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Multiple personality as a borderline disorder.

The thesis is developed that multiple personality should not be viewed as an hysterical disorder but rather a borderline disorder. This thesis is supported by an examination of the role of splitting, the process of object-relations formation, and the symptomatology in both disorders. Treatment implications for multiple personality are reviewed. These relate primarily to the role of limit setting, confrontation, and management of negative transference. Finally, a case history is presented and discussed in the light of the thesis and its treatment implications.

Adult↗

The concurrent treatment of a multiple-personality woman and her son.

A nine-year-old boy, unaware of his mother's three personalities, was referred for treatment because of difficulties in adjustment. The mother's two created personalities, despite antagonism toward each other, evidenced mutual dependency needs strong enough to preclude the integration necessary to resolve both her son's problems and her own.

Adult↗

Multiple personality: an issue for forensic psychiatry.

The formulation of Multiple Personality (MP) as a distinctive entity by DSM-III while helpful clinically requires, at best, very rigid evaluatory criteria based on independent verification when used as a defense in a Court of Law. The use of the set of eight criteria developed by specialists are helpful guidelines. A case of MP disorder discovered under hypnosis by a psychiatrist and later on vehemently denied by the patient became the object of legal action as part of a malpractice suit. While some well-known experts consulted during treatment believed that she was a MP, the expert witnesses at the trial felt that the patient was not. As a mixed (borderline-histrionic) personality, the patient possibly might have dissociated under stressful life circumstances. The case raises serious issues about the role of auto-suggestion in mimicking MP. It questions the validity of the use of the diagnosis in Court. Legally only carefully evaluated independent data about incongruent past patterns of behavior suggesting alternate personality, can be considered reliable reference for the diagnosis.

Adult↗

Clinical manifestations in persons with multiple personality disorder.

Occupational therapists are becoming more involved in the treatment of persons with multiple personality disorder. Occupational therapy literature concerning treatment of this group of patients, however, is sparse. Clinical manifestations of multiple personality disorder include common alter personalities with distinct roles and functions, age-related behavioral patterns, and physiological differences. By recognizing and understanding these differences and characteristics and their relationship to treatment goals, occupational therapists can better use their background in life roles and occupations to increase the functional daily living skills of patients with multiple personality disorder.

Adolescent↗

Multiple personality syndrome.

Multiple personality syndrome is one of the most fascinating conditions encountered in psychiatric practice. Although its existence has been known for nearly two centuries, there is a relative sparcity of literature on this condition and its importance is underemphasized in psychiatric training. My theory is that this is a far more common condition than has been hitherto realized and the lack of case reports is largely a manifestation of the lack of awareness of diagnostic criteria.

Adult↗