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Related Experiment Videos

Multiple personality. A single case study with a 15 year follow-up.

B Cutler, J Reed

    Psychological Medicine
    |February 1, 1975
    PubMed
    Summary

    Multiple personality, potentially a form of fugue, may remit over time without intervention. This condition, where individuals adopt alternate personalities, can be reinforced by external attention.

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    Area of Science:

    • Psychology
    • Psychiatry
    • Neuroscience

    Background:

    • Multiple personality disorder (MPD) is a complex dissociative disorder.
    • Literature suggests a link between MPD and hysterical aetiology.
    • Understanding the developmental pathways and natural course of MPD is crucial.

    Purpose of the Study:

    • To review existing literature on multiple personality.
    • To present a case study illustrating the development of MPD from a fugue amnesic state.
    • To examine the long-term prognosis of MPD without therapeutic intervention.

    Main Methods:

    • Literature review on multiple personality.
    • Detailed case study analysis of a single patient with hysterical aetiology.
    • Longitudinal re-examination of the case after a 15-year period.

    Main Results:

    • The case demonstrated the development of multiple personality from a fugue amnesic state.
    • After 15 years with minimal psychotherapy, the patient showed a tendency towards remission.
    • The study supports the view of MPD as a fugue state potentially reinforced by attention.

    Conclusions:

    • Multiple personality may represent a fugue state, not exclusively of hysterical origin.
    • The condition may exhibit spontaneous remission over time.
    • Social reinforcement appears to play a role in the maintenance of alternate personalities.

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