Split Personality Disorder Quotes

Denial is commonly found among persons with dissociative disorders. My favorite quotation from such a client is, "We are not multiple, we made it all up." I have heard this from several different clients. When I hear it, I politely inquire, "And who is we?

If fourteen people believe they were Cleopatra in a former life, does that mean that Cleopatra had split personality disorder?

Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone. So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.

The child who attends school does not remember the abuse that happens at home or via the family; those memories are held in another part of the child's mind. The child does not even remember abuse that happened the preceding night.

It’s hard to feel supported when you can’t tell people everything. People haven’t really got a clue what it’s like. It’s hard to trust anyone. It’s hard to believe people won’t let you down. I’m feeling like I want to cry. My body feels hollow. Empty. I don’t feel like I’m 17. I feel young. I’m not sure how old, maybe about 10 yrs. It’s hard to accept that I can’t get all the support I need from one person. From any person. It’s hard that no one can fully understand. It’s hard for me to admit that inside I feel a really lonely person. What do I need to do to take care of myself right now? Well I need to cuddle my teddies — it sounds silly, but I need some comfort... I was still cuddling teddies when I should have been cuddling boys. The sick imagery in my mind, rather than making me sexually active, had closed that door completely.

Even though the injury has faded, I still see it the way it was right after the accident: raw and red, a jagged lightning bold splitting the symmetry of my face. In this, I suppose I'm like a girl with an eating disorder, who weighs ninety-eight pounds but sees a fat person staring back at her from the mirror. It isn't even a scar to me, really. It's a map of where my life went wrong.

A child who is being abused on an ongoing basis needs to be able to function despite the trauma that dominates his or her daily life. That becomes the job of at least one ANP [apparently normal part of the personality], whom the child creates to be unaware of the abuse and also of the multiplicity, and to “pass as normal” in the real world. The ANP is just an alter specialized for handling the adult world—in other words, the “front person” for the system.

With DID patients, if they feel hostility or aggression they take it out on themselves with self-harm... They’re self-destructive and repeatedly suicidal, more so than any other psychological disorder. So that's what's typical – not this wild aggression, or stalking women [or robbery]. - Dr Bethany Brand, on Billy Milligan and Multiple Personality Disorder (DID)

PART 2 I felt doomed to death, But in a flash, Before I could reduce my thoughts To an emotion, I felt a mass leave my body: Departing. Then my mind becomes anonymous As is each night. Just unfinished thoughts, and a deep sickness inside, As I was forced to swallow it, Something I've tried to bury deep inside my psyche to this day. (poem written by alter personality)

Another of the difficulties of having DID is the denial. DID is a disorder of denial. It has to be because if the original person knew about the alters and felt their pain, they would either go crazy and be hospitalized permanently, or would die.

Patrice had long since buried the particulars of events so painful that they caused her to resolve only to see good. With such a stance, such as dissociative split, she could walk with evil and believe it did not exist. She was Joe's perfect mate.

Although, in principle, the psychoanalytical theory of borderlines is not punitive, in practice 'borderline' is almost always used to indicate that the patient is hostile, demanding, unpleasant, manipulative, attention-seeking, and prone to regression and dependency if admitted to hospital; in other words patient is a witch by Malleus Maleficarum criteria. The term 'borderline' functions to rationalize sadistic counter-transference, and to legitimize rejecting triaging decisions within the health-care system. Actually, most of the time, in my experience, the splitting is coming from the staff, not the patient, and it is the mental-health professionals who are using projection and denial. This is an example of 'blaming the victim,' which is a fundamental borderline psychodynamic.

Cheryl's growing awareness of her emotional difficulties was leading her to research multiple personality. As she had learned more about dissociation, she realised just how severe the abuse had been and how much she had been hurt. Her mind had dissociated to assure survival during the abuse by her father and it had been forced to dissociate by various researchers in government programmes.

Weird? Absurd? That’s how it seemed to me. I had these forces, these compunctions, these alternative personalities inside me, driving me. It was like being a jack-in-the-box and I was unsure which personality was going to jump out next: Billy, who thought of himself as a cowboy or a terrorist; Kato the cutter; anorexic Shirley, whose only self-indulgence was binge drinking and the occasional salad sandwich. I didn’t dislike Shirley. I was afraid of her. Shirley knew things I didn’t.

It’s hard to imagine a more squarely on-the-nose example of demonizing mental illness than portraying a mentally ill man as a literal demon.

I'm a writer, there for I have a split personality disorder. How else can one person create so many people each with their own personality, who live within the pages of a book

Those who are aware of their condition and experience themselves as "multiple" might refer to themselves as "we" rather than "I." I shall use the term "multiple" at times, in respect for their internal experience. It is important to point out, however, that I recognize that someone who is multiple is actually a single fragmented person rather than many people. On the outside, a multiple is probably not visibly different from anyone else. But that image is only an imitation: people who are multiple cannot think like the rest of us, and we cannot think like them. (In fact, since it is difficult for the multiple to understand how singletons think, some of them might think that is is you who are strange). Just as a singleton cannot become a multiple at will, a multiple cannot become a singleton until and unless the barriers between the parts of the self are removed. Those barriers were put up to enable the child to tolerate, and so survive, unavoidable abuse. p20 [Multiple: a person with dissociative identity disorder (DID) or DDNOS. Singleton: a person without DID or DDNOS, i.e with a single, unified personality]

Other personalities are created to handle new traumas, their existence usually occurring one at a time. Each has a singular purpose and is totally focused on that task. The important aspect of the mind's extreme dissociation is that each ego state is totally without knowledge of the other. Because of this, the researchers for the CIA and the Department of Defense believed they could take a personality, train him or her to be a killer and no other ego stares would be aware of the violence that was taking place. The personality running the body would be genuinely unaware of the deaths another personality was causing. Even torture could not expose the with, because the personality experiencing the torture would have no awareness of the information being sought. Earlier, such knowledge was gained from therapists working with adults who had multiple personalities. The earliest pioneers in the field, such as Dr. Ralph Alison, a psychiatrist then living in Santa Cruz, California, were helping victims of severe early childhood trauma. Because there were no protocols for treatment, the pioneers made careful notes, publishing their discoveries so other therapists would understand how to help these rare cases. By 1965, the information was fairly extensive, including the knowledge that only unusually intelligent children become multiple personalities and that sexual trauma endured by a restrained child under the age of seven is the most common way to induce hysteric dissociation.

Janna knew - Rikki knew — and I knew, too — that becoming Dr Cameron West wouldn't make me feel a damn bit better about myself than I did about being Citizen West. Citizen West, Citizen Kane, Sugar Ray Robinson, Robinson Crusoe, Robinson miso, miso soup, black bean soup, black sticky soup, black sticky me. Yeah. Inside I was still a fetid and festering corpse covered in sticky blackness, still mired in putrid shame and scorching self-hatred. I could write an 86-page essay comparing the features of Borderline Personality Disorder with those of Dissociative Identity Disorder, but I barely knew what day it was, or even what month, never knew where the car was parked when Dusty would come out of the grocery store, couldn't look in the mirror for fear of what—or whom—I'd see. ~ Dr Cameron West describes living with DID whilst studying to be a psychologist.

I had a bizarre rapport with this mirror and spent a lot of time gazing into the glass to see who was there. Sometimes it looked like me. At other times, I could see someone similar but different in the reflection. A few times, I caught the switch in mid-stare, my expression re-forming like melting rubber, the creases and features of my face softening or hardening until the mutation was complete. Jekyll to Hyde, or Hyde to Jekyll. I felt my inner core change at the same time. I would feel more confident or less confident; mature or childlike; freezing cold or sticky hot, a state that would drive Mum mad as I escaped to the bathroom where I would remain for two hours scrubbing my skin until it was raw. The change was triggered by different emotions: on hearing a particular piece of music; the sight of my father, the smell of his brand of aftershave. I would pick up a book with the certainty that I had not read it before and hear the words as I read them like an echo inside my head. Like Alice in the Lewis Carroll story, I slipped into the depths of the looking glass and couldn’t be sure if it was me standing there or an impostor, a lookalike. I felt fully awake most of the time, but sometimes while I was awake it felt as if I were dreaming. In this dream state I didn’t feel like me, the real me. I felt numb. My fingers prickled. My eyes in the mirror’s reflection were glazed like the eyes of a mannequin in a shop window, my colour, my shape, but without light or focus. These changes were described by Dr Purvis as mood swings and by Mother as floods, but I knew better. All teenagers are moody when it suits them. My Switches could take place when I was alone, transforming me from a bright sixteen-year-old doing her homework into a sobbing child curled on the bed staring at the wall. The weeping fit would pass and I would drag myself back to the mirror expecting to see a child version of myself. ‘Who are you?’ I’d ask. I could hear the words; it sounded like me but it wasn’t me. I’d watch my lips moving and say it again, ‘Who are you?

Dr. Talbon was struck by another very important thing. It all hung together. The stories Cheryl told — even though it was upsetting to think people could do stuff like that — they were not disjointed They were not repetitive in terms of "I've heard this before". It was not just she'd someone trying consciously or unconsciously to get attention. really processed them out and was done with them. She didn't come up with them again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something. Or that she was just living in this stuff like it was her life. Once she dealt with it and processed it, it was gone. We just went on to other things. 'Throughout the whole thing, emotionally Cheryl was getting her life together. Parts of her were integrating where she could say,"I have a sense that some particular alter has folded in with some basic alter", and she didn't bring it up again. She didn't say that this alter has reappeared to cause more problems. That just didn't happen. The therapist had learned from training and experience that when real integration occurs, it is permanent and the patient moves on.

Multiple personality [Dissociative Identity Disorder] should also not be confused with alternations of mood from happy to sad, characteristic of the cyclic temperament. These are merely emotional swings; personality splits are far more comprehensive.

Sometimes I think I’m schizophrenic. Dissociative. Possibly a split personality. It wouldn’t be unheard of. All sorts of disorders show up in ancient family trees—hemophiliacs, insomniacs, lunatics…gingers. Guess I should feel lucky not to be any of those.

Cheryl was aided in her search by the Internet. Each time she remembered a name that seemed to be important in her life, she tried to look up that person on the World Wide Web. The names and pictures Cheryl found were at once familiar and yet not part of her conscious memory: Dr. Sidney Gottlieb, Dr. Louis 'Jolly' West, Dr. Ewen Cameron, Dr. Martin Orne and others had information by and about them on the Web. Soon, she began looking up sites related to childhood incest and found that some of the survivor sites mentioned the same names, though in the context of experiments performed on small children. Again, some names were familiar. Then Cheryl began remembering what turned out to be triggers from old programmes. 'The song, "The Green, Green Grass of home" kept running through my mind. I remembered that my father sang it as well. It all made no sense until I remembered that the last line of the song tells of being buried six feet under that green, green grass. Suddenly, it came to me that this was a suicide programme of the government. 'I went crazy. I felt that my body would explode unless I released some of the pressure I felt within, so I grabbed a [pair ofl scissors and cut myself with the blade so I bled. In my distracted state, I was certain that the bleeding would let the pressure out. I didn't know Lynn had felt the same way years earlier. I just knew I had to do it Cheryl says. She had some barbiturates and other medicine in the house. 'One particularly despondent night, I took several pills. It wasn't exactly a suicide try, though the pills could have killed me. Instead, I kept thinking that I would give myself a fifty-fifty chance of waking up the next morning. Maybe the pills would kill me. Maybe the dose would not be lethal. It was all up to God. I began taking pills each night. Each-morning I kept awakening.

These contradictions begin to split a person in two. Body and mind fall apart from each other, and it is in this fissure that an eating disorder may flourish, in the silence that surrounds this confusion that an eating disorder may fester and thrive. An eating disorder is

part

There’s another key aspect to this splitting: people with BPD also split themselves, often into victim or hero—or into someone capable or someone incompetent.

As Lynn began getting psychologically better, she took me to a variety of sites. She taught me how to read trail markers. In the end, Lynn's stories could not be denied. She was not only a victim, she wanted badly to heal. As her experiences were told and worked through, as she slowly began to come to grips with her past, the personalities within her have slowly begun to heal.

Some alters are what Dr Ross describes in Multiple Personality Disorder as 'fragments', which are 'relatively limited psychic states that express only one feeling, hold one memory or carry out a limited task in the person's life. A fragment might be a frightened child who holds the memory of one particular abuse incident.' In complex multiples, Dr Ross continues, the `personalities are relatively full-bodied, complete states capable of a rang of emotions and behaviours.' The alters will have `executive control some substantial amount of time over the person life'. He stresses, and I repeat his emphasis, 'Complex MPD with over 15 alter personalities and complicated amnesic barriers are associated with 100 percent frequency of childhood physical, sexual and emotional abuse.

When a divorce is initiated, regardless of who files with the court, blamers particularly feel threatened. Many cannot handle seeming in any way responsible for the divorce, which triggers their lifelong fears of abandonment and inferiority. Therefore, they split their partner into all bad. It feels like a war between good and evil to blamers, so they create one. Their extreme feelings create their own problems.

The "apparently normal personality" - the alter you view as "the client" You should not assume that the adult who function in the world, or who presents to you, week after week, is the "real" person, and the other personalities are less real. The client who comes to therapy is not "the" person; there are other personalities to meet and work with. When DID was still officially called MPD, the "person" who lived life on the outside was known as the "host" personality, and the other parts were known as alters. These terms, unfortunately, implied that all the parts other than the host were guests, and therefore of less importance than the host. They were somehow secondary. The currently favored theory of structural dissociation (Nijenhuis & Den Boer, 2009; van der Hart, Nijenhuis, & Steele, 2006), which more accurately describes the way personality systems operate, instead distinguishes between two kinds of states: the apparently normal personality, or ANP, and the emotional personality, or EP, both of which could include a number of parts. p21

I remembered during puberty, through the anorexic mists of intermittent menstrual cycles, that man, my father, lifting Shirley's nightdress over her head and asking her in his mocking way to choose what colour condom she wanted. 'Red or yellow?' Which did she choose? I can't remember. Perhaps she alternated. Perhaps there were other colours. It didn't happen once. It happened again and again. I had no power to stop it. That man, my father, had some control over me. I was drugged by the black silence in that big house, the vile whiff of aftershave, the crushing torment of inevitability. My father fucked Shirley using red or yellow condoms and it was those condoms that brought it all to an end. It was my last realization of the day; any more would have been too much to contemplate. That time when my mother had found used condoms in bedroom, he had admitted, after a pointless burst my father's of denial, that he had been going to prostitutes. That was no doubt true but I can't imagine clients take used condoms away with them; prostitutes would surely get rid of the things. No. My father kept those used condoms as a prize. He was fucking his fourteen-year-old-daughter. He was proud of it. Rebecca welled up with tears. Poor thing, she kept saying. Poor thing.

Over centuries, organised perpetrator groups have observed and studied the way in which extreme childhood traumas, such as accidents, bereavement, war, natural disasters, repeated hospitalisations and surgeries, and (most commonly) child abuse (sexual, physical, and emotional) cause a child's mind to be split into compartments. Occult groups originally utilised this phenomenon to create alternative identities and what they believed to be “possession” by various spirits. In the twentieth century, probably beginning with the Nazis, other organised groups developed ways to harm children and deliberately structure their victims' minds in such a way that they would not remember what happened, or that if they began to remember they would disbelieve their own memories. Consequently, the memories of what has happened to a survivor are hidden within his or her inside parts.

The person’s cognitive distortions get triggered, and all kinds of extreme thoughts may get generated, including allegations of abuse by you. People with BP tendencies seem to desire the elimination of the other parent as much as possible, stating that you’re a “threat” to the child for some reason, and you need supervised visitation or no contact. Since these types of orders are used only when there are serious abuse allegations, people with BP or NP traits often make very serious abuse allegations. This entire process may be totally unconscious, although some blamers are willing to make knowingly false statements to accomplish their desperate goals.

Switching is the term in dissociation theory used to refer to the change of state, or moving from one part or alter to another. Some writers use the word splitting when referring to switching, creating a further confusion.

The programme into which Cheryl was inducted combined all the different ways the intelligence community had learned could cause intense psychological change in adults and children. It had been learned through the use of both knowledgeable and 'unwitting' volunteers. They were subjected to sensory overload, isolation, drugs and hypnosis, all used on bodies that had been weakened from mild hunger. The horror of the programme was that it would be like having an elementary school sex education class conducted by a paedophile rapist. It would have been banned had the American government signed the Helsinki Accords. But, of course, they hadn't. For the test that day and in those that followed, Cheryl Hersha was positioned so she faced a portable movie screen. A 16mm movie projector was on a platform, along with several reels of film. Each was a short pornographic film meant to make her aware of sexuality in a variety of forms...

The men and women who continue to hold Lynn's mind hostage against her will believe the future will be tilled with terrorism, death, destruction and a challenge to the survival of America. They believe Lynn and the other lab rats must still respond to their programming for they are the second line of defence against enemies from within and without and the first line of offence in a catastrophe which would require the recreation of America's constitutional government. They are still intent on preparing Lynn for the day when she will he necessary for battle. One summer day, all these dark realisations came flooding upon Lynn and she knew if she was ever to free herself, she needed to get immediate help.

Most people reflect on their own thoughts: Is this true? Am I overreacting? I should check this out. But people with PDs don’t seem to have the ability to reflect on their own thoughts or behavior. Like someone who is drunk, their thinking is continually “under the influence” of their cognitive distortions. They can send, but not receive, new information. Because they are unaware of their cognitive distortions, these distortions can underlie serious misbehavior, including physical abuse, emotional abuse, and even legal abuse (using the legal system to attack a target and to promote false or unnecessary litigation). Information that does not fit the distortion is rigidly unconsciously blocked as too threatening and confusing. Instead, people with PDs defend their distortions in an effort to protect themselves. Blamers repeatedly react to “false alarms” caused by all-or-nothing thinking, jumping to conclusions, and so forth. They truly believe that they are in danger, and they feel powerless and out of control inside.

The System Map is like an internal family tree, though it can be drawn out in whatever format, in whatever way is easy for the System to understand. It will contain and illustrate information such as who split off from whom and how you all relate to each other. As you become more aware of your System over time, your System Map may grow as you encounter newly discovered parts. It may also change over time as you come to have greater understanding of your System and how you all relate to and interrelate with each other.

The word is dissociate. There is no 'a' before the 'ss'. People invariably say dis-a-ssociate, which, if you're suffering Disso-ciative Identity Disorder/Multiple Personality Disorder, can be irritating. People then want to know how many personalities I have and the answer is: I don't know. The first book about Multiple Personality Disorder to make an impact was Flora Rheta Schreiber's Sybil, published in 1973, which carries the subtitle: The True and Extraordinary Story of a Woman Possessed by Sixteen Separate Personalities. Corbett H. Thigpen and Hervey M. Cleckley published the controversial The Three Faces of Eve much earlier in 1957, and Pete Townshend from The Who wrote the song 'Four Faces'. People seem to feel safe with numbers. The truth is more complicated. The kids emerged over time. Billy, the boisterous five-year-old, was at first the most dominant. But he slowly stood aside for JJ, the self-confident ten-year-old who appears when Alice is under stress and handles complicated situations like travelling on the Underground and meeting new people. The first entity to visit was the external voice of the Professor. But he had a choir of accomplices without names. So, how many actual alter personalities are there? I would say more than fifteen and less than thirty, a combination of protectors, persecutors and friends - my own family tree.

the behavior of parents, other parties, or both. Also, old videos or photos may be helpful in showing how comfortable and happy the children are with you as a parent, to counteract allegations that the children were always afraid of you. Submitting the Evidence to the Court

The Kinsey staff asked questions of children, learning about sexuality in the family. And other psychologists, psychiatrists and paediatricians, including Benjamin Spock, explored this burgeoning field. As a result, it was known that children will naturally touch their genitals to experience a sense of pleasure. It was also known, from working with victims of childhood incest that small children will act in inappropriate sexual ways with adults if they are trained through abuse to do so. The methods used on Cheryl and the other 'lab rats' were meant to create an Alter personality that would both perform and tolerate sexual acts that are only appropriate for consenting adults. More important in their thinking, by limiting the experience to just one personality (ego state), the personality normally seen would behave like any other child who had not been sexually abused in any way.

The lifetime prevalence of dissociative disorders among women in a general urban Turkish community was 18.3%, with 1.1% having DID (ar, Akyüz, & Doan, 2007). In a study of an Ethiopian rural community, the prevalence of dissociative rural community, the prevalence of dissociative disorders was 6.3%, and these disorders were as prevalent as mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%) (Awas, Kebede, & Alem, 1999). A similar prevalence of ICD-10 dissociative disorders (7.3%) was reported for a sample of psychiatric patients from Saudi Arabia (AbuMadini & Rahim, 2002).

DID may be underdiagnosed. The image derived from classic textbooks of a florid, dramatic disorder with overt switching characterizes about 5% of the DID clinical population. The more typical presentation is of a covert disorder with dissociative symptoms embedded among affective, anxiety, pseudo-psychotic, dyscontrol, and self-destructive symptoms, and others (Loewenstein, 1991). The typical DID patient averages 6 to 12 years in the mental health system, receiving an average of 3 to 4 prior diagnoses. DID is often found in cases that were labeled as "treatment failures" because the patient did not respond to typical treatments for mood, anxiety, psychotic, somatoform, substance abuse, and eating disorders, among others. Rapid mood shifts (within minutes or hours), impulsivity, self-destructiveness, and/or apparent hallucinations lead to misdiagnosis of cyclic mood disorders (e.g., bipolar disorder) or psychotic disorders (e.g., schizophrenia).

Did I imagine the castle, the dungeon, the ritual orgies and violations? Did Lucy, Billy, Samuel, Eliza, Shirley and Kato make it all up? I went back to the industrial estate and found the castle. It was an old factory that had burned to the ground, but the charred ruins of the basement remained. I closed my eyes and could see the black candles, the dancing shadows, the inverted pentagram, the people chanting through hooded robes. I could see myself among other children being abused in ways that defy imagination. I have no doubt now that the cult of devil worshippers was nothing more than a ring of paedophiles, the satanic paraphernalia a cover for their true lusts: the innocent bodies of young children.

Working simultaneously, though seemingly without a conscience, was Dr. Ewen Cameron, whose base was a laboratory in Canada's McGill University, in Montreal. Since his death in 1967, the history of his work for both himself and the CIA has become known. He was interested in 'terminal' experiments and regularly received relatively small stipends (never more than $20,000) from the American CIA order to conduct his work. He explored electroshock in ways that offered such high risk of permanent brain damage that other researchers would not try them. He immersed subjects in sensory deprivation tanks for weeks at a time, though often claiming that they were immersed for only a matter of hours. He seemed to fancy himself a pure scientist, a man who would do anything to learn the outcome. The fact that some people died as a result of his research, while others went insane and still others, including the wife of a member of Canada's Parliament, had psychological problems for many years afterwards, was not a concern to the doctor or those who employed him. What mattered was that by the time Cheryl and Lynn Hersha were placed in the programme, the intelligence community had learned how to use electroshock techniques to control the mind. And so, like her sister, Lynn was strapped to a chair and wired for electric shock. The experience was different for Lynn, though the sexual component remained present to lesser degree...

Disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession. The disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

Helping the identities to be aware of one another as legitimate parts of the self and to negotiate and resolve their conflicts is at the very core of the therapeutic process. It is countertherapeutic for the therapist to treat any alternate identity as if it were more “real” or more important than any other. The therapist should not “play favorites” among the alternate identities or exclude apparently unlikable or disruptive ones from the therapy (although such steps may be necessary for a limited period of time at some stages in the treatment of some patients to provide for the safety and stability of the patient or the safety of others). The therapist should foster the idea that all alternate identities represent adaptive attempts to cope or to master problems that the patient has faced. Thus, it is countertherapeutic to tell patients to ignore or “get rid” of identities (although it is acceptable to provide strategies for the patient to resist the influence of destructive identities, or to help control the emergence of certain identities at inappropriate circumstances or times). It is countertherapeutic to suggest that the patient create additional alternate identities, to name identities when they have no names (although the patient may choose names if he or she wishes), or to suggest that identities function in a more elaborated and autonomous way than they already are functioning. A desirable treatment outcome is a workable form of integration or harmony among alternate identities." Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, Journal of Trauma & Dissociation, 12:2, 115-187 (2011) DOI 10.1080/15299732.2011.537247

It is hard to bring paedophile rings to justice. Thankfully it does happen. Perhaps the most horrific recent case came before the High Court in Edinburgh in June 2007. It involved a mother who stood by and watched as her daughter of nine was gang-raped by members of a paedophile ring at her home in Granton, in the north of Edinburgh. The mother, Caroline Dunsmore, had allowed her two daughters to be used in this way from the age of five. Sentencing Dunsmore to twelve years in prison judge, Lord Malcolm, said he would take into account public revulsion at the grievous crimes against the two girls. He told the forty-three-year-old woman: 'It is hard to imagine a more grievous breach of trust on the part of a mother towards her child.' Morris Petch and John O'Flaherty were also jailed for taking part in raping the children. Child abuse nearly always takes place at home and members of the family are usually involved.

As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)

As an individual passes from one situation to another, his [sic] world, his environment, expands or contracts. He does not find himself living in another world but in a different part or aspect of one and the same world. What he has learned in the way of knowledge and skill in one situation becomes an instrument of understanding and dealing effectively with the situations which follow. The process goes on as long as life and learning continue. Otherwise the course of experience is disorderly, since the individual factor that enters into making an experience is split. A divided world, a world whose parts and aspects do not hang together, is at once a sign and a cause of a divided personality. When the splitting-up reaches a certain point we call the person insane. A fully integrated personality, on the other hand, exists only when successive experiences are integrated with one another. It can be built up only as a world of related objects is constructed.

To the men and women who changed Cheryl Hersha's life, she was a continuation of the research that had first been conducted in the late nineteenth and early twentieth centuries by Dr. Morton Prince. He encountered a woman named Miss Beauchamp, a nursing student who was referred to the psychiatrist because of health problems. As he worked with her, Prince discovered that she had four separate personalities (dissociated ego states) that existed independently of one another within the same body. Though he tried, Dr. Prince never understood Miss Beauchamp, nor was he able to help her. When he died, his wife had the woman committed to an insane asylum for the rest of her life. However, Prince's careful documentation of Beauchamp's symptoms, actions and family history (extreme child abuse beginning before the age of seven) provided information needed to develop the techniques for contemporary, routinely successful treatment of what would be called Multiple Personality Disorder.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

Of course, I should have known the kids would pop out in the atmosphere of Roberta's office. That's what they do when Alice is under stress. They see a gap in the space-time continuum and slip through like beams of light through a prism changing form and direction. We had got into the habit in recent weeks of starting our sessions with that marble and stick game called Ker-Plunk, which Billy liked. There were times when I caught myself entering the office with a teddy that Samuel had taken from the toy cupboard outside. Roberta told me that on a couple of occasions I had shot her with the plastic gun and once, as Samuel, I had climbed down from the high-tech chairs, rolled into a ball in the corner and just cried. 'This is embarrassing,' I admitted. 'It doesn't have to be.' 'It doesn't have to be, but it is,' I said. The thing is. I never knew when the 'others' were going to come out. I only discovered that one had been out when I lost time or found myself in the midst of some wacky occupation — finger-painting like a five-year-old, cutting my arms, wandering from shops with unwanted, unpaid-for clutter. In her reserved way, Roberta described the kids as an elaborate defence mechanism. As a child, I had blocked out my memories in order not to dwell on anything painful or uncertain. Even as a teenager, I had allowed the bizarre and terrifying to seem normal because the alternative would have upset the fiction of my loving little nuclear family. I made a mental note to look up defence mechanisms, something we had touched on in psychology.

Despite the growing clinical and research interest in dissociative symptoms and disorders, it is also true that the substantial prevalence rates for dissociative disorders are still disproportional to the number of studies addressing these conditions. For example, schizophrenia has a reported rate of 0.55% to 1% of the normal population (Goldner, Hus, Waraich, & Somers, more or less similar to the prevalence of DID. Yet a PubMed search generated 25,421 papers on research related to schizophrenia, whereas only 73 publications were found for DID-related research.

I believe the perception of what people think about DID is I might be crazy, unstable, and low functioning. After my diagnosis, I took a risk by sharing my story with a few friends. It was quite upsetting to lose a long term relationship with a friend because she could not accept my diagnosis. But it spurred me to take action. I wanted people to be informed that anyone can have DID and achieve highly functioning lives. I was successful in a career, I was married with children, and very active in numerous activities. I was highly functioning because I could dissociate the trauma from my life through my alters. Essentially, I survived because of DID. That's not to say I didn't fall down along the way. There were long term therapy visits, and plenty of hospitalizations for depression, medication adjustments, and suicide attempts. After a year, it became evident I was truly a patient with the diagnosis of DID from my therapist and psychiatrist. I had two choices. First, I could accept it and make choices about how I was going to deal with it. My therapist told me when faced with DID, a patient can learn to live with the live with the alters and make them part of one's life. Or, perhaps, the patient would like to have the alters integrate into one person, the host, so there are no more alters. Everyone is different. The patient and the therapist need to decide which is best for the patient. Secondly, the other choice was to resist having alters all together and be miserable, stuck in an existence that would continue to be crippling. Most people with DID are cognizant something is not right with themselves even if they are not properly diagnosed. My therapist was trustworthy, honest, and compassionate. Never for a moment did I believe she would steer me in the wrong direction. With her help and guidance, I chose to learn and understand my disorder. It was a turning point.

There were other strange signals and signs. Another day, suddenly felt an almost overwhelming urge to travel to Balitmore. I wanted to 'kidnap' a helicoper fly it there if I didn't drive the there', she explains. 'I had no idea where I was to go, only that I was certain I would know my destination as I encountered signs and certain landmarks along the way. I was not even certain who I was to meet, or what my mission was, but I felt I must go.' Beginning to heal by this time with Talbon's help, she resisted that urge. Yet she sensed she would be summoned for three more Cat Woman missions: two in 1999 and one in 2000. As for the code words for activating her, those had been erased from Cheryl's conscious memory. Buried deep in her unconscious mind, however, the words, when called up, cause her to react as her programmers want her to. Though she can't remember the activation codes, Cheryl knows her handlers said the same things every time. 'I'm working on unblocking the words in therapy. Once I know what the words are, I can learn how to stop their effect on me. I did it already when I learned the control code. Standing in front of a mirror, I said the control code words over and over until I was completely desensitised to them. That's what I have to do for the activation code words... but I have not been able to recall all of them as yet.' Dr. Talbon was struck by another very important thing. 'It all hung together. The stories Cheryl told - even though it was upsetting to think people could do stuff like that - they were not disjointed. They were not repetitive in terms of "I've heard this before". It was not just trying consciously or unconsciously to get attention. She'd really processed them out and was done with them. She didn't come up with it again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something.

Once I had found the courage to tell Rebecca about the children in my head, it wasn't so hard in the coming months to tell Roberta. On the train from Huddersfield one day in May I made a roll call of the usual suspects: Baby Alice; Alice 2, who was two years old and liked to suck sticky lollipops; Billy; Samuel; Shirley; Kato; and the enigmatic Eliza. There was boy I would grow particularly fond of named limbo, who was ten, but like Eliza he was still forming. There were others without names or specific behaviour traits. I didn't want to confuse the issue with this crowd of 'others' and just counted off the major players with their names, ages and personalities, which Roberta scribbled down on a pad. Then she looked slightly embarrassed. 'You know, I've met Billy on a few occasions, and Samuel once too,' she said. 'You're joking.' I felt betrayed. 'Why didn't you tell me?' 'I wanted it to come from you, Alice, when you were ready.' For some reason I pulled up my sleeves and showed he my arms. 'That's Kato,' I said, 'or Shirley.' She looked a bit pale as she studied the scars. I had feeling she didn't know what to say. The problem with counsellors is that they are trained to listen, not to give advice or diagnosis. We sat there with my arms extended over the void between us like evidence in court, then I pushed down my sleeves again. 'I'm so sorry, Alice,' she said finally and I shrugged. 'It's not your fault, is it?' Now she shrugged, and we were quiet once more.

In order to get to know who is in your System, each individual alter needs to complete a piece of paper in the form of a circle (or triangle) which contains the following information: their name, their age (it might be an age range, like age 4-7), and their traits. strengths and skills. (All parts must have a name. If they do not have a name, they need to choose one. lf their name was given to them by a perpetrator and is too upsetting or if it has a negative association, they may wish to change their name—that is perfectly ok. Any name that is not negative or triggering is fine—it does not have to be a standard ‘proper name’ as they are commonly thought of.) On the back of the circle or triangle they need to write down what caused them to split off.

Virtually all the authors of popular books on the subject assert that ADD is a heritable genetic disorder. With some notable exceptions, the genetic view also dominates much of the discussion within professional circles, a view I do not agree with. I believe that ADD can be better understood if we examine people’s lives, not only bits of DNA. Heredity does make an important contribution, but far less than usually assumed. At the same time, it would serve no purpose to set up the false opposition of environment to genetic inheritance. No such split exists in nature, or in the mind of any serious scientist. There are many biological events involving body and brain that are not directly programmed by heredity, and so to say that ADD is not primarily genetic is not in any sense to deny its biological features — either those that are inherited or those that are acquired as a result of experience. The genetic blueprints for the architecture and the workings of the human brain develop in a process of interaction with the environment. ADD does reflect biological malfunctions in certain brain centers, but many of its features — including the underlying biology itself — are also inextricably connected to a person’s physical and emotional experiences in the world. There is in ADD an inherited predisposition, but that’s very far from saying there is a genetic predetermination. A predetermination dictates that something will inevitably happen. A predisposition only makes it more likely that it may happen, depending on circumstances. The actual outcome is influenced by many other factors.

It is necessary to make this point in answer to the `iatrogenic' theory that the unveiling of repressed memories in MPD sufferers, paranoids and schizophrenics can be created in analysis; a fabrication of the doctor—patient relationship. According to Dr Ross, this theory, a sort of psychiatric ping-pong 'has never been stated in print in a complete and clearly argued way'. My case endorses Dr Ross's assertions. My memories were coming back to me in fragments and flashbacks long before I began therapy. Indications of that abuse, ritual or otherwise, can be found in my medical records and in notebooks and poems dating back before Adele Armstrong and Jo Lewin entered my life. There have been a number of cases in recent years where the police have charged groups of people with subjecting children to so-called satanic or ritual abuse in paedophile rings. Few cases result in a conviction. But that is not proof that the abuse didn't take place, and the police must have been very certain of the evidence to have brought the cases to court in the first place. The abuse happens. I know it happens. Girls in psychiatric units don't always talk to the shrinks, but they need to talk and they talk to each other. As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. (Alice refers to her constant infections as a child, which were never recognised as caused by sexual abuse)

Rather than returning to school, he drove straight to the psychologist. “You may need a bit of adjustment, but it’s nothing serious,” the doctor said, after listening to his lengthy narrative. “Nothing serious?” Luo Ji opened his bloodshot eyes wide. “I’m madly in love with a fictional person from a novel of my own creation. I’ve been with her, I’ve traveled with her, and I’ve even broken up with my real-life girlfriend over her. Is that nothing serious to you?” The doctor smiled tolerantly. “Don’t you get it? I’ve given my most profound love to an illusion!” “Are you under the impression that the object of everyone else’s love actually exists?” “Is that even a question?” “Sure. For the majority of people, what they love exists only in the imagination. The object of their love is not the man or woman of reality, but what he or she is like in their imagination. The person in reality is just a template used for the creation of this dream lover. Eventually, they find out the differences between their dream lover and the template. If they can get used to those differences, then they can be together. If not, they split up. It’s as simple as that. You differ from the majority in one respect: You didn’t need a template.” “So this isn’t a sickness?” “Only in the way your girlfriend pointed out: You’ve got natural literary talent. If you want to call that a sickness, go right ahead.” “But isn’t imagining to this degree a little excessive?” “There’s nothing excessive about imagination. Especially where love is concerned.” “So what should I do? How can I forget about her?” “It’s impossible. You can’t forget her, so don’t make the effort. That will only lead to side effects, and maybe even mental disorders. Let nature take its course. Once more, for emphasis: Don’t try to forget about her. It won’t work. But as time passes, her influence on your life will decrease. And you’re actually quite lucky. Whether or not she really exists, you’re fortunate to be in love.” This

Uneducated therapists often have an inability to cope with the behaviors of persecutory alters. They commonly focus on helping one side of the personality system and battling with the other side. When “Satan” or some similar part talks in a deep scary voice to you or to the client, it is easy to think this is a nasty perpetrator or a supernatural being, and to and to oppose it or fight with it or try to banish it. However, if you do this, you will engender the hostility of this part, who has probably been very badly hurt and told a lot of lies. You will foster internal splitting in this way, and get nowhere fast. Once you recognize that these alters have a protective intent, you can see that working with them involves enlisting them in the service of healing, just as they were originally enlisted in the cause of safety. You will see examples of these kinds of errors, which often result in clients leaving their therapists, in survivor LisaBri's story: When therapists make mistakes.

As Mollie said to Dailey in the 1890s: "I am told that there are five other Mollie Fanchers, who together, make the whole of the one Mollie Fancher, known to the world; who they are and what they are I cannot tell or explain, I can only conjecture." Dailey described five distinct Mollies, each with a different name, each of whom he met (as did Aunt Susan and a family friend, George Sargent). According to Susan Crosby, the first additional personality appeared some three years after the after the nine-year trance, or around 1878. The dominant Mollie, the one who functioned most of the time and was known to everyone as Mollie Fancher, was designated Sunbeam (the names were devised by Sargent, as he met each of the personalities). The four other personalities came out only at night, after eleven, when Mollie would have her usual spasm and trance. The first to appear was always Idol, who shared Sunbeam's memories of childhood and adolescence but had no memory of the horsecar accident. Idol was very jealous of Sunbeam's accomplishments, and would sometimes unravel her embroidery or hide her work. Idol and Sunbeam wrote with different handwriting, and at times penned letters to each other. The next personality Sargent named Rosebud: "It was the sweetest little child's face," he described, "the voice and accent that of a little child." Rosebud said she was seven years old, and had Mollie's memories of early childhood: her first teacher's name, the streets on which she had lived, children's songs. She wrote with a child's handwriting, upper- and lowercase letters mixed. When Dailey questioned Rosebud about her mother, she answered that she was sick and had gone away, and that she did not know when she would be coming back. As to where she lived, she answered "Fulton Street," where the Fanchers had lived before moving to Gates Avenue. Pearl, the fourth personality, was evidently in her late teens. Sargent described her as very spiritual, sweet in expression, cultured and agreeable: "She remembers Professor West [principal of Brooklyn Heights Seminary], and her school days and friends up to about the sixteenth year in the life of Mollie Fancher. She pronounces her words with an accent peculiar to young ladies of about 1865." Ruby, the last Mollie, was vivacious, humorous, bright, witty. "She does everything with a dash," said Sargent. "What mystifies me about 'Ruby,' and distinguishes her from the others, is that she does not, in her conversations with me, go much into the life of Mollie Fancher. She has the air of knowing a good deal more than she tells.

What is your name?” she said crossing her legs. “I am Raj Singhania, owner of Singhania group of Industries and I am on my way to sign a 1000 crore deal.” “Oh my God, Oh my God!” she said laughing and looked at Bobby from top to bottom. “What’s with this OMG thing and girls, stop saying that. I am not going to propose you anytime soon. But it’s OK. I can understand how girls feel when they meet famous dudes like me,” Bobby said smiling. “What kind of an idiot are you?” she said laughing. “Indeed, a very rare one. The one that you find after searching for millions of years,” Bobby said. “Do you always talk like this?” she said laughing. “Only to strangers on bus or whenever I get bored,” Bobby said. “OK, tell me your real name,” she said. “My name is Mogaliputta Tissa and I am here to save the world.” “Oh no not again!” she said squeezing her head with both her hands. “I know you are dying inside to kiss me,” Bobby said flashing a smile. “Why would I kiss you?” she said with a pretended sternness. “Because, you are impressed with my intelligence level and the hotness quotient, I can see that in your eyes.” “You think you are hot! Oh no! You look like that cartoon guy in 7 up commercial,” she said laughing. “Thank you. He was the coolest guy I saw on TV,” Bobby said. “OK fine, let’s calm down. Tell me your real name,” she said calmly. “I don’t remember my name,” Bobby said calmly. “What kind of idiot forgets his name?” she said staring into Bobby’s eyes. “I am suffering from multiple personality disorder and I forgot my present personality’s name. Can you help me out?” Bobby said with an innocent look on his face. “I will kill you with my hair clip. Leave me alone,” she said and closed her eyes. “You look like a Pomeranian puppy,” Bobby said looking at her hair. “Don’t talk to me,” she said. “You look very beautiful,” Bobby said. “Nice try but I am not going to open my eyes,” she said. “Your ear rings are very nice. But I think that girl in the last seat has better rings,” Bobby said. “She is not wearing any ear rings. I know because I saw her when I was getting inside. It takes just 5 seconds for a girl to know what other girls around her are wearing,” she said with her eyes still closed. “Hey, look. They are selling porn CDs at a roadside shop,” Bobby said. “I have loads of porn in my personal computer. I don’t need them,” she said. “OMG, that girl looks hotter than you,” Bobby said. “I will not open my eyes no matter what. Even if an earthquake hits the road, I will not open my eyes,” she said crossing her arms over her chest. Bobby turned back and waved his hand to the kid who was poking his mom’s ear. The kid came running and halted at Bobby’s seat. “This aunty wants to give you a chocolate if you tell her your name,” Bobby whispered to the kid and the kid perked up smiling. “Hello Aunty! Wake up, my name is Bintu. Give me my chocolate, Aunty, please!” the kid said yanking at the girl’s hand. All of a sudden, she opened her eyes and glared at the kid. “Don’t call me aunty. What would everyone think? I am a teenage girl. Go away. I don’t have anything to give you,” she said and the kid went back to his seat. “This is what happens when you mess with an intelligent person like me,” Bobby said laughing. “Shut up,” she said. “OK dude.” “I am not a dude. Stop it.” “OK sexy. Oops! OK Saxena,” “I will scream.” “OK. Where do you study?” “Why should I tell you?” “Are you suffering from split personality disorder like me?” Bobby said staring into her eyes. “Shut up. Don’t talk to me,” she said with a pout. “What the hell! I have enlightened your mind with my thoughts, told you my name and now you are acting like you don’t know me. Girls are mad.

Thomas and Tammy have been married for five years and have a daughter, Brianna, aged four. Tammy blames Thomas when things go poorly for her, and she even yells and occasionally throws things at him. Once she threw a can of soup that hit him in the back of the head. Thomas works full-time, and though Tammy works part-time, she often expects him to take the primary role in caring for their daughter. Tammy finds Brianna irritating and has little patience for the messes she makes. Patient and tolerant, Thomas often gets up in the middle of the night and helps Brianna, especially when Tammy is in one of her bad moods.

Mary was my first encounter with dissociative identity disorder (DID), which at that time was called multiple personality disorder. As dramatic as its symptoms are, the internal splitting and emergence of distinct identities experienced in DID represent only the extreme end of the spectrum of mental life.

ANXIOUS CONTRACTIONS Life is movement. It’s dynamic and pulsating like a swift moving river. To be in a contented and happy state is to be in a state of flow where your thoughts and feelings follow a natural current and there is no inner friction or need to check in on your anxiety every five minutes. When you feel in flow, your body feels light and your mind becomes spontaneous and joyful. Anxiety and fear are the total opposite. They’re the contractions of life. When we get scared, we contract in fear. Our bodies become stiff and our minds become fearful and rigid. If we hold that contracted state, we eventually cut ourselves off from life. We lose flexibility. We lose our flow. We can think of this a bit like pulling a muscle. When a muscle is overused and tired, its cells run out of energy and fluid. This can lead to a sudden and forceful contraction, such as a cramp. This contraction is painful and scary as it comes without warning. In the same way, we can be living our lives with a lot of stress and exhaustion, similar to holding a muscle in an unusual position for too long. If we fail to notice and take care of this situation, we can experience an intense and sudden moment of anxiety or even panic. I call this an “anxious contraction,” and it can feel quite painful. Learning how to respond correctly to this anxious contraction is crucial and determines how quickly we release it. Anxious contractions happen to almost everyone at some point in their lives. We suddenly feel overwhelmed with anxiety as our body experiences all manner of intense sensations, such as a pounding heart or a tight chest or a dizzy sensation. Our anxiety level then is maybe an 8 or 9 out of 10. We recoil in fear and spiral into a downward loop of more fear and anxiety. Some might say they had a spontaneous panic attack while others might describe the feeling as being very “on edge.”   THE ANXIETY LOOP It’s at this point in time where people get split into those that develop an anxiety disorder and those that don’t. The real deciding factor is whether a person gets caught in the “anxiety loop” or not. The anxiety loop is a mental trap, a vicious cycle of fearing fear. Instead of ignoring anxious thoughts or bodily sensations, the person becomes acutely aware and paranoid of them. “What if I lose control and do something crazy?” “What if those sensations come back again while I’m in a meeting?” “What if it’s a sign of a serious health problem?” This trap is akin to quicksand. Our immediate response is to struggle hard to free ourselves, but it’s the wrong response. The more we struggle, the deeper we sink. Anxiety is such a simple but costly trap to fall into. All your additional worry and stress make the problem worse, fueling more anxiety and creating a vicious cycle or loop. It’s like spilling gasoline onto a bonfire: the more you fear the bodily sensations, the more intense they feel. I’ve seen so many carefree people go from feeling fine one day to becoming fearful of everyday situations simply because they had one bad panic attack and then got stuck in this anxious loop of fearing fear. But there is great hope. As strange as it sounds, the greatest obstacle to healing your anxiety is you. You’re the cure. Your body wants to heal your anxiety as much as you do.

Blamers are notorious for not accepting court orders. Acceptance is part of the grieving process, and people with PDs have a difficult time grieving.

Keep seeing shades of gray. Often, loved ones pick up the borderline defense mechanism of splitting, or seeing things in black and white. Keep in mind the subtleties inherent in all situations. Don’t get drawn into the other person’s extreme reactions; trust your instincts and form your own judgments.

For HCPs, there often cannot be any shades of gray. This is called splitting. You may recognize this all-or-nothing, black-and-white thinking when you hear an HCP say things like, “You always do this,” and “You never do that.

Summing Up Paul clearly expects his readers to join him in outrage over the sexual behavior he describes in Romans 1: 24-27 as an expression of excessive, self-centered desire. He describes this behavior as an expression of “lusts” (1: 24), as driven by “passions” (1: 26), and as “consumed, or “burning,” “with passion” (1: 27). This is in keeping with the general perception of same-sex relations in the ancient world: that they were driven by insatiable desire, not content with more normal sexual relationships. Jews and Christians opposed to same-sex eroticism show no awareness of the modern notion of sexual orientation. In Romans 1: 24-27, Paul may be alluding to the notorious excesses of a former Roman emperor, Gaius Caligula, whose idolatrous patterns and sexual excesses—including same-sex eroticism—were well known, and whose murder by being stabbed in the genitals markedly echoes Paul’s words in Romans 1: 27: “receiving in their own persons the due penalty for their error.” Paul does not regard sexual desire itself as evil; it is only when desire gets out of control that it becomes lust and leads to sin. Many traditionalist interpreters of this passage focus on the “objective” disorder of same-sex relationships, but when Paul speaks of these behaviors as “lustful,” the focus falls on their excessive nature: out-of-control, self-seeking desire. Modern attempts to differentiate between same-sex orientation and same-sex behavior tend to minimize Paul’s concern with out-of-control lust in this text, focusing instead on the “objective” disorder of same-sex intimacy. Yet this move leaves gay and lesbian Christians with little help in wrestling with their “subjective” sexual orientation, which is in most cases highly resistant to change. Ultimately, Scripture does not sanction a sharp split between sinful acts and the inclination toward sinful acts. If an act is sinful, the inclination to that act is also a manifestation of one’s sinful nature. This calls into question whether the orientation/ behavior dichotomy in many traditionalist approaches to homosexuality is theologically and ethically viable. But if we keep Paul’s focus in Romans 1: 24-27 on out-of-control desire firmly in focus, we will recognize that these concerns may not be reflected in committed gay or lesbian relationships, opening up the possibility that these relationships may not be “lustful” and thus not directly addressed by Paul’s polemic in Romans 1.

Some people with BPD who act out may use a game we call “Tag, You’re It” to relieve their anxiety, pain, and feelings of shame. It’s complex because it combines shame, splitting, denial, and projection.

You’re left spinning in a blur of ups and downs, not sure which extreme you should believe, or perhaps neither. Splitting

Schizophrenia affects many people, both the people with the disorder and those who love and support them. Research is continuing and as advances in medical knowledge continue there is an increasingly likelihood that the disorder can be successfully treated

One of the most common misconceptions regarding schizophrenia is that people who have this disorder have a split personality or even multiple personalities.

It is actually relatively common for someone to be diagnosed with multiple personality disorder after having visited the doctor for an eating issue. The eating issue cannot be resolved by the conventional approaches which most doctors use. Only when these approaches are all exhausted will the doctor look for alternatives and may well discover that the eating disorder is a symptom of a multiple personality disorder and not a disorder in its own right. •

Some people, who never engaged in any research about DID, claim that there is no connection between child abuse and DID. Then they unwittingly contradict themselves by stating DID doesn’t even exist. DSM-5 concluded from the rigorous research into DID: “Interpersonal physical and sexual abuse is associated with an increased risk of dissociative identify disorder. Prevalence of childhood abuse and neglect in the United States, Canada and Europe among those with the disorder is close to 90%.

The term disorder of the self is descriptive of a personality disorder because these patients are out of touch with themselves. They identify themselves with a facade, a false defensive self that they have developed to adapt to a world that they perceive as hostile.

However, from a neuroscientific point of view, it makes perfect sense that the individual, most likely once a victim, has developed a brain disorder—a split personality—that targets certain individuals, offers kindness and privileges to others, ingratiates themselves with those in power, covers up their abuse, and thereby perpetuates the abuse.

Ian believed that all actors were crazy. They had to be if they were any good. The truly great ones had to have a manageable version of split personality disorder. How else could they pretend to be someone else so fully that we not only believe it but we invest ourselves emotionally in what they are experiencing?

Because the symptoms—splitting, intense push-pull interpersonal dynamics, displaced anger, and lack of sense of self— parallel those seen in Borderline Personality Disorder (BPD), we have proposed that the four Stockholm Syndrome-conducive conditions not only give rise to the syndrome, but may eventuate in BPD if abuse is sufficiently severe and long-term. In less severe cases, the victim is likely to show only borderline personality characteristics (BPC). We conceptualize BPD and BPC as survival strategies, wherein the syndrome’s psychodynamics are generalized to persons other than the abuser/captor. We also propose that BPD and BPC can develop at any age, even in adulthood, as a consequence of prior chronic, long-term interpersonal abuse (Graham and Rawlings 1991).

Can the splitting of representations explain multiplicity? Not at all, for two reasons.20 First, a split is into two, not many. The splitting of self and object representations manifest polarity: self-object, good-bad, male-female, friend-foe, and so on, whereas alters generally don't (though they may). Second, hosts and alters are intentional subjects or agents, entities capable of uttering "I." Indeed, one may profitably regard alter as short for alter ego, literally "other I." A given "I" has intentional objects that are its respective self and object representations. In other words, a split representation, even of the self, is an object of thought, not a thinker, not a subject or agent or "I.

During the trial he claimed that he suffered from Multiple Personality Disorder (MPD), or Dissociative Personality Disorder as it is now called. In my opinion, a serial killer cannot suffer from MPD because the cause of MPD and the cause of serial homicide differ. When children are abused at a young age, as Nolan was, they have several options of mental defence mechanism. The person with MPD develops split personalities as a defence mechanism, thereby repressing the abuse to the subconscious, but he does not develop revenge fantasies. The serial killer does develop revenge fantasies, thereby acknowledging the abuse, and he acts out these fantasies. The two defence mechanisms are totally different and do not overlap. A serial killer cannot, therefore, suffer from MPD because his defence mechanism is vastly different from that of the MPD sufferer.

However, it is important to remember that only 15 years ago most major training schools did not accept the existence of child abuse and condemned what they saw as the unhealthy excitement that was considered to emanate from the earliest exponents. The language of their criticism is very similar... to what greets the clinician of today who speaks of DID. It has been a later knowledge that understands the way the shame and trauma of abuse become projected into the professional network leading to splitting and blame.

Perhaps DID raises problematic philosophical and psychological concerns about the nature of the mind itself... Ideas of a unitary ego would incline professionals to see multiplicity as a behavioural disturbance. However, if the mind is seen as a seamless collaboration between multiple selves - a kind of trade union agreement for co-existence - it is less threatening to face this subject.

Peg's very young alters formed around her father's abuse. But when she was 8 another alter group formed, as Peg reported, from ritualized sexual torture by a neighbor who forced Peg to ritually injure two other children. By age 13 Peg had fallen victim to her older brother's sexual violence as well and this led to more splitting. In her teens and twenties Peg added more alters in response even to nontraumatic life disappointments, since the splitting mechanism worked so well to insulate her from suffering.

Split is doing well at the box office around the world, but it misrepresents people with dissociative identity disorder (DID; previously called multiple personality disorder). The trailer is particularly gripping, luring in audiences by depicting a man with DID kidnapping and preparing to torture three teenage girls. Kevin (played by James McAvoy) juggles 24 personalities that are based on stereotypes: a cutesy 9-year-old infatuated with Kanye West, a flamboyant designer, and the “Beast,” a superhuman monster who sees the girls as “sacred food.” Kevin falsely represents people with DID through exaggerated symptoms, extreme violence, and unrealistic physical characteristics. The senior author, an expert in DID, has not seen any DID patient who is this violent in 25 years of clinical practice. Kevin’s ghastly personalities are so over-the-top that terrifying scenes are making audiences laugh.

Sometimes people escape from childhood traumas by splitting into a whole spectrum of different, fully functioning identities, a condition known as Multiple Personality Disorder (MPD). So distinct are these personalities that MPD victims will have not only different handwriting styles, artistic talents, and knowledge of foreign languages, but even different allergies, illnesses, and reactions to drugs, depending upon which personality they are “using” at the moment.