Dissociative Identity Disorder is different from Multiple Personality Disorder
The DSM outlines these requirements for a diagnosis of DID (dissociative identity disorder):
- Two distinct personalities minimum
- One personality is always present, meaning there are no in between voids in personality
- Two of the personalities completely take control of behavior, thought, and action
- There can be no recollection between personality appearances
“Switching” is the term many people living with DID use to describe the process of being taken over by another personality. “Alters” is the term assigned to the various personalities that are created. There is an “original” version of the self, who for many, is difficult to find. Different personalities take on different roles, which may take time to uncover. For example, there may be a protector, and another personality who is a rebel. Finding the original is a challenge for DID individuals and their treatment providers, should they have one. Loss of original identity is part of the cause of DID.
DID is caused by an identity that has been fractured as an emergency response. Severe trauma experienced in childhood, like physical and sexual abuse or war and uncontrollable natural disasters, can cause the original identity to split from itself and dissociate. Unable to cope with the traumatic stress, the personality essentially creates others to carry the load.
Treatment for DID is not focused on “getting rid” of the other identities, but working to identify the trauma which created them in the first place. Seeing the utilitarian purpose of the personalities, therapists work to integrate each identity into daily life. Eventually, patients recognize the source of their trauma and the purpose of each identity. Recovering the ‘original’ may never happen.
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