At least two of these personalities repeatedly assert themselves to control the affected person's behavior. Each personality state has a distinct name, past, identity, and self-image. In this handbook, DID is classified as a dissociative disorder.
Evidence of Unjustified Diagnoses A. Canadian Journal of Psychiatry, Vol. Posted with permission of the Canadian Journal of Psychiatry. Four cases are presented in which an unjustified diagnosis of multiple personality disorder was made.
These cases are used to illustrate the concern that some cases of multiple personality disorder may be the result of misdiagnosis by both patients and clinicians.
Traditionally, multiple personality disorder MPD  has been considered rare; only 72 cases were reported between and .
It has been diagnosed with increasing frequency in North America [3,4]. The number of cases increased significantly again after the description of Sybil by Schreiber . This has sparked criticism [8,9] and concern that media interest and subsequent publicity about MPD may result in its artificial production .
Case 1 A 42 year old single female presented to the emergency ward complaining of restlessness, depression and inability to concentrate.
She was disheveled and agitated, with blunted incongruous affect, thought disorder and auditory hallucinations. She claimed to be unable to remember details of her childhood and that both her parents were alcoholics. She had done well in school until age 16, when she began abusing drugs and alcohol.
She worked steadily for several years, until she was limited by her substance abuse and frequent hospitalizations and was then supported by a disability pension. She had several short-lived unstable relationships with men and reported having been raped four times.
At age 17 she accidentally cut herself, noticed no pain and began cutting herself repeatedly. She was hospitalized in her early 20s and was treated with phenothiazines for about four years; she was subsequently hospitalized because of suicide attempts and "behaving strangely.
A differential diagnosis of a personality disorder with schizophreniform episodes was also considered. A second psychiatric opinion supported this assessment. The patient was convinced that she had MPD; this was first suggested to her by a friend because of her intermittently childish manner, mood swings and poor recall of childhood events.
She read several books on MPD and demanded hypnosis and intensive psychotherapy. After several consultations, she was diagnosed as having MPD by one therapist with a special interest MPDand "probable dissociative disorder" by a second therapist.
Her psychotic symptoms improved with neuroleptics. The patient, however, refused to even consider the diagnosis of schizophrenia, stating she preferred a diagnosis of MPD since it was "treatable.
Subsequently, abscesses complicated injections of medication in the left hamstring region with loss of muscle tissue, requiring a myocutaneous hamstring flap and contributing to a contracture.
She had been placed in 47 different foster homes between the ages of 12 and 19 and had been sexually abused throughout her childhood and adolescence by male acquaintances and male foster parents. She admitted to abusing alcohol and street drugs and deliberately harming herself.
Nevertheless, she succeeded in earning an income as a wheelchair model and completed several years of university. A psychiatrist who had hypnotized her decided that she had four additional personalities: The patient would become suicidal after receiving orders to die from the Deathman or from John.
However, Gail and Diana would then provide sufficient support to allow her to get help either from the police or from psychiatric services.
At this admission to hospital, she presented to the emergency with chronic pain, feelings of sadness, hopelessness and suicidal ideation and stated that her symptoms were the result of MPD. When seen, she commented: Accordingly, she was transferred to the care of a specialist in physical medicine.
It was thought that much, if not all, of her limitation of movement and contractures were not the result of organic disease. Physiotherapy improved the flexion of her knee and hip on the left, and she began to use a walker.
She then became depressed and suicidal and was returned to the psychiatric hospital.In , a dissociative identity disorder case study of a woman named "Kathy" (not her real name) was published in Journal of the Islamic Medical Association of North America.
Kathy's traumas began when she was three. Eve White is a quiet, mousy, unassuming wife and mother who keeps suffering from headaches and occasional black outs. Eventually she is sent to see psychiatrist Dr. Luther, and, while under hypnosis, a whole new personality emerges: the racy, wild, fun-loving Eve Black.
Jun 14, · True case study of multiple personality: Eve White, Eve Black and Jane. s psychiatric interview Pika GrapeSnake. (MPD), now known as dissociative identity disorder (DID), is defined as a. Compulsive lying disorder, also known as pseudologia fantastica or mythomania, is a condition that describes the behavior of a habitual liar.
Mar 16, · Dissociative identity disorder (DID), often called multiple personality disorder (MPD), has fascinated people for over a century. However, though it is a very well-known disorder, mental health professionals are not even sure if it exists. Peer Commentary.
Dissociative Identity Disorder: With Whom Am I Speaking?
Travis W. Silverman Rochester Institute of Technology. In the study of Multiple Personality Disorder, a most intriguing aspect of the disorder is the number of personalities a patient experiences, as well as how those unique personalities interact within the single body.