Use of the MMPI with multiple personality patients.
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The patient described is a 33-year -old woman, L.,who developed a transient dual personality while undergoing desensitization for contact phobia, the alternate personality, Toni, manifesting overtly aggressive behaviour. L. was taught how to behave angrily using role-playing techniques within 48 hours of Toni's first appearance and the alternate personality did not reappear after this treatment was commenced. It is suggested that behavioural psychotherapy may, in some instances of multiple personality, have advantages over psychodynamically oriented psychotherapy, which has frequently been advocated as the treatment of choice for this condition.
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The authors present a multiple personality case. The characteristics of the family system seemed to be typical of psychotic families, but after a rightway look on the case, the therapists focussed their attention on several elements which had not come out before. Carefully analysing the case, they were able to find out well played "roles" or "masks", (particularly a "great-seducer father", and a "very depressed mother") a stressed "characterization" of the players and a double level of reality, as if members, although maintaining an inner capacity of self-definition, play a particular "role" on the family "stage", never revealing themselves to the others. These elements are to be considered as primal "clues" of "emerging qualities" of that family. The symptom metaphorically points out a different reality behind the "masks" and with its dramatization, its quick and short rising, its modifications depending on the environment, confirm a different interpretation of the case.
Forensic experts often disagree. The possible sources of such disagreements are analyzed and possible avenues of resolution indicated. The logic of interpreting scenes, and pattern injuries such as bitemarks, is explained to locate potential sources for interpretive error, and to recommend strategies to avoid compounding such errors when preparing cases. In one sense, two observers may not see the same thing, although their eyesight is normal and they are aware of the same artifact. Cases show that both practical and theoretical investigative expectations affect what count as observations. These expectations confer evidential status on the artifact. When two observers' expectations conflict, they do not see the same thing, so are not presented with the same evidence. Expectations can be either appropriate or inappropriate. These senses are clearly distinguished using illustrative cases. When inappropriate, they cause observational errors of a unique sort supplying one source for disagreement. When inferences are made from these inappropriately sanctioned observations,interpretive errors are compounded and resolutions of disagreement become difficult. These observational and inferential errors are explained, described, and illustrated with cases, along with recommendations for recognizing and avoiding them.