You are on page 1of 9
‘The Clinical Phenomenology of Multiple Personality Disorder: Review of 100 Recent Cases Frank W, Puinam, M.D., Juliet J. Guroff, Bdvard K. Silberman, M.D, Lisa Barban, and Robert M. Post, MLD. he cli eytome of mile promt Serer (MFO a nl sive sone a een hrc, no mene bte inn te Sn ennenogy of MDD, 00 eet (Sir bee cll on elon eeinnar cmp ent sed ie eae of MPD {tins Ths tay decane te czsace of © nel moor suc fy ef epee ad ‘soca spins ms cnt sary of set es, psy ease Mule personaly donee (MPD) i lo form ot discs dior nd carctered y fe ex {lace of two or soe sone ind tc peroalis win sa India ese state pestalics ney ack hve ei compen sv ptr ad eh fs, end whes iv pepsi f domi, wil + conta invita bein’ MPD f peel co 1" edn exe teen arn fer more casts af MPD te ben reponed iin he fas gens an in be peoing two enue The ‘on ors cet nese at et ry ies {sown sou suns cowien snd, wih excep ‘om single cse, no patents ave ca flowed po ‘Speci fore thas ow years ‘via tempt charge ull pesoatty diarrheal one of wo bal saps Te ft Incas ¢ epee review of ces setae from re rs inthe lire sures of ea he ets thd ctaaceiscs of MPD, Tis preach har he a Senge of srveying re munber 9 inden Te Dated eases It wffers, however, fom a ek of Entariaton. ‘Tie reviewer ss fey comparing tnd ese eps bees norte snd |) idem was ot tere eaesed: Gena tens fedsoneconmoa fates ca be desc, Dun Sate teat examination spoabie "The second peach has teen fo reg colecos of cc en by Se oF | tna somegy bs te advange along |) etna caction snd sical vale a | Nai nse by the umber of ene en niall fades meres bara ae ‘Later af Pacing (De Sider en ie Bea Phin ia cree Brea eameacs | See yemee ren et! Ficae Pah tet ae sohaibma eo Pape ey po eee ee aat ea a SET ee in $8 ae 886 (Cin Pschiny £7285293, 1985 ian may see ans sony infers he perepins Sn cna sof hat vestige ‘Out sy sata to cine the advange of thse wo approaches. We bste soda andrized question ete collet agente finden MPD ces ‘om across Noch Ameren a Reerchrsterae te pe Stig synptomatiogy sd stemate prea ie amanology in mie perscaly sree. We laa tested naga a unber of bypthses and generat servations pot for ine ei arate. Tee ‘ade 1 se Soggston bat hyo sy deere [MED or may ngifen’y soa tothe cial pe sameooiogy of MPD pace) te belie tax MPD pu tents are highly sugeesable ad That the cline] trenton oe terapt eal he manne of anos ‘laos et syatnatioy: 3) Be yeehen that Thee link betwecsachichord hsery of te sd {Be development and syptoms of MPD: an the sup ‘rst dat be pear of he pe or te ner Stenmte pesos my infact sympa oe pee NeTHOD |A.386;tom gaesiomie oo mip promi d- ner nas developed for iebuton tacos sing MDD patna Toe quetone were bcd co sysemase review af the trate which nied scniag Ort 70 (eeprom i of eyo a tas ad coe ‘unten with = mube of therapists knowledgeable ‘he trent of MPD. The quesionaie was designed © ‘ole dea information sing cases of MPD. TH ‘ty venons were pled and ess were wed ‘eve the cure qustouae, whi cover seven pn ‘leas ifomatca coke poring eliian snd de. ‘Bopaphic Gas nts pen: preening sympa pst sje, ely, and eed toy” agro of NID sceste person characterise est fechnges abd despa ocome of the case The ‘pssionaie employed sympcm cheese Shoe qestns, nd rages, which wre anda. Iaedwheosver pase 285 i “poe 2, Liv Stn at Tae of Qos Aine ‘Approsinney 400 pestis wee oe em NPD do he prod Ma, 1982 ca es. Te rer ae Was approxiely ‘os. clinician was she to ep cna snl et, cueaty siegce coi for ali peseelty ee OSM Te BSN crest were speciied ot he disorder. TM be qpetonale book. Theses Sa ee Pen Tf he reporting cis, ‘a ot pepe verieaton was Pose ee nec aestares we by er a ae Nl estas of Health EOE a re cas were comes agin each EE te ea ord to dere an patent ut ty al hon ens oo nen wee mia ince abi ep, The, 10 cabs wee led Fast ber of quesions compete These 100 Deseo aed vig te Satie Ara SMe SESS SE Stabe sual otvare sytem. ebay (SAS) em age cee by ruin ek vo a reeset parte ta analy & oh spare ne cel foe thes of als ns A un peter grovp SEES. resus ome nus cases of MPD were subi for analy Se eian (1 made 22 fens). Theregon8 seb Sina) ppc, 57 PH.D eat sane © MSW ppt sci Werks. OF pactooni ane, 90% wee female: he ean 28 ery gn eeacs NS Ron "Teter [ZZ ae =e | : ‘Sees bee ZI. singns ws 313 yar ngs, 1-86 seen) a he” singe ino una aineion wk a ee 1138 year). Tables the 3 a a cncipnal lve of the sam cr re of qestonmare somites, TENE? rr en vg stan ote me F520 sees ven pve of he puis a ain plage a0 of us romp wee vorsed OF ‘esa re ripest gone ean ete fo he pany seven te perect of erties fad gate 0 oi of maple personaly sot ie Oe eer iss of qusteaae emits win 6:1 xz lw deo nen (rage oa eo of sce in mennet wh Fee, gg on te qesioanie was 37.2 mous eri SS oa) OF te 10 pens, 46 were (eae ing i eeament fr NPD cated «7 rsclingSyntoms and Dignoes se Se were ake to inde oo 73-86r mon and pegs at ey Observe Medal Syeyors Nett by Rot Clans Ding The Fe Cones Wek Mae Recah Pans e100 ta were report ote daring inl ona with te fet. Cllrs were lo enue to eure tonal ies tot nll onthe shelf. Mont patents Fresend with multiple complats (mean outer of Shekel tens 185, range, 1-32). gue I liste te 30 ‘most commonly reporied psyche mgt aed ring this presetion peiod Figure lt the 2 mes fommoe medal compaias reponed diay te ame retod ‘Nasy-tve percent ofthe pais ad recived oe or ‘more paths andor nfo eisgneses pie to dagnoss of MPD fmean= 3 dagnses, range 010. Fire 3 presente ms comninly pers pie ag tes reseed by ese pres. The pes svesped {68 yeas range, 0-25 ea) fom ental sly {em comico ypomslferatiew MD othe dng ‘oss of MPD. Tn'94% ofthe canes the teapondng nla pats ine gus a NED. 1h 36% ot te ess, he een repre aberving ‘pls cine hich hep appeneance an et {or were mately fer fom hore tal chrior sandwiched he clinlan tw surpet saps of PD 185 of de ens, he pets he mated 0 eit lnananawotenes oc sapton ofthe eiens of one or we alerts personales. In 20% of theese, te ‘agin of MPD was ao Suspected ol afr a le ute perso sprites dae etence 1 {he linn. intron foes aly sia wa ore 8 soggsing a dassoxis of MPD st cal 6% of ‘Te gros of MPD was ented by the mesting Paes ne 868 ‘Inkl Phenomena NPD ess Qua oe it Dag of ae PERCENTAGE OF CASES ‘Ble. Epc Tne Baa Fin Cont With Dong Sita me fone oF mare senate pertain, In $19 of the ‘sess ws report as ecg Spentnecu Hyp ois ws used oa etal meting fa lie ‘he peaoaliy in 27% of te ese, and in {6% the heap simply eqsing io meets aspect here Petsonaicy was fet oelct sn oer spesance of Sn alert. Berbice Ycitated erie ued ect feces were used inh vemainer of eae, Tse? hws the lng of oe required fram ft ema wit the dagosng clinch othe caeRmatn of iagans of MPD. "THE ALTERNATE PERSONALITIES [Nombers and Types of Aeate Personae: he carnal feat of sulle person dsder nda which makes ¢ wngue ame pela de (es 6 the exience of steal store. personales within pe. Clini ling ou te goes ‘sre shed ener benumbe of "ine nd pute” enemies meee SES A ah eed he A umber aoe Pe re duet wah Hose Peony Di Bia ap 35 20 35 22 4 5059 80 wage OF ALTERNATE PERSONALITIES ce peor dbey wee ware of te genom th sey wh wc Siem rm TENE sierte pesonales *S Te m of aterm Fprocalies ranged beveeD ont a of her yan ve rei ered a ember of aera te chin ate fore of psnis was 13.3 nwt eonmnly sare oebe,Fncin “samba of con ong aap, VEZ Sar gcc sampl. I geocal 8 Tt LE ear ERSENTAGE OF CASES Stone Meera ge some mal. SASS Tones also th sae pessonaiy wo ne aman ed i a eal of oe we ers ned eam er of anne wee eps 0 Ss were chika sam fo sot episodes esinat Pes ame and mw een FL) et ar cig oer POSE 2 oar nea aye gree con, HEE the pies cia fe apie ato OE sy. peal geen wer and 08 AMG erly Sparie Paco eae Pesonaiesrepoung eal cls Se te patent iy et ‘Teen mmo ends ore cases,Oppente setae fe paren 75% of besa DOS te rte pe, al ES, DDS rps 0) ls 28 sof ori expressed ou Teor eve comes a ae peso, mal patent eos, or iy of pean 2 _ Bacto ace pens tame pees St: ere nin cae prs me Tne ene ne Seal Boi Wee eS perm peed ey Ue nut fee peso a te or ore arte pools WS ‘ac ha om oy ober peas Tees aly ae evi wo epaced fsa ed eed cron mor een BGR of Pe 1 ts, Soe SRM SAS sauaton or canines one mea Cel a te er seul wt necessary 8 hes ce psa. i 75 of, aly at ro ety 88 BO foe te ete peony win aie NS tala nen geo an etm oe SS a ee a fen id Hy one HEE PEE ee ce 6, a 3 sonal as “punshest” apo acter, was cbserved in St of te pes ‘Ourwardyireted violence is alo fequaly = sted ins dsorde. Arne pesos: who were Aescrbd ss assalve ce catucvewere fein in 05 ‘cies. Haye bear sre fo aspect ae fate peremliy was poten 29% of ene a at homicides were allegedly commited by 6 patient “Tweaty percent ofthe pares were si to ak hee t= hed fa setulae on aoe agi aed 18% ‘ere repr tote bon he en of apo Sea) ‘ist an al Altera pea specif ubtnc abuse was = povad in 33 a poms, Plydnuy use was oud In EDR. Scdunes and ypots wer shed by 31% st. ans by 28%, and lel by 27% Nara ae ingens were ess poplar ed by 7% and 13% ofp ‘Sens, respec) Ger fos of erat persona ‘ecihe pythoptilogy inlad severely depressed theres (0%) hypomane ot manic serge 22), aerate personales jaded by he thepiopee (G84), hypesenoal ud prenscuoos aerate esol ‘is GOR), snore aera prone 05) ane a Terme personals who engaged fa chorsive oF "als Seawoe (59), Akerat PsonatSpece Responses ‘eel fase of the DSB eer ote dag- ‘ols of MPD iste "stesso the sleep. Socaiis fund wit he dal ingoeed ae ting MPD. Enarpes of eifrem response among erate ‘esol tote sume snl or siuson wes oh fered in 8% othe paws. Seveny-oor poset of ‘esponing clinicians repo that some Symptons (a, beatae) wee specie tenant per ‘sonal ad del by ade erates. For sit er. nt of the lnc seporeé observing eae of mets “erect sponses among te aerate persons oF the tne se tn, Arne pend Fgvapecie eposes ih pte were san Som ‘only observed fo alebol (38%) food (9%), aad ‘legis 26%) Chases donot henednes Sos ‘ere peronalies of he sume ptt were sere) [n378 oft pate. Mast cisan repored tering Several diferem examples of aot pci ‘ile esponses within da pate. ‘Switching of Akeate Pesos recat pontaeouscansion among the lerate personales ia single peat wae rooney BY of the clings. The speed wah which ese tenfora ‘ons occumed was esebed ss ging fom scons tos ‘ues n 92% of he patents. Therapas were eda ‘he mamserin whch they elie aio persons "ies ina venus sexing. Specialy, 36% si tha ey erly sed o speak wih speci semate psn Sig: 325 epee hey wale for aerate peor. als to emerge spotneouly: and 205 repared tt ‘hy wed Ippo facta conta whales pr sonules. No beeps epored sing rod aya 5. Pati 76 a 1098 ina Phone «f 8PD 6. Tet of ChB Tas Reps Reset Sy Psad Wak hae Rely Bae af w= ZTE =A e100 PERCENTAGE OF cases ‘the rag to fins pessoa sich, alBough3 thous ryored ihe cinies an dae CCUTLDHOOD AND FAMILY HISTORY Ae at et Apparae of a9 ARseate Personality aloe rece evs of mil pesca Sor er one at appears oan arta pesos ‘sly spe 9 the ott a erring a too," "Ctiniane we stad ide te age which the pane evosetvely report the Bt pea sce of an aerate pray In'8 pte ao age was ‘ected; of the renusang 72, 49% terete Te el te frst ppeance fo hee poo (aed befor ge 2 ers The ean ae st 9p ‘rasan was 3.98 year ange, I-32, mead yor, Childhot Tauma "Atisoy esgic chihoo ra, general in the form of eld abuse, vas da he aon MPD ens repated in oa sty. Cilthoed au as been ‘ted somerour ato at pose log factor {be cevelopnen of MPD. Cleans wore sled oad ‘Sie wheter ther patients had a hisory of cod trom, Figs 6 lows th gues snd ype of on nol epored endo: rauns in or srey Toe mes kerf diferent tps f chon’ tes repre seus 22 (ange, 1-6) Aor of isifeanechdheod sable & Pc apse Rep Fo Des Ro soup was shot in ony 3 pat Sena base waste sau om ay meno foro ei, cccuig ‘op eso oa ese cured the for Aa ee ec penal suse wo repre in 75 G8) STS sn abe a ysl 6 oe fae ptt, The wanes clos of ce ati of apse bin 38 T= foned by 45% of De ples anily Payee Hoy nly Bei ge oie on a cesta of ea Gees etsy pint the Pot ewan po deere een of este too. The aan ume iat he is petite dnguo 2 Nesta i ema pes aun poten Tete rates Te ethic stay has een coats simple dooce tat wil provide soe chara eset agate eng DST ei Se at pomever so fend tenes MPD. hex al hyper or sgt cate ei ima nese on ale EEY Tora ORs ng ary or med of MPD isi fr oon Saypate peer, Piece Jane FF tas tony in 189.” Marion Pine eabo- fn open multi 1890.” An SCRA ae a ements ws subse ae deed in 1598 y et Breve oS re et qn of wheter hypmot cak A ena drier as ech 30 a ra ty by a ember ef cincan and ime iy ibe peas An autbypratic theory of ators Oe, dare remgns oe foes of ve ‘Gat fers vest Se hss te ws 0 hyposs wos a Be Snel premmten, mpm of seine ae eas ede ur cases peso ee war th dans cian ed eo ry pm he ene. Acs aly yp at a coe fr the aur of a bes vai pene) of soso eh wee lpm pecenay tomnlasy oS net ee pate ae tgs sscetble stander at es oda ein an hat he caboa- demand har psonlies a response om hee ono hem ekg tease te reps We ems hn pts by camaring be smo crane i Ppocnonesiogy i MPD pxtes sa an ae see ysis pee seni Paper rece between tee (0 ot Tr pcinaa wer me ly o.com Fe ote dso daring he ii eva a MPD tgp, ae, 900). Weal come ston Fee Sp patents whos egos ws oly susp htop a on whos he Fem pe digs pf he ing 2 ite eee were no lgifcat erencos tems $e gas aestite perv BS nology tes 0 EOS mera sng vio NBD pate ois OUP aoa fs ado he dee a ty 1 ahem ne Pape pet Oss of the commen Gog orig Siler a alert persona: pnt ics yer alr esoairs we ere © 38 A owe wih 3 xe pesnaits a de cee moc We fou at he mmber of er ce ee bas sgt contented wi Oe sa Fe ere of hood aa enor sa ary 02 39, p<. 0D0) Tere was 8 2 Bet he creat betwee the anh. of aac ef eho tesa ad age a wi set oe Cay we repre hae fist 3 a an Pay 008), We, power, fu D0 3 Fe sen in 153 rare covering SEER niet ra pom, aerate peony he sm ps pe arly Har BOOED pics wi 10 ores rote era Fr ep wih 20 or more alesse personas ee hs hee bee epost ier fm 1 I ace in several ways. TH 805 OT ser Me Speen ate tet eS Te OE ly eat jee lene onward aie ha hy ea, ad ent ore scp Pty Hee Sprig of le MPD potent (N= 8) te a pens N92) revealed igi iB en Ss he suo mune only forte reueney oF se nds Mule MPD pacts ese 08 BSE eet snp un fale, es ao eT: peas) We co ao bleve tat Ser ‘C sce our sgl i cogosel ely OF oH 1 en Pain 75, une 1988 Discussion Asay teed on responses toa quscoaie, 3623 tae coo we ee repotg, rae oa pmber of th fdologe Himiatons tht ay signin inteace the Secure ofthe din Tes imation alin ou aor egore: ‘Simpl selection. The sample of cnans surveyed was ot andy sec all ican had previously Tetestd an inertia mall personaly dsrdes. The fas of his sap bis pte mle bard ‘deur, ‘Guetion format The dee pes of quson sd in hissy 2, ebeiss, mle cole questions and ral ring saleby ai areata the fe ‘onde’ mnonere, Wienever appropri he pia ‘Sppivingsldoa! formation wa povided chin 2 ‘peton (ecco cou st adnate ae a cect qussons o al sar option oes ‘up cice qos). ‘Applications of defiins and dagrosic era, eins feta tn es ae athe stone ‘worded wen hh hat hy ere mde It

You might also like