What are the current views on 

 


Dissociative Identity Disorder?

 

Stacey Skidmore

 


Though great controversy exists over the integrity of dissociative identity disorder (DID), many researchers and clinicians continue to search for its cause (Kazdin et al, 2000). Resulting from this search was the emergence of four distinct causal views: the Psychodynamic view, Behavioral view, State-dependent learning view, and the Self-hypnosis view (Comer, 2002).

 

 

 

Psychodynamic View

 

 

          Founded on the principal of repression, the psychodynamic view stresses the impact of traumatic memories that cause great emotional pain and stress within an individual (Jorn, 1982; Martinez-Taboas, 1996,). Psychodynamic theorists argue that the inability to face these memories leads to repression. Because repression is a common defense mechanism amongst people who do not suffer from DID, psychodynamic theorists argue that it is the continuous use of repression over a lifetime, usually “motivated by very traumatic childhood events, particularly abusive parenting” (Comer, 2002), that causes DID. 

 

Psychodynamic formula for DID:

 

Traumatic childhood abuse    repression over a lifetime    DID

 

 

Behavioral View

 

          Like psychodynamic theorists, behaviorists attribute the cause of DID too traumatic and/or horrifying experiences. However, they do not believe that these events cause repression, which in turn leads to DID. Rather behaviorists “believe that dissociation is a response learned through operant conditioning.” In other words, an individual that experiences a traumatic event might let their mind “drift to another subject” (Comer, 2002) to find psychological relief. In thinking about something else, the anxiety and fear are forgotten, and the person feels better. This positive outcome of forgetting encourages the individual to keep forgetting, and DID emerges.

 

Behavioral formula for DID:

 

Traumatic event    dissociation    feel good    traumatic event 2    dissociation    feel good    DID

 

 

State-dependent Learning View

 

 

            Research has indicated that when people learn something while they are in a “particular situation or state of mind, they are likely to remember it best when they are again in that same condition” (Overton, 1966). In particular, studies have shown that moods affect memory recall. That is, if you were sad when you learned a task, you are likely to recall what you have learned again when you are sad. (Eich 1995; Bower, 1981). This phenomena is called state-dependent learning

 

          In regards to DID, advocates of this view suggest that people that suffer from DID have “state-to-state memory links that are extremely rigid and narrow” (Comer, 2002). Their memories could be recalled only if they are in a particular state, and different states may evoke different “thoughts, and abilities—that is, different subpersonalities (Comer, 2002).

 

State-dependent learning formula:

 

Memories, thoughts, and abilities are grouped by mood    multiple personalities

 

 

Self-hypnosis View

 

 

          Proponents of the self-hypnosis view argue that DID is a result of people hypnotizing themselves to forget traumatic events (Bliss, 1985, 1980; Mulhern, 1994). In the process of forgetting, individuals might “forget fact, events, and even their personal identities—an effect called hypnotic amnesia” (Comer, 2002). Several theorists have suggested that “children are generally very suggestible and excellent hypnotic subjects” from age 4 through age 6 (Comer, 2002). Therefore, these theorists believe that children develop DID at a young age to escape the, often scary, world around them.

 

Self-hypnosis formula:

 

Scary event    self-hypnosis to escape threat    DID

           

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References

 

Bliss, E.L. (1980). Multiple personalities: A report of 14 cases with implications for schizophrenia and hysteria.

Archives of General Psychiatry, 37(12), 1388-1397.

Bliss, E.L. (1985). How prevalent is multiple personality? American Journal of Psychiatry, 142(12), 1527.

 

Bower, G.H. (1981). Mood and memory. The American Psychologist, 36(2), 129-148.

 

Comer, R.J. ( 2002). Fundamentals of Abnormal Psychology. New York: Worth Publishers.

Eich, E. (1995). Mood as a mediator of place dependent memory.  Journal of Experimental Psychology,

            124(3), 293-308.

Jorn, N. (1982). Repression in a case of multiple personality disorder. Perspectives in

Psychiatric Care, 20(3), pp. 105-110.

Kazdin, A. E. et al (Eds.). (2000). The Encyclopedia of Psychology (Vols. 1-8).

Washington, DC: Oxford University Press.

 

Martinez-Taboas, A. (1996). Repressed memories: Some clinical data contributing toward its

elucidation. American Journal of Psychotherapy, 50(2), pp. 217-230.

Mulhern, S. (1994). Satanism, ritual abuse, and multiple personality disorder: A sociohistorical

perspective. International Journal of Clinical & Experimental Hypnosis, 42(4), pp.

265-288.

Overton, D. (1966). State-dependent learning produced by depressant and atropine-like drugs.

Psychopharmacologia, 10, 6-31.