The persistence of folly: critical examination of dissociative identity disorder. Part II. The defence and decline of multiple personality or dissociative identity disorder.
نویسندگان
چکیده
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.
منابع مشابه
The persistence of folly: a critical examination of dissociative identity disorder. Part I. The excesses of an improbable concept.
OBJECTIVE To examine the concept of dissociative identity disorder (DID). METHOD We reviewed the literature. RESULTS The literature shows that 1) there is no proof for the claim that DID results from childhood trauma; 2) the condition cannot be reliably diagnosed; 3) contrary to theory, DID cases in children are almost never reported; and 4) consistent evidence of blatant iatrogenesis appea...
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A brief description of the controversies surrounding the diagnosis of dissociative identity disorder is presented, followed by a discussion of the proposed similarities and differences between dissociative identity disorder and borderline personality disorder. The phenomenon of autohypnosis in the context of early childhood sexual trauma and disordered attachment is discussed, as is the meaning...
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OBJECTIVE Smaller hippocampal volume has been reported in several stress-related psychiatric disorders, including posttraumatic stress disorder (PTSD), borderline personality disorder with early abuse, and depression with early abuse. Patients with borderline personality disorder and early abuse have also been found to have smaller amygdalar volume. The authors examined hippocampal and amygdala...
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Although the DSM-III-R lists six examples ofsubcategories of dissociative disorder not otherwise specified (DDNOS), the literature contains little about DDNOS proper, and only one subcategory, Ganser syndrome, has been studied in any depth, all studies having been completed before its inclusion under DDNOS in 1987. This is a comprehensive study of 50 individuals with DDNOS. Data from clinical h...
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عنوان ژورنال:
- Canadian journal of psychiatry. Revue canadienne de psychiatrie
دوره 49 10 شماره
صفحات -
تاریخ انتشار 2004