Multiple Personality Disorder (Dissociative Identity Disorder)

“I'm hitting the road. I'm coming to a place, I don't know how I got there.”
“It's like there's a person inside me that makes me behave differently.”
“I hear voices giving me commands and commenting on what I do.”
“The other morning, I realized that I was sitting on the sofa staring at a spot for 2 hours without thinking about anything.”
“I am accused of lying”
“I don't know where and how the items in my room came from”

“Sometimes I feel like I am watching my own movements from outside ”

Multiple Personality Disorder Symptoms

 

  • Flash-back experiences

  • Feeling that there is another person or a second personality within oneself

  • Alienation (Depersonalization)

  • Time Not remembering his own behavior and conversations from time to time

  • Finding objects in his home from which he does not know where they came from

  • Sleep disorder

  • Over-arousal (feeling of alertness)

  • Physical complaints (such as headache, stomach ache)

  • Eating disorder

  • Self-harm (caused by the activity of the alter personality)

  • Suicide attempt

  • Depressive symptoms (unhappiness, malaise, thoughts that there is no future)

  • “Personalities/Identities Do Not Know Each Other”

    Multiple personality disorder is among the dissociative problems. In multiple personality disorder, which is the most extreme and severe form of dissociative states, the person has more than one identity or personality. Each personality has a name, age, memories and unique behaviors. These personalities or identities do not know each other, they are unaware of each other. They forget each other's actions. The other personality may be the protector, the protector, the pursuer, the suicidal, the child, or the opposite sex, etc. may have features. One personality may have characteristics that conflict with another personality (e.g., one is dependent while the other is destructive, hostile). Shifts from one personality or identity to another occur in a short time. The person may experience periods of memory loss that last for hours or days. separate identity in the individual The number of personalities and personalities can vary between 2-10.

    “Multiple Personality Disorder is more common in women.”

    The frequency of multiple personality disorder is unknown. It has been determined that multiple personality disorder is 8-9 times more common in women than in men. The reason for this may be that women are more exposed to sexual harassment, or men tend to hide symptoms more, or they cannot be diagnosed because they are in the judicial process due to committing a crime. In the study conducted by Şar et al. in our country, its prevalence was found to be 3.9% among outpatients and 0.4% in the general population.

    “Research shows that childhood traumas and incest are important factors in multiple personality disorder. ”

    Research on multiple personality disorder has shown that these people were subjected to sexual, physical and emotional abuse and neglect in their childhood. Theories show that childhood traumas and incest events encountered by the child are factors in the development of multiple personality disorder. A person can only cope with this burden by creating a personality that will bear the burden of childhood trauma. The person tries to alleviate the pain of the trauma by separating the memory from consciousness. While a few of the personalities are conscious of this memory, others do not remember anything.

    Other Accompanying Conditions

    Other psychological problems also manifest themselves with this problem. Other most common problems are conversion, somatization, post-traumatic stress disorder, borderline personality disorder, depression, and substance use disorder.

    Since this problem can be confused with the diagnoses of schizophrenia, depression, borderline personality disorder, and temporal lobe epilepsy, necessary examinations are required. It is important to distinguish between and evaluations.

    Treatment

    At the beginning of the treatment process, the client does not complain of identity changes or amnesia. During the monitoring process, personality changes and amnesia begin to be observed. In therapy, multiple personalities are brought together to create a whole, awareness of the underlying traumatic experience is achieved, and all A treatment and psychotherapy process is created by ensuring integration, restructuring the meaning of traumas and pain, and developing coping mechanisms. While working on this problem caused by severe traumas in childhood, the study of traumas must be done meticulously and very carefully compared to many other psychological problems. Therefore, a comprehensive psychotherapy study that requires special knowledge and experience specific to this problem is necessary.

    In therapy, identities are combined (fusion). Hypnosis can be used effectively for fusion purposes and can speed up the treatment.

     

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