Dissociative Disorders Quotes & Sayings

It is unlikely that one ANP will serve as a constant throughout the person's life. Your client is, therefore, likely to have others besides the ones you know, or several who you might think of as "the host". Adults with dissociative disorders often have several ANPs from earlier stages of life inside. They usually have the same name but are of different ages. Sometimes, there are several current ANPs, each of whom assumes she or he is the "real" person and is amnesiac for the existence of the others. Their current knowledge and experience may overlap, while their other characteristics differ somewhat. This makes them glide easily from one to the other, and the therapist can easily miss the switch. p22 — Alison Miller

In this paper I propose the existence of two distinct presentations of DID, a Stable and an Active one. While people with Stable DID struggle with their traumatic past, with triggers that re-evoke that past and with the problems of daily functioning with severe dissociation, people with Active DID are, in addition, also engaged in a life of current, on-going involvement in abusive relationships, and do not respond to treatment in the same way as other DID patients. The paper observes these two proposed DID presentations in the context of other trauma-based disorders, through the lens of their attachment relationship. It proposes that the type, intensity and frequency of relational trauma shape - and can thus predict - the resulting mental disorder.
- Through the lens of attachment relationship: Stable DID, Active DID and other trauma-based mental disorders — Adah Sachs

Due to previous lack of systematic assessment of dissociative symptoms, many subjects experience the SCID-D as their first opportunity to describe their symptoms in their own words to a receptive listener. — Marlene Steinberg

Instead of showing visibly distinct alternate identities, the typical DID patient presents a polysymptomatic mixture of dissociative and posttraumatic stressdisorder (PTSD) symptoms that are embedded in a matrix of ostensibly non-trauma-related symptoms (e.g., depression, panic attacks, substance abuse,somatoform symptoms, eating-disordered symptoms). The prominence of these latter, highly familiar symptoms often leads clinicians to diagnose only these comorbid conditions. When this happens, the undiagnosed DID patient may undergo a long and frequently unsuccessful treatment for these other conditions.
- Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p5 — James A. Chu

People with dissociative disorders are like actors trapped in a variety of roles. They have difficulty integrating their memories, their sense of identity and aspects of their consciousness into a continuous whole. They find many parts of their experience alien, as if belonging to someone else. They cannot remember or make sense of parts of their past. — David Speigel

Further evidence for the pathogenic role of dissociation has come from a largescale clinical and community study of traumatized people conducted by a task force of the American Psychiatric Association. In this study, people who reported having dissociative symptoms were also quite likely to develop persistent somatic symptoms for which no physical cause could be found. They also frequently engaged in self-destructive attacks on their own bodies. The results of these investigations validate the century-old insight that traumatized people relive in their bodies the moments of terror that they can not describe in words. Dissociation appears to be the mechanism by which intense sensory and emotional experiences are disconnected from the social domain of language and memory, the internal mechanism by which terrorized people are silenced. — Judith Lewis Herman

The difficulties in diagnosing DID result primarily from lack of education among clinicians about dissociation, dissociative disorders, and the effects of psychological trauma, as well as from clinician bias. This leads to limited clinical suspicion about dissociative disorders and misconceptions about their clinical presentation. Most clinicians have been taught (or assume) that DID is a rare disorder with a florid, dramatic presentation. Although DID is a relatively common disorder, R. P. Kluft (2009) observed that "only 6% make their DID obvious on an ongoing basis" (p. 600).
- Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, p4-5 — James A. Chu

Beneath the surface of the protective parts of trauma survivors there exists an undamaged essence, a Self that is confident, curious, and calm, a Self that has been sheltered from destruction by the various protectors that have emerged in their efforts to ensure survival. Once those protectors trust that it is safe to separate, the Self will spontaneously emerge, and the parts can be enlisted in the healing process — Bessel A. Van Der Kolk

Dissociation is adaptive: it allows relatively normal functioning for the duration of the traumatic event and then leaves a large part of the personality unaffected by the trauma. — Bessel A. Van Der Kolk

Many people with Dissociative Disorders are very creative and used their creative capacities to help them cope with childhood trauma.p55 — Marlene Steinberg

The most chronic and complex of the dissociative disorders, multiple personality disorder, was renamed multiple personality disorder, was renamed 'dissociative identity disorder' in 1994 in DSM-IV (American Psychiatric Association). The rationale for the name change, was among other things, to clarify that there are not literally separate personalities in a person with dissociative identity disorder; 'personalities' was a historical term for the fragmented identity states that characterize the condition. — Colin A. Ross

Anyway, there are people and organizations, that do recognize them for what they are (like the epilepsy society) and differentiate them from Factitious Seizures (fake) carried out by unfortunate individuals with Munchausen's Syndrome. My "special" seizures are called Dissociative Seizures too (specific to personality disorders in general) and are psychological, brought on by flashbacks or extreme anxiety. Most of my awareness goes. — Elizabeth T. James

There is no evidence of spontaneous remission or integration of personality alters without mental health treatment. Therapy is long-term and requires the establishment of a strong therapeutic relationship with the individual. — Danny Wedding

The primary driver to pathological dissociation is attachment disorganization in early life: when that is followed by severe and repeated trauma, then a major disorder of structural dissociation is created (Lyons-Ruth, Dutra, Schuder, & Bianchi, 2006). — Frank M. Corrigan

Because of media portrayals, clinicians may believe that dissociative identity disorder presents with dramatic, florid alternate identities with obvious state transitions (switching). These florid presentations occur in only about 5% of patients with dissociative identity disorder.(20) How ever, the vast majority of these patients have subtle presentations characterized by a mixture of dissociative and PTSD symptoms embedded with other symptoms, such as post-traumatic depression, substance abuse, somatoform symptoms, eating disorders, and self-destructive and impulsive behaviors.(2,10) — Bethany L. Brand

The client as a whole has to take responsibility for the actions of any alter. DID clients complain that 'it's not fair, it wasn't me' when an alter has behaved in a way that is seen to be unacceptable. By working from the start with the client as a whole, this can be minimised. Some alters may be easier to deal with, e.g. they are more co-operative, more trusting, not hostile. However, the therapist should respect and treat all alters equally as far as is possible.
From Chapter 6, by Sara Scott. — Zetta Bear

We therapists often make inaccurate assumptions about people living with DID and DDNOS. They often appear to be "just like us," so we often assume their experience of life reflects our own. But this is profoundly untrue. It results in a communication gap, and, as a consequence, treatment errors. Because the dominant culture is one of persons with a single sense of self, most with multiple "selves" have learned to hide their multiplicity and imitate those who are singletons (that is, have a single, non-fragmented personality). Therapists who do not understand this sometimes describe their clients' alters without acknowledging their dissociation, saying only that they have different "moods." In overlooking dissociation, this description fails to recognize the essential truth of such disorders, and of the alters. It was difficult for me to comprehend what life was like for my first few dissociative clients. — Alison Miller

There's so much misinformation about dissociative disorder treatment out in the world, and especially on the internet. — Richard A Chefetz

People with Complex PTSD suffer from more severe and frequent dissociation symptoms, as well as memory and attention problems, than those with simple PTSD. In addition to amnesia due to the activity of various parts of the self, people may experience difficulties with concentration, attention, other memory problems and general spaciness. These symptoms often accompany dissociation of the personality, but they are also common in people who do not have dissociative disorders. For example everyone can be spacey, absorbed in an activity, or miss an exit on the highway. When various parts of the personality are are active, by definition, a person experiences some kind of abrupt change in attention and consciousness. — Suzette Boon

With respect to the acceptance of dissociative disorders, as with most issues in life, it is counterproductive to spend time trying to convince people of things they don't want to know. — Warwick Middleton

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? — Alison Miller

Dissociative symptoms - primarily depersonalization and derealization - are elements in other DSM-IV disorders, including schizophrenia and borderline personality disorder, and in the neurologic syndrome of temporal lobe epilepsy, also called complex partial seizures. In this latter disorder, there are often florid symptoms of depersonalization and realization, but most amnesia symptoms derive from difficulties with focused attention rather than forgetting previously learned information. — James A. Chu

FMSF Advisory Board Members Dr Martin Orne and Dr Louis Jolyon West are CIA and military mind control contractors with TOP SECRET CIA clearance. Both received MKULTRA contracts to study dissociative disorders, implantation of false memories, and techniques for creation of Manchurian Candidates. The dissociative disorders, false memories, and the therapist-created multiple personality are the focus of the FMSF campaign. — Colin A. Ross

Extreme versions of DID occasionally develop in response to particularly horrific ongoing trauma (e.g., children exploited through involvement in years of forced prostitution), with so-called poly-frgamentation, encompassing dozens or even hundreds of personality states. In general, the complexity of dissociative symptoms appears to be consistent with the severity of early traumatiation. That is, less severe abuse will result in fewer dissociative symptoms, and more severe abuse will result in more complex dissociative disorders. — James A. Chu

It has become clear that, as Janet observed one hundred years ago, dissociation lies at the heart of the traumatic stress disorders. Studies of survivors of disasters, terrorist attacks, and combat have demonstrated that people who enter a dissociative state at the time of the traumatic event are among most likely to develop long-lasting PTSD. — Judith Lewis Herman

the essential feature of the Dissociative Disorders is a disruption in the usually integrated functions of consciousness, memory, identity,or perception — American Psychiatric Association

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. — Paul H Blaney

..."Suzette Boon also become very much involved [in dissocation]... She was in my office and was a family therapist, and when I left for a yearlong sabbatical in Isreal, she took over my patients. And the interesting thing is that she was very skeptical about what I was seeing, while now she's one of the real experts in Europe and has done marvelous research with regard to the diagnosis of the dissociative disorders! — Onno Van Der Hart

It's been very interesting over the years just how many of those psychiatrists that were openly incredulous and dismissive have become stalwart admitants to the [trauma and dissociation] unit. In fact I can remember one psychiatrist ... this is going back more than a decade and a half ... it says something about the ambivalence about this area ... who rang me saying he doesn't believe that DID exists but nevertheless he's got a patient with it that he'd like to refer. That's called Psychiatrist Multiple Reality Disorder.
- 15 years as the director of a trauma and dissociation unit: Perspectives on Trauma-informed Care — Warwick Middleton

The second factor helping to bring the dissociative disorders back into the mainstream was the Vietnam War. For sociological reasons originating outside psychology and psychiatry, the Vietnam War and the posttraumatic stress disorder (PTSD) that arose from it were not forgotten when the veterans returned home, as had been the case in the two world wars and the Korean War. The realization that real, severe trauma could have serious long-term psychopathological consequences was forced on society as a whole by Vietnam. Once this principle was accepted, it as a short leap to the conclusion that severe childhood trauma might have serious sequelae lasting into adulthood. — Colin A. Ross

Identity confusion... is as if somebody lost their mental road map and has no appreciation of who they are or what is going on in their life. They may know they know but become blustered or baffled as to why they don't. The information is inaccessible and likely would remind a person about things that have gone on in their life that are simply unacceptable and unknowable, in a given moment, because of the emotional gravity involved. — Richard A Chefetz

Early identification of patients who suffer from dissociative symptoms and disorders is essential for successful treatment, because these disorders do not resolve spontaneously. — Marlene Steinberg

Research has also revealed that women who have developed PTSD in relation to early childhood sexual abuse often develop borderline personality disorder. Some severe cases will result in the development of dissociative identity disorder or depersonalization disorder. Patients who have been exposed to protracted and repeated sexual abuse may also develop schizophrenia simultaneously with PTSD. — John M. Duffey