time separating the two or more distinct identities or personalities that exist inside their head and body. At least two of these personas or identities consistently dominate the person's actions. Inability to remember important personal information that cannot be accounted for by forgetfulness alone and disturbance is unrelated to the pharmacological effects of a drug or a systemic illness. Kevin embodies these traits throughout the film.