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Re: MPD/DID

Posted by Toby on May 12, 1999, at 8:00:40

In reply to Re: MPD/DID - Toby, posted by Elaine on April 29, 1999, at 22:01:35

Just as there are different physiological states that exist depending on the emotional state of a person, so could there be different physical states or symptoms depending on the emotional "assignment" of alters. Again, noting the fact that these are not different "people," the varying symptoms and abilities of the alters have an underlying psychological basis (i.e., what "meaning" does the psyche assign to the different symptoms, talents and/or disabilities of the alters?) and it is possible to explore these issues and access these hidden states without assigning names and personalities to them. The same is done with nondissociative patients. In some ways, it becomes easier with dissociative patients to do this if proper time and preparation is taken and a trusting relationship is formed before leaping into the painful matierial that led to the severe dissociation in the first place. Preparation is important, too, so that the matierial accessed can be tolerated and then remembered, worked through and accepted ("acceptance" meaning acknowldegement that it happened, is over and the person survived and can now make his/her own decisions and not experience it again; not "acceptance" as in feeling that he/she deserved it or it's not important that it happened and should therefore "just get over it").

As to the question of whether MPD exists: I believe it exists as a function of how far a patient and/or the therapist will allow the symptoms to go. It is the same as a schizophrenic person hearing voices: I don't believe there are really devils talking to the person, but the person is experiencing it as real and therefore it must be treated (in the case of schizophrenia the treatment is with medication); the person must be continually reminded of reality and not encouraged to separate further from reality by agreeing that devils are really there. In the case of schizophrenia the basis for the symptoms is mostly biological and only partially psychological whereas in MPD the basis is mostly psychological and only partially biological.


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