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Multiple personality as a post-traumatic stress disorder.

D Spiegel

    The Psychiatric Clinics of North America
    |March 1, 1984
    PubMed
    Summary
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    Multiple or dissociative personality syndrome is explored as a complex post-traumatic stress disorder. Patients exhibit high hypnotizability and dissociation as coping mechanisms against trauma.

    Area of Science:

    • Psychiatry
    • Psychology
    • Trauma Studies

    Background:

    • Multiple or dissociative personality syndrome (DID) is often conceptualized within the spectrum of trauma-related disorders.
    • Understanding the developmental pathways and psychological mechanisms underlying DID is crucial for effective treatment.

    Observation:

    • Patients diagnosed with DID frequently present with histories of significant developmental trauma.
    • A notable characteristic observed in these patients is a high degree of hypnotizability.
    • Profound spontaneous dissociative capabilities are evident as a protective response to overwhelming emotional and physical pain.

    Findings:

    • The article posits a strong link between multiple or dissociative personality syndrome and complex post-traumatic stress disorder (C-PTSD).

    Related Experiment Videos

  • High hypnotizability is identified as a significant factor in the manifestation and experience of dissociative states.
  • Dissociation is presented as a primary, albeit maladaptive, survival mechanism developed in response to severe trauma.

    • Implications:

    • This perspective may refine diagnostic criteria and therapeutic approaches for DID and C-PTSD.
    • Further research into the neurobiological underpinnings of dissociation and hypnotizability in trauma survivors is warranted.
    • Clinicians should consider the profound impact of early trauma on personality development and dissociative capacities.