Mental Disorders, Their Symptoms and Their Treatments - Dissociative Identity Disorder (DID)

in #steemstem6 years ago (edited)

James
Image Source: Flickr

Hello Steemians, I trust you’ve been having some great time with yourselves and loved ones. Well, like I promised some days back, here is another episode on the Mental Disorders, Their Symptoms and Their Treatment series I began with the first addressing Schizophrenia disorder, explicitly. This episode shall be looking at Dissociative Identity Disorder (DID) otherwise known as Split disorder. I hope you find this write-up informative and enlightening.

I have particularly chosen the picture of James McAvoy, a cast of the movie Split as my thumbnail picture. For the benefit of those who do not know, Split is a 2016 psychological horror movie that largely exploited the features of the mental disorder we are discussing today as the horrific element of the movie. The movie was a screen blast when it was released earning about $278.5 million in the box office with only $9 million as the budget. Majority of us who'd seen the movie will readily agree that the disorder (as depicted by the movie) was truly horrifying. But what is even more gruesome, according to my view, is the scene when Kelvin (James McAvoy) came to his senses, shortly after "the beast" personality appeared, realising that he has not been in charge of his body for two years! That's truly how terrifying the mental disorder might sometimes be.

Sit back and enjoy (while you learn) this article about DIssociative Identity Disorder(DID).

DID
Image Credit: WikiMedia Commons

What is Dissociative Identity Disorder?

Majority of us have witnessed, at one point time, some mild form of dissociation in ourselves, such as a state when we suddenly caught ourselves daydreaming or catching ourselves acting, talking and even walking like a completely different character which we can easily identify with in our lives such as a friend, uncle or even ones mentor. Like I’ve said, those are the mild forms of dissociation. To dissociate simply means to loose connection between one’s reality, thoughts, perception and even memories; when these does not register in one’s mind and you began to view yourself from outside your own body, then you’ve dissociated.

Dissociative Identity Disorder is a very severe type of dissociation, a mental disorder that produces two or more separate personality in an individual, with each personality having its own distinct perception of the surrounding and self; including its own distinct memories, tastes, likes and dislikes, and even sometimes state of health. The crucial aspect of this disorder is that each personality becomes dominant whenever they surface, and takes complete control of the body with the original personality completely oblivious of the secondary personality/ies and with what has been done with his body during those times the secondary personality are dominant. More so, the original self is usually not aware of the secondary personalities, while they (the other personalities) may have varying awareness of one another (when they are two or more).

Features of Dissociative Identity Disoder

Dissociative Identity Disorder (DID) is a mental disorder typified by identity shattering instead of multiplication of identities. The identity splits into two or several other distinct identities with each manifesting itself at different time, having total control of the body at the time of possession. Each personality has its own distinct autobiographic memories, manners, capabilities, and even social relationships. The original personality, though aware of the existence of other personalities, is oblivious of their descriptions and even their capabilities. In other words, it is a disorder whereby more than one minds or personality exist in a single human body, each unaware of the history, capability and memories of the other.

A person sufering from Dissociative Identity Disorder (DID) usually experiences himself possessing more than one personality, a phenomenon which he catches himself upon suddenly. The other personalities are usually reffered to as alternative identities, or simply "alters". Actually, the personality of this individual splits in such manner that of all the identities, one would assume that of anger, i.e an ever angry personality, while the other will assume that of love or care, and so on. In other words, the total sum of all the personalities makes up the whole personality of the original individual. It is suggested that alternatgive identities usually developed from dissociations caused by childhood trauma or therapist-induced. However, alternative identities are known to have the following features:-

  1. They may be of another gender, i.e male alternative identity in a female body.
  2. They may have different or no name, and may be of different age (younger or older)
  3. They possess different memories altogether (which is unknown to other identites and even the original personality), thus they have different perception of various topics, or their environment, and even have different taste as regard color, food and dress.
  4. They also possess different medical need and responses. A case is that of a woman who was blind, but which one of her alternative identities can see, very well in fact.


Image Credit: Flickr

History of Dissociative Identity Disoder

The first known case of Dissociative Identity Disorder (DID) was reported in 1584 as recorded by a Jeanne Fery when she recorded her detailed case of exorcism. Although it wasn't known as DID at that period of her recording, it is presently observed that it matched, lin exact, the description of DID today. She documented her observation that she has various alternative identities, each with their own features. In 1623, A case about one Sister Benedetta was reported where she was reportedly possessed by three angels (boys in this case), each with different dialect, tone of voice.

In 1791, a written record reports the case of a 20-year-old German woman who suddenly begand speaking perfect French, and would even behave like an French aristocrat - like a "French woman". However, when ever this phase passes, she would not remember anything she did as a "French Woman" and could not even speak french as her original self.

DID was first termed as Hysteria Neurosis in 1968 and was further defined as an shift in identity and consciousness. While in 1980, the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) was published introducing the term "dissociative" for the first time to describe a form a mental disorder which will later be known as DID as finally dubbed by the fifth edition of the manual. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a manual published by the American Psychiatric Association (APA) largely depended upon by researchers and even government agencies to provide guide upon mental disorders.

Causes of Dissociative Identity Disoder

The cause of DID has often been associated with trauma and abuse, particularly during the childhood stage. The tension and anxiety during war time or natural disasters also has the potential of causing dissociative identity disorder in the victims. It is known that childhood (2-6 years) is a period of personality formation, thus child is more capable to dissociate or step out of his own self and observe the trauma or the event causing the trauma as if it is occurring to a different person entirely. Sufferers of dissociative identity disorder (DID) are more inclined to possess personal histories of frequent, intense, harsh and often overwhelming traumas such as physical or sexual abuse before the age of nine; an age which is thought to be a vital developmental age. While answering the question “Why Does Trauma Cause DID in Some and Not Others?”, Health Place, a mental health website has this to disclose

Research indicates that dissociative symptoms are a psychological response to extreme environmental and interpersonal stressors. In order to survive this stress, the person separates his or her thoughts, feelings, actions and memories associated with the traumatic experience from his or her usual level of consciousness. Because everyone is different, some people who have experienced extreme trauma will experience this type of response while others will not. Some studies indicate that males are more likely to experience dissociation due to early-age trauma than females.
Other causes of Dissociative Identity Disorder (DID) include war, accident, loss of loved ones, Emotional, Physical, or Sexual Abuse, natural disaster or Therapist-Induced.

Treatment of Dissociative Identity Disorder

Dissociative Identity Disorder (DID) treatment differs from one person to another, depending on their need. Psychotherapy is usually considered as the most effective and the major element of the treatment for DID.

Psychotherapists often try to help the sufferers with the disorder by trying to help them get in touch with feelings usually ‘locked away’ in the past. This technique often helps bring forth more than one personality at a time to cohabit in the host body and work together - a process which helps to reintegrate the other personalities into a single one.

Hypnosis may also help the sufferer with have more control over which personality emerge at which time by providing the sufferer with information of each personality. Hypnosis enables the communication phase to be frequent between the personalities.

Medications are also used to tackle other various mental health condition the sufferer may develop during the DID episodes, such as severe anxiety, anger issues, paranoia e.t.c

Thank you very much for taking your time to read through this episode of Mental Disorders, Their Symptoms and Their Treatments. I hope you find this educative and informative. Do not forget to drop your comment to let me know what you think of it.

References: Health Place
Mayo Clinic
WebMD
Sunrise House
DID Research
Mighty
Psychology Today
National Alliance on Mental Illness
Mental Health
Wikipedia

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Really good topic, gets lots of people whom are unknown, or unaware of this topic, much more conscience. Take you for posting such a vital article (:

Hello @abumaryam :)

This is a good post about a highly complex disorder that is misunderstood and (shockingly) even disregarded by some mental health professionals. I like how you organised your post and addressed the classic historical case of Jeanne Ferry, the best options of psychological treatment, and he use of medications for treating comorbid conditions such as anxiety. Additionally, I found particularly important, the way you discussed trauma as the cause for DID.

As for the movie ... what I liked the most about it was McAvoy's acting :)

All the best,
Abigail

Thank you very much @abigail-dantes for stopping by. To the majority of the populace, DID is either a myth or a simply a demonoc possession that should be attended to by exorcism. It is also true that some mental health professionals also disregard the disorder due to the fact that they hard come across them.

Thank you very much for your commendations, I do appreciate.

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This is so interesting. In 2011 i was diagnosed with Dissociative disorder which led to me cutting myself which i still dont know how i grabbed the knife. The most scariest time of life as i had to spend time in a psychiatric facility. But the thought that i lost the ability to stop myself from hurting myself. Needless to say I sought help and Ive been given a clean bill of health and released with no medication. I was given Celexa to stablize my mental disruption.

I never knew how serious Depression really is after what happened to me. Im so grateful to be alive!

I hope people read your article its powerful.

Oh My God! I am glad you survived the ordeal. I am really happy for you... I really am.

Are you on discord?

Thank you and yes im on discord

I saw your post in steemQita

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Hmm, this was very informative. To think one can have a completely separate identity within the same body.... Interesting. I've actually come across the disorder in some movies.

The first picture in the post is even of an actor who played the role of a person with 23 distinct personalities. The part about some people even having personalities that are always angry with the other always calm reminded me of Dr. Jekyll and Mr. Hyde.

I am glad you found this very informative. DID is a very misunderstood disorder that'd earned the sufferers some unfortunate treatment ranging from assumptions of demonic possessions to witch-craft, very unfortunate indeed. Thanks to modern practice of psychology that'd attempted to proffer reasonable and verified explanation to the disorder.

Thank you for stopping by.

Yea i remember that guy from a movie i watched sometime ago. He had a kind of disorder which made him lost in different characters. I almost didn't understand the movie now i know why

Thank you for stopping by. I'm glad you find this informative and enlightening as well. The movie ranked number one in the whole psychological movie I'd seen, thanks to the capabilities of James McAvoy (Kevin); he was very good with the role. And while thinking of the next disorder to discuss, I remembered the movie and here we are.

Thank you for stopping by.

I really love this post. You gave me another aspects from which to discuss child abuses and it's associated effects (DID).
but i saw you mentioned somewhere in the post that modeling your role model or mentor is a mild form of DID which I am still trying to understand. I am a teacher, and I understand that children tend to role play their teacher which to some extent is a good thing. I have a lecturer whom I always admire in many respects and I unconsciously behave like him when I an teaching older children, or when reading. Is that to say I have DID?
Let me also ask, I also believe we are all inherently 2-1n-1. Who you want to be (not wrt wanting to be someone else, but wanting to be a better version of yourself) and who you are now. Is it a form of disorder?

Thank you for stopping by, and for the comments. Like I pointed out, dissociation happens to us many time. Daydreaming is a form, and those times when it seem our body belongs to someone else and we are only observers. Though those are some mild forms of dissociation. I personally have found myself acting and talking like someone else, mostly those personality i admired. At those times, i have dissociated from my own original self, my own personality. It is no crime if you begin to DELIBERATELY act and talk like those personalities, thats a different matter. A case when we desire to better ourselves by acting like these personalities consciously.

Very interesting issue. It's a difficult diagnosis.

I suggest researching MK-Ultra to find out how the fragmentation of this dysfunction has been used by western governments in secret to attempt to create completely mind controlled slaves. In short, they took over research from the german nazis at the end of world war 2 and carried on using torture and trauma to split the minds of people and then program sub personalities into them which were unaware of the other personalities. The sub personalities can then be triggered at a later date to perform missions and then go back into hibernation. This means that, for one, the person will not give up any secrets if captured and tortured.

This is a large part of why these mental illnesses have not been healed more effectively. There is vested interest in us not understanding them.

Thank you for this elaborate enlightenment you have freely given to this community. Like you clearly stated trauma and abuse of part of the causative factors, I wish we will be able to build systems to check the alarming rate of rape in the world. Have you observed that most of the abuse victims tend to become psychopath and this guy's are very dangerous to the society? I love your work man.

Dissociative Identity Disorder is a very severe type of dissociation, a mental disorder that produces two or more separate personality in an individual...

Now this got me cracked.
I've been thinking if I've been in that state before, it looks like its fun to have two personalities, but since it's a disorder, ain't gonna pray for that.

This is quite informative, thanks a lot.

Mehn!!! This was a blast. Like seriously, its so educative. Keep this coming bro @abumaryam

Fantastic work you did here bruv! I always wonder why we have so very few cases in Africa, is is that we don't go through heavy trauma? or could it be that we have better trauma/shock absorbers?

This is a good post something about steemit I cherish so much is the fact that you keep gaining knowledge daily as you read new posts.

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Wow! This is highly educating!