Tuesday, April 26, 2011

Treatments

Patients with DID usually have some kind of treatment. Ideally, it should be a specialized therapist with training in dissociation. “Treatment of DID may last for five to seven years in adults and usually requires several different treatment methods.” (Frey 1). Some methods of treatment are hydrotherapy, botanical medicine, therapeutic massage, yoga, homeopathic treatment, medicines, hypnosis, or psychotherapy. These treatments have been tried out before, some have worked and some just weren’t right. “Most therapists who treat multiples, or DID patients, recommend further treatment after personality integration, on the grounds that the patient has not learned the social skills that most people acquire in adolescence and early adult life.”(Frey 1). It takes people with DID longer to develop life skills that they would normally just pick up by their surroundings. Partly because one personality may be more advanced than the others but who knows so it is just easier teaching “everybody” at once. “Techniques such as hypnosis have proven helpful, along with selective use of antianxiety and antidepressant medications for comorbid conditions. Identification and modulation of dissociative symptoms, coupled with management of related posttraumatic syndromes, have been shown to be effective treatments.” (Hartman 1). Hypnosis is a form of treatment to possibly remember some of their past memories. “Further, hypnosis can also be used to control problematic behaviors that many DID patients exhibit, such as self-mutilation, or eating disorders like bulimia nervosa.” (Frey1). Hopefully hypnosis can cure some problems “multiples” have. Like everything else, it may have some faults or might need a few tries before it fully works. Another type of treatment is medication. “Some doctors will prescribe tranquilizers or antidepressants for DID patients because their alter personalities may have anxiety or mood disorders. However, other therapists who treat DID patients prefer to keep medications to a minimum because these patients can easily become psychologically dependent on drugs.” (Frey 1) Most DID patients have a personality that is addicted to drugs and/or alcohol. To rid them of their habits, the doctors keep the medication as minimal as possible. But even though there are multiple ways to treat DID, some don't work and some work on the first try. Every DID patient is completely different, whether its one of their personalities or the main alter. DID is a very interesting disorder and there are many treatments to control it and try to cure it.

Sources:
David Hartman. Journal of Heart Centered Therapies. Spring 2010.
Maldonado, Jose R.; Butler, Lisa D.; Spiegel, David. (2002). Treatments for Dissociative Disorders. In Nathan, Peter E. (Ed); Gorman, Jack M. (Ed). A Guide to Treatments that Work (2nd ed.), (pp. 463-496). New York, NY: Oxford University Press.



"Multiple personality disorder." Rebecca J. Frey, PhD.
The Gale Encyclopedia of Medicine. Ed. Jacqueline L. Longe. 3rd ed. Detroit:
Gale, 2006. 5 vols.

Friday, April 15, 2011

The Cause


How DID is caused is still in question to know all the possibilities, but Helen Davidson, Jerome Kagan and Susan B. Gall have some idea. "Dissosciative identity disorders are thought to usually be caused when a person has a sever, repeated, traumatic experience during early childhood, such as severe physical or emotional abuse, sexual abuse, survives a natural disaster, war, kidnapping, torture, or other traumatic events."(Davidson, Kagan, and Gall) People that have DID may evolve another personality to kind of solve their problems, to make life a little easier on themselves rather than having all problems on one person. The DID patients might say they have been abused, but how will you really know if one of their personalities comes out and plays on the story? “…the inability of a patient to recall her family during childhood is a finding present in the approximately 10 percent if the nonclinical U.S. adult population classified as having a “dismissing” attachment. As far as we can tell by studies of attachment theory, these individuals were not abused. It is more likely that they grew up in emotionally distant homes, with little attunement or affective connection.”(Spira54) Some therapists and experts think the cause could be from abuse and others not. One day we might find a better, more sure answer but for now this is what we have. And hopefully they do find a different answer because nobody should have to go through any kind of abuse for any reason.


Sources:
"Dissociative Identity Disorder/Multiple Personality Disorder." Helen Davidson. The Gale Encyclopedia of Childhood and Adolescence. Ed. Jerome Kagan and Susan B. Gall. Online Edition. Detroit: Gale, 2007.

Spira, James L. Treating Dissociative Identity Disorder. San Francisco, California: Jossey-Bass Inc., Publishers, 1996.

Images:
http://www.google.com/imgres?imgurl=http://splashman.phoenix.wikispaces.net/file/view/Dissociative_Identity_Disorder_by_lily_day.jpg/144994915/Dissociative_Identity_Disorder_by_lily_day.jpg&imgrefurl=http://splashman.phoenix.wikispaces.net/Psychological%2BDisorders%2Band%2Btheir%2BTreatment&usg=__JBuONojx7aUIpFnZk_Kf37NZ6sk=&h=656&w=720&sz=282&hl=en&start=0&zoom=1&tbnid=uOe9RpjUWTDFRM:&tbnh=154&tbnw=210&ei=fVm0TbqPIs-ftwexuYzqDg&prev=/search%3Fq%3Ddissociative%2Bidentity%2Bdisorder%26um%3D1%26hl%3Den%26rlz%3D1T4ACAW_enUS390US391%26biw%3D1291%26bih%3D499%26tbm%3Disch&um=1&itbs=1&iact=hc&vpx=154&vpy=145&dur=499&hovh=214&hovw=235&tx=157&ty=85&page=1&ndsp=13&ved=1t:429,r:0,s:0

Thursday, April 7, 2011

Split in Two

In the film Hide and Seek, Robert De Niro has a secret but you don't find out until the end of the story. He has Dissociative Identity Disorder (DID) or multiple personality disorder. Here are a few symptoms of DID, depression, memory loss, eating disorders, and even amnesia. It's interesting how one person who seems completely normal, can all of the sudden wake up and be somebody else. How their whole demeanor changes in a split second. Some people don't even realize they have something wrong with them. Usually it is a friend, family member, or someone close to them, that notices something it out of sorts. I just read The Strange Cases of Dr. Jekyll and Mr. Hyde, and the symptoms are happening here. Jekyll goes into a depression and doesn’t want to see anybody, no housekeepers or friends. I would like to find out more about this topic to see how people are able to switch from one person to another and how they cope if they find out about their disorder. Honestly, it’s fun to watch and read about but I couldn't imagine living it. Never knowing who I am going to be that day or what I am going to do next is a scary thought. You never know if the person sitting next to you is your friend or your enemy.