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Related Experiment Videos

Multiple personality disorder: an overview.

B G Braun1

  • 1Dissociative Disorders Program/Inpatient Unit, Rush North Shore Medical Center, Skokie, Illinois 60076.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|November 1, 1990
PubMed
Summary
This summary is machine-generated.

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Multiple personality disorder, now known as dissociative identity disorder, often stems from childhood abuse. Early trust and therapeutic alliance are crucial for diagnosing and managing this complex dissociative psychopathology.

Area of Science:

  • Psychiatry
  • Psychology
  • Trauma Studies

Background:

  • Multiple personality disorder (MPD) is a chronic dissociative psychopathology.
  • It typically develops in response to severe childhood abuse, involving a defense mechanism gone awry.
  • Individuals with a biopsychological capacity to dissociate retreat inward from overwhelming or feared abuse.

Purpose of the Study:

  • To elucidate the developmental pathways and diagnostic challenges of MPD.
  • To highlight the critical role of early trust in diagnosis and management.

Main Methods:

  • This abstract synthesizes current understanding of MPD's etiology and clinical presentation.
  • It reviews the typical patient journey, including delayed diagnosis and misdiagnoses.
  • Emphasis is placed on the foundational importance of the therapeutic alliance.

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Main Results:

  • MPD is rooted in childhood but often diagnosed between ages 20-50.
  • Patients frequently endure years of misdiagnoses (mental/physical) before accurate identification.
  • The disorder's covert nature results from multiple contributing factors.

Conclusions:

  • Establishing trust and a strong therapeutic alliance are paramount for diagnosing and managing MPD.
  • Understanding the dissociative defense mechanism is key to recognizing the disorder.
  • Addressing the impact of childhood abuse is central to effective treatment.