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Dissociation & multiple personality disorder. A challenge for psychosocial nurses
1University of Texas Health and Science Center, School of Nursing, Houston.
Journal of Psychosocial Nursing and Mental Health Services
|January 1, 1993
Summary
Multiple personality disorder (MPD), now known as dissociative identity disorder (DID), involves distinct personality states controlling behavior. It often stems from severe childhood trauma and is typically diagnosed in adulthood.
Area of Science:
- Psychiatry
- Psychology
- Trauma Studies
Background:
- Dissociative identity disorder (DID), formerly multiple personality disorder (MPD), is characterized by the presence of two or more distinct personality states.
- This condition is often linked to severe childhood trauma, including physical, sexual, and ritualistic abuse.
Observation:
- DID typically originates in childhood but is frequently diagnosed in adulthood.
- The first dissociative episode is often reported at a very young age.
Findings:
- Key indicators for DID include a history of varied medical and psychiatric diagnoses.
- Inconsistencies in time perception, memory, and behavior are common.
- Patients may report psychophysiological complaints and internal voices, referring to themselves as "we" instead of "I".
Implications:
- Early identification and intervention are crucial for individuals with a history of trauma.
- Understanding the complex presentation of DID is vital for accurate diagnosis and effective treatment.
- Further research into the neurobiological and psychological underpinnings of DID can improve therapeutic outcomes.