The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. The Defence and Decline of Multiple Personality or Dissociative Identity Disorder
Free accessReview articleFirst published online October, 2004
The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. The Defence and Decline of Multiple Personality or Dissociative Identity Disorder
In this second part of our review, we continue to explore the illogical nature of the arguments offered to support the concept of dissociative identity disorder (DID). We also examine the harm done to patients by DID proponents' diagnostic and treatment methods. It is shown that these practices reify the alters and thereby iatrogenically encourage patients to behave as if they have multiple selves. We next examine the factors that make impossible a reliable diagnosis of DID—for example, the unsatisfactory, vague, and elastic definition of “alter personality.” Because the diagnosis is unreliable, we believe that US and Canadian courts cannot responsibly accept testimony in favour of DID. Finally, we conclude with a guess about the condition's status over the next 10 years.
PutnamFW. Resolved: MPD is an individually and socially created artifact. J Am Acad Child Adolesc Psychiatry1995;34:957–63.
2.
KluftRP. The initial stages of psychotherapy in the treatment of multiple personality disorder patients. Dissociation1993;6:145–61.
3.
LilienfeldSOLynnSJKirschIChavezJFSarbinTRGanawayGK. Dissociative identity disorder and the sociocognitive model: Recalling the lessons of the past. Psychol Bull1999;125:507–23.
4.
PiperA.Hoax and reality: The bizarre world of multiple personality disorder. Northvale (NJ): Jason Aronson; 1997.
5.
PiperAPopeHGBorowieckiJJ. Custer's last stand: Brown, Scheflin, and Whitfield's latest attempt to salvage “dissociative amnesia.”J Psychiatry Law2000;28:149–213.
6.
DellPFEisenhowerJW. Adolescent multiple personality disorder: A preliminary study of eleven cases. J Am Acad Child Adolesc Psychiatry1990;29:359–66.
7.
RossCAAndersonGHeberSNortonGR. Dissociation and abuse among multiple personality patients, prostitutes, and exotic dancers. Hosp Community Psychiatry1990;41:328–30.
8.
RossCAGahanP.Techniques in the treatment of multiple personality disorder. Am J Psychother1988;43:40–52.
9.
FineCG. A tactical integrationist perspective on the treatment of multiple personality disorder. In: KluftRPFineCG, editors. Clinical perspectives on multiple personality disorder. Washington (DC): American Psychiatric Press, 1993. p 135–53.
10.
BlissEL. Multiple personalities: A report of 14 cases with implications for schizophrenia and hysteria. Arch Gen Psychiatry1980;37:1388–97.
11.
American Psychiatric Association. Treatments of psychiatric disorders. Washington (DC): American Psychiatric Association; 1986. p 2197–216.
12.
PutnamFW. Diagnosis and treatment of multiple personality disorder. New York: Guilford; 1989.
13.
GleavesDH. The sociocognitive model of dissociative identity disorder: A re-examination of the evidence. Psychol Bull1996;120:42–59.
14.
RossCA. The validity and reliability of dissociative identity disorder. In: CohenLBerzoffJElinM, editors. Dissociative identity disorder: Theoretical and treatment controversies. Northvale (NJ): Jason Aronson; 1995. p 65–84.
15.
RossCAHeberSNortonGRAndersonG.Differences between multiple personality disorder and other diagnostic groups on structured interview. J Nerv Ment Dis1989;177:487–91.
16.
SteinbergMCicchettiDBuchananJHallPRounsavilleB.Clinical assessment of dissociative symptoms and disorders: The Structured Clinical Interview for DSM-IV dissociative disorders (SCID-D). Dissociation1993;6:3–15.
17.
RossCAMillerSDReagorPBjornsonLFraserGAAndersonG.Structured interview data on 102 cases of multiple personality disorder from four centers. Am J Psychiatry1990;147:596–601.
18.
KluftRP. The natural history of multiple personality disorder. In: KluftRP, editor. Childhood antecedents of multiple personality. Washington (DC): American Psychiatric Press, 1985. p 197–238.
19.
DinwiddieSHNorthCSYutzySH. Multiple personality disorder: Scientific and medico-legal issues. Bull Am Acad Psychiatry Law1993;21:69–79.
20.
KluftRP. Multiple personality disorder. In: TasmanAGoldfingerS, editors. American Psychiatric Press annual review of psychiatry. volume 10. Washington (DC): American Psychiatric Press; 1991. p 161–88.
21.
KluftRP. Clinical presentations of multiple personality disorder. Psychiatr Clin North Am1991;14:605–29.
22.
KluftRP. Introduction to MPD. Psychiatr Ann1984;14:19–24.
23.
BraunBG, editor. Introduction. Treatment of multiple personality disorder. Washington (DC): American Psychiatric Press; 1986. p xv.
24.
RossCA. Dissociative identity disorder: Diagnosis, clinical features, and treatment of multiple personality. New York: John Wiley & Sons; 1997.
25.
PutnamFWGuroffJJSilbermanEKBarbanLPostRM. The clinical phenomenology of multiple personality disorder: A review of 100 recent cases. J Clin Psychiatry1986;47:285–93.
26.
KluftRP. Multiple personality in childhood. Psychiatric Clin North Am1984;7:121–34.
27.
LoewensteinRJ. Dissociation, development, and the psychobiology of trauma. J Am Acad Psychoanal1993;21:581–603.
28.
GanawayGK. Hypnosis, childhood trauma, and dissociative identity disorder: Toward an integrative theory. Int J Clin Exp Hypn1995;43:127–44.
29.
OfsheRWattersE.Making monsters: False memories, psychotherapy, and sexual hysteria. New York: Scribner's;1994.
30.
VincentMPickeringR.Multiple personality disorder in childhood. Can J Psychiatry1988;33:524–9.
31.
FahyTA. The diagnosis of multiple personality disorder: A critical review. Br J Psychiatry1988;153:597–606.
32.
RossCA. Multiple personality disorder: Diagnosis, clinical features, and management. New York: John Wiley & sons; 1989.
BlissEL. Multiple personality, allied disorders, and hypnosis. New York: Oxford University Press; 1986.
35.
KluftRP. High-functioning multiple personality patients: Three cases. J Nerv Ment Dis1986;174:722–6.
36.
BraunBG. The BASK model of dissociation. Dissociation1988;1:4–23.
37.
US v Byers, US District Court for the District of Oregon, 29H-PD-37524.
38.
CoonsPM. Iatrogenesis and malingering of multiple personality disorder in the forensic evaluation of homicide defendants. Psychiatr Clin North Am1991;14:757–67.
39.
SpanosNS. Multiple identity enactments and multiple personality disorder: A sociocognitive perspective. Psychol Bull1994;116:143–65.
40.
StaffordJLynnSJ. Cultural scripts, memories of childhood abuse, and multiple identities: A study of role-played enactments. Int J Clin Exper Hypn2002;50:67–85.
KluftRP. The use of hypnotic inquiry protocols in assessing the stability of treatment results in multiple personality disorder. Am J Clin Hypn1985;28:63–75.
50.
KluftRP. The phenomenology and treatment of extremely complex multiple personality disorder. Dissociation1988;1:47–58.
51.
SutcliffeJPJonesJ.Personal identity, multiple personality, and hypnosis. Int J Clin Exper Hypn1962;10:231–69.
52.
CourtoisCA. Recollections of sexual abuse: Treatment principles and guidelines. New York: Norton; 1999.
53.
KluftRP. Treatment of multiple personality disorder: A study of 33 cases. Psychiatr Clin North Am1984;1:9–29.
54.
KluftRP. Aspects of the treatment of multiple personality disorder. Psychiatr Ann1984;14:51–5.
55.
FetkewiczJSharmaVMerskeyH.A note on suicidal deterioration with recovered memory treatment. J Affect Disord2000;58:155–9.
56.
FreelandAManchandaRChiuSSharmaVMerskeyH.Four cases of supposed multiple personality disorder: Evidence of unjustified diagnosis. Can J Psychiatry1993;38:245–7.
57.
KluftRP. An overview of the psychotherapy of dissociative identity disorder. Am J Psychother1999;53:289–319.
58.
AcocellaJ.Creating hysteria: Women and multiple personality disorder. San Francisco (CA): Jossey-Bass, 1999.
59.
PendergrastM.Victims of memory: Incest accusations and shattered lives. Hinesberg (VT): Upper Access; 1995.
60.
McNallyRJ. Remembering trauma. Cambridge (MA): Harvard University Press; 2003.
61.
LindsayDS. Recovered-memory experiences. In: TaubS, editor. The legal treatment of recovered memories of child sexual abuse. Springfield (IL): Charles C Thomas; 1999. p 142–64.
62.
MazzoniGMemonA.Imagination can create false autobiographical memories. Psychol Sci2003;14:186–8.
63.
DellPF. Professional skepticism about multiple personality. J Nerv Ment Dis1988;176:521–31.
64.
KluftRP. Iatrogenic creation of new alter personalities. Dissociation1989;2:83–91.
65.
KluftRP. Current controversies surrounding dissociative identity disorder. In: CohenLBerzoffJElinM, editors. Dissociative identity disorder: Theoretical and treatment controversies. Northvale (NJ): Jason Aronson; 1995. p 347–77.
66.
KluftRP. Varieties of hypnotic interventions in the treatment of multiple personality. Am J Clin Hypn1982;24:230–40.
67.
HorevitzR.Hypnosis for MPD: A framework for beginning. Am J Clin Hypn1983;26:138–45.
68.
LeavittH.A case of hypnotically-produced secondary and tertiary personalities. Psychoanal Rev1947;34:274–95.
69.
SpanosNPWeekesJRBertrandLD. Multiple personality: A social psychological perspective. J Abnorm Psychol1985;94:362–76.
70.
WeissbergM.Multiple personality disorder and iatrogenesis: The cautionary tale of Anna O. Int J Clin Exp Hyp1993:31:15–34.
71.
LoewensteinRJ. An office mental status examination for complex chronic dissociative symptoms and multiple personality disorder. Psychiatr Clin North Am1991:14:567–604.
72.
BlumeES. Secret survivors: Uncovering incest and its aftereffects in women. New York: John Wiley & Sons; 1990.
73.
KluftRP. An update on multiple personality disorder. Hosp Community Psychiatry1987;38:363–73.
LewisDOBardJS. Multiple personality and forensic issues. Psychiatr Clin North Am1991;14:741–56.
77.
KluftRP. Clinical presentations of multiple personality disorder. Psychiatr Clin N Am1991;14:605–29.
78.
CoonsPM. Child abuse and multiple personality disorder: Review of the literature and suggestions for treatment. Child Abuse Negl1986;10:455–62.
79.
HackingI.Rewriting the soul: Multiple personality and the sciences of memory. Princeton (NJ): Princeton University Press; 1995.
80.
PopeHGJrOlivaPSHudsonJIBodkinJAGruberAJ. Attitudes toward DSM-IV dissociative disorders diagnoses among board-certified American psychiatrists. Am J Psychiatry1999;156:321–3.
81.
LalondeJKHudsonJIGiganteRAPopeHCJr.Canadian and American psychiatrists' attitudes toward dissociative disorders diagnoses. Can J Psychiatry2001;46:407–12.
82.
HayesJAMitchellJC. Mental health professionals' skepticism about multiple personality disorder. Professional Psychology: Research and Practice1994;4:410–5.
