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Recognizing multiple personality disorder

S L Curtin1

  • 1Hallmerser Center for Children and Adolescents, McLean Hospital, Belmont, MA 02178.

Journal of Psychosocial Nursing and Mental Health Services
|February 1, 1993
PubMed
Summary
This summary is machine-generated.

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Accurate diagnosis of multiple personality disorder (MPD) can take years due to common misconceptions and diagnostic challenges. Enhancing nursing assessments can lead to earlier identification and treatment for MPD patients.

Area of Science:

  • Psychiatry
  • Nursing
  • Psychology

Background:

  • Multiple personality disorder (MPD), now known as dissociative identity disorder (DID), is often misdiagnosed due to assumptions of rarity and complex symptoms.
  • Standard psychiatric evaluations frequently fail to uncover the necessary information for an accurate MPD diagnosis.

Observation:

  • Nurses are uniquely positioned as frontline healthcare providers to observe the subtle behavioral, clinical, and physiological indicators of MPD.
  • Early recognition of MPD symptoms by nurses is crucial for timely patient intervention.

Findings:

  • A significant diagnostic delay, averaging 5–7 years with multiple hospitalizations, persists for individuals with MPD.
  • Misdiagnosis stems from underestimation of MPD prevalence, its polysymptomatic nature, and inadequate data collection in standard histories.

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Implications:

  • Integrating specific diagnostic questions into nursing histories and assessments can improve MPD detection rates.
  • Increased nursing proficiency in identifying MPD symptoms will facilitate prompt and effective treatment for affected individuals.