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Reflections on multiple personality disorder as a developmentally complex adaptation

J G Armstrong1

  • 1Dissociative Disorders Program, Sheppard and Enoch Pratt Hospital.

The Psychoanalytic Study of the Child
|January 1, 1994
PubMed
Summary
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Multiple personality disorder, now known as dissociative identity disorder, is reframed as a protective coping mechanism against childhood trauma. This perspective offers new clinical approaches for patients with this complex condition.

Area of Science:

  • Psychiatry
  • Psychology
  • Psychoanalysis

Background:

  • Recent advancements enhance the understanding of multiple personality disorder.
  • Existing psychoanalytic frameworks require creative reconciliation with new findings.
  • Multiple personality disorder is a complex condition often linked to severe early life experiences.

Purpose of the Study:

  • To reconcile multiple personality disorder with psychoanalysis.
  • To conceptualize multiple personality disorder as a developmental adaptation.
  • To explore the implications for clinical practice.

Main Methods:

  • Utilizing psychoanalytic theory.
  • Incorporating modern developmental psychology perspectives.
  • Applying psychological assessment findings.

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Main Results:

  • Multiple personality disorder is conceptualized as a protective response.
  • This response is linked to chronic childhood trauma.
  • The theory provides a new framework for understanding the disorder.

Conclusions:

  • The proposed conceptualization offers a novel psychoanalytic integration.
  • Understanding the disorder as a protective mechanism can inform treatment.
  • Clinical work can benefit from this developmentally informed perspective.