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High-functioning multiple personality patients. Three cases.

R P Kluft

    The Journal of Nervous and Mental Disease
    |December 1, 1986
    PubMed
    Summary
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    High-functioning individuals with multiple personality disorder were frequently misdiagnosed. This study discusses diagnostic challenges and strategies for maintaining patient function during treatment.

    Area of Science:

    • Psychiatry
    • Psychology

    Background:

    • High-functioning individuals with multiple personality disorder (MPD) often present with symptoms mimicking neurotic disorders.
    • Classical psychoanalytic approaches may be misapplied due to initial misdiagnoses.

    Observation:

    • Three cases of MPD misdiagnosis are detailed among a cohort of 12 high-functioning patients.
    • Patients consistently performed major social and professional activities despite underlying MPD.
    • Misdiagnoses occurred at least three times before the correct MPD diagnosis was established.

    Findings:

    • Assessing and diagnosing MPD in high-functioning individuals presents significant challenges.
    • The competence displayed by these patients masked their dissociative disorder.

    Implications:

    Related Experiment Videos

    • Developing accurate diagnostic criteria for MPD in high-functioning populations is crucial.
    • Guidelines are offered to preserve patient functioning throughout the treatment of MPD.