Rios1 Oscar Rios Mr. Shipley 1/9/11 The Sense in Your Mind Dissociative Identity Disorder (DID) is an emotional illness that categorizes itself in patients with two or more personalities or alters. The first case of Dissociative Identity Disorder formally known as Multiple Identity Disorder was recorded in 1791 by Eberhardt Gmelin. However there is say that there were earlier accounts of other persons writing about Dissociative Identity Disorder such as Paracelsus. Paracelsus wrote of a woman who had a different alter that stole her money in 1646. Gmelin wrote of a 20 year old woman that lived in Stuttgart. She began to speak French and act like a Frenchmen, but spoke German. This happened during the French revolution, when her French alter came out she remembered everything about the German girl, but when the German alter came out she remembered nothing of the French women. (A History of Dissociative Identity Disorder) Around that same time Benjamin Rush the chief surgeon of the continental army also known as the “Father of American Psychiatry” noted the history of dissociative cases. He was the first to write the American text of Psychiatry “Medical Inquiries and Observations upon Disease of the Mind” in 1812. His first argument about the illness was that the patient somehow parted from one hemisphere of the brain to the other side of the hemisphere. (A History of Dissociative Identity Disorder) The first published case of Mary Reynalds in “Medical Repository” by Dr. Samuel Rios2 Latham Mitchel and the first to be recognized by the people, in the magazine “Harper’s New Monthly Magazine.” Mary went blind and deaf at the age of nineteen for a period of five to six weeks. Three months later she awoke not knowing or remembering anything, but after a few weeks later she began to learn the basic things. After a few weeks later she had awoken to find herself normal again and not remembering anything that happened in those few weeks. This occurred for years until her mid 30s where her alters stopped and she died at the age of 61. (A History of Dissociative Identity Disorder) Later on in the 19 century Eugene Azam, a general practitioner fascinated in hypnotism, published a number of cases of Felida X which she appeared to have multiple personality disorder. Felida X was born in 1843, lost her father when she was an infant and had a difficult child hood. She showed having three different personalities which all said to be the real Felida. Felida started to show the second alter at the age of thirteen when a sudden pain in her temple hit her following by a deep sleep which lasted for a couple of minutes. The second alter showed no signs of having the same illnesses as the first one. Her third alter wasn’t regularly, she suffer from hallucinations and anxiety attacks. Switching occurred for her at the beginning of her first alter almost everyday and then it revolved into switching after 25 to 30 days. (A History of Dissociative Identity Disorder) The literature case of multiple personality was said to be “extinct” by E. Stengel in 1943, but after the case was said to be extinct, a paper was written in the journal founded by Morton Prince now called “The Journal of Abnormal Psychology” there was no cases of multiple personality disorder for a while until the case of Christine Costner Sizemore. Sizemore case was popularized in the movie “The Three Faces of Eve” which Joanne Woodward, the lead actor won a best actor Oscar award. The audience was fascinated of the movie because it was once thought Rios3 as a rare disorder. (A History of Dissociative Identity Disorder) Multiple personality disorder was brought back into publication by H. Ellenberger in “The Discovery of the Unconscious: the history and evolution of dynamic psychiatry” which dedicated on learning and discovering more about dissociation and multiple disorder. Margret bowers and six other colleagues published “Therapy of Multiple Personality” which was called “Brilliant” and shows on ways to treat multiple disorders which is still used today. (A History of Dissociative Identity Disorder) The case that was most significant to the studies of DID was the case of Sybil Isabel Dorsett. This patient had sixteen different personalities that she used to cope with the abuse that her psychotic mother induced her in. these alters changed when different problems occurred in which the ‘real’ Sybil couldn’t handle. Sybil was unaware of the other alters when they came out because she suffered from blackouts when they occurred. Her psychiatrist Cornelia Wilbur after sixteen years finally helped her merge all those personalities in one. Her psychiatrist went into great research to confirm the abuse that she went through from talking to her parents to seeing her doctor and looking at her medical records consequently linking Dissociative Identity Disorder to the child abuse. (A History of Dissociative Identity Disorder) Putting all the effort from different psychiatrists and researchers into the field of Dissociative Identity Disorder in 1980 they successfully published the “DSM-III” by the American psychiatric Association. (A History of Dissociative Identity Disorder) (Causes) . Doctors have traced on what might be causing Dissociative Identity Disorder and they are; a natural ability to dissociate easily, repeated episodes of severe physical or sexual abuse in childhood, lack of a supportive or comforting person to comforting person to counteract abusive relative(s), and influence of other relatives with dissociative symptoms or disorders yet fully Rios4 traced on what causes Multiple Personality disorder, but have a slight clue on what might be causing it and it categorizes itself with two things that is childhood abuse physically and mentally and living through a traumatic event .(Dissociative Identity Disorder) The major cause of dissociative identity disorder is sexual, emotional, or physical abuse. A child that lives through a constant abuse creates a different alter so that the main personality can escape the torturing reality which they are enduring. The primary cause of dissociative identity disorder is not yet known, but doctors have a slight clue on what might be causing it. Recent studies have shown that sexual, mental, and physical abuse is the primary reason. It all starts when the patients are at a young age and they are more vulnerable for abuses. A female is more vulnerable to sexual abuse than males; the ratio is 10:1 (Roxanne Dryden-Edwards) Psychologist Nicholas P. Spanos argues that the cause of dissociative identity disorder is the therapist, Because of the facts that they make them remember suppressed memories of childhood abuse. (Multiple Personality Disorder [Dissociative Identity Disorder]) (Cure) There is a variety of treating dissociative identity disorder ranging from psychotherapy, medications, and self help. Psychotherapy is one of the favored treatments for dissociative disorders.( Dissociative identity disorder treatment) Psychologists help the patient in first figuring out what happened, then they try to figure out how many personalities they have and after that the psychologist tries to merge all the personalities back into one. Sometimes the patients may appear to have a dissociative identity disorder when they don’t, making them Rios5 consider themselves that they do and start to show more and more signs of the disorder. When preferring medication over any other treatment, it should be carefully monitored. Prescribing medications to patients may put them at risk (Dissociative identity disorder Treatment) Self-Help is a more interactive treatment where groups that have the same disorder form groups in their communities to help one another. They form virtually everywhere on the internet. (Dissociative Identity Disorder Treatment) Dissociative Identity Disorder formally known as multiple identity disorder was renamed after the psychological communities inferred that there was multiple personalities living in one person, where Dissociative Identity disorder only has one that is split to different identities. Dissociative identity disorder is a very serious psychological disorder, it needs to be handled with extreme care. Patients with this disorder can be can have hostile alters. Alters can be triggered by an unsuspected sound image or smell. Patients with this disorder lived through a very traumatic childhood and they mostly blocked it from their memory creating different alters to coupe with the happenings. The treatments that are offered are; psychotherapy, medication, and self-help. Patients choose what treatment they prefer the most and go with it. Some therapists have looked down upon the practice of multiple personality disorder and some have not yet fully excepted multiple personality disorder as a disorder because of the fact that the therapists who are trying to cure multiple personality disorder are making it worse or making other patients believe that they have such a disorder. Therapists put the patients in a state where they believe that something terrible happened to them in their childhood when in fact nothing happened to them. This made health insurance and malpractice insurance companies notice that if they have patients with multiple personality Rios6 disorder that it would be costly for the therapy. As of mid 2009 twenty eight of the specialized multiple identity disorder clinics have been closed in North America and only but a few practice multiple personality disorder. Rios7 Works Cited "A History of Dissociative Identity Disorder." Demonic possession and psychiatry . N.p., n.d. Web. 21 Nov. 2010. <http://www.fortea.us/english/psiquiatria/history.htm>. “Dissociative identity Disorder (Formally Known as Multiple personality Disorder).” WebMD, 20 Jan ,Web. 23 Nov. 2010. <http://www.webmd.com/mental-health/dissociativeidentity-disorder-multiple-personality-disorder>. “Dissociative Identity Disorder.” NAMI , Mar. 2000. Web. 20 Nov. 2010. <http://www.nami.org/Template.cfm?Section=Helpline&Template=/ContentManagemen t/ContentDisplay.cfm&ContentID=20562>. “Dissociative Identity Treatment.” psychcentral.John M Grohol, 1 Jun. 2010. Web. 21 Nov. 2010. <http://psychcentral.com/disorders/sx18t.htm>. Dryden-Edwards, Roxanne. "Dissociative Identity Disorder." medicinenet. Melissa Conrad Stöppler, n.d. Web. 23 Nov. 2010. <http://www.medicinenet.com/dissociative_identity_disorder/article.htm>. Marrow, Allina . "Conditions and Diseases: Psychological and Mental Health." Ominisearch. 9 July 2010. Web. 23 Nov. 2010. <http://www.omnimedicalsearch.com/conditionsdiseases/dissociative-disorder-overview.html>. “Multiple personality disorder (Dissociative identity Disorder).” Human illnesses and Conditions JRank, n.d. Web. 23 Nov. 2010. <http://www.humanillnesses.com/original/MenOs/Multiple-Personality-Disorder-Dissociative-Identity-Disorder.html>. Rios8 “Multiple personality disorder.” Faqs.org JRank, no date. Web. 20 Nov. 2010. <http://www.faqs.org/health/topics/72/Multiple-personality-disorder.html>. B.A, Robinson. "MPD/DID considered as a serious phsychological disoder." Ontario Consultants on Religious Tolerance. 13 Sept. 2009. Web. 20 Jan. 2011. <http://www.religioustolerance.org/mpd_did3.htm>.