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Related Experiment Videos

[Multiple personality disorder: old concepts presented as new]

R Erkwoh1, H Sass

  • 1Psychiatrische Klinik, RWTH Aachen.

Der Nervenarzt
|March 1, 1993
PubMed
Summary
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European psychiatry : the journal of the Association of European Psychiatrists·2009

The diagnostic concept of Multiple Personality Disorder (MPD) needs review due to increased cases. Child abuse as an etiological factor is critically examined against historical psychopathological theories.

Area of Science:

  • Psychiatry
  • Psychopathology
  • Dissociative Disorders

Background:

  • The Anglo-American literature shows a rapid increase in patients diagnosed with Multiple Personality Disorder (MPD).
  • Current classifications (DSM-III-R, ICD-10) categorize MPD under Dissociative Disorders, linking it to historical concepts of hysteria and hypnosis.
  • Child abuse is increasingly cited as a primary etiological factor for MPD by contemporary authors.

Purpose of the Study:

  • To critically discuss the diagnostic concept of MPD in light of its rising prevalence.
  • To examine the proposed link between child abuse and MPD within the context of historical psychopathological theories of forgetting.
  • To advocate for a nuanced approach in diagnosing MPD, emphasizing individual case analysis.

Main Methods:

Related Experiment Videos

  • Critical review of diagnostic concepts and literature on MPD.
  • Analysis of the etiological role of child abuse in MPD.
  • Comparison of modern etiological theories with older psychopathological concepts of forgetting.
  • Case-based analysis of personality traits and motivation.

    • Main Results:

    • The traditional conceptualization of MPD, linked to hysteria and hypnosis, influences its current classification.
    • Child abuse is a prominent, yet sensitive, etiological issue discussed in modern MPD literature.
    • Historical psychopathological concepts offer a valuable background for understanding forgetting and dissociation.
    • Overreliance on the MPD diagnosis may be mitigated by careful individual case assessment.

    Conclusions:

    • The diagnostic concept of MPD requires thorough discussion due to increased reporting.
    • A critical evaluation of child abuse as an etiological factor, alongside historical perspectives on forgetting, is necessary.
    • Individualized assessment of personality and motivation is crucial to prevent the overuse of the MPD diagnostic label.