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And also to my alters: To each of you who walked out of the back of my head to help me, all 2681 of you,
“Several recent studies (Bliss, 1980; Boon & Draijer, 1993a; Coons & Milstein, 1986; Coons, Bowman, & Milstein, 1988; Putnam et al., 1986; Ross et al., 1989b) are largely consistent in terms of the general trends that they demonstrate. At the time of diagnosis (prior to exploration) approximately two to four personalities are in evidence. In the course of treatment an average of 13 to 15 are encountered, but this figure is deceptive. The mode in virtually all series is three, and median number of alters is eight to ten.
Complex cases, with 26 or more alters (described in Kluft, 1988), constitute 15-25% of such series and unduly inflate the mean. Series currently being studied in tertiary referral centers appear to be more complex still (Kluft, Fink, Brenner, & Fine, unpublished data). This is subject to a number of interpretations. It is likely that the complexity of the more difficult and demanding cases treated in such settings may be one aspect of what makes them require such specialized care. It is also possible that the staff of such centers is differentially sensitive to the need to probe for previously undiscovered complexity in their efforts to treat patients who have failed to improve elsewhere. However, it is also possible that patients unduly interested in their disorders and who generate factitious complexity enter such series differently, or that some factor in these units or in those who refer to them encourages such complexity or at least the subjective report thereof.”
―
Complex cases, with 26 or more alters (described in Kluft, 1988), constitute 15-25% of such series and unduly inflate the mean. Series currently being studied in tertiary referral centers appear to be more complex still (Kluft, Fink, Brenner, & Fine, unpublished data). This is subject to a number of interpretations. It is likely that the complexity of the more difficult and demanding cases treated in such settings may be one aspect of what makes them require such specialized care. It is also possible that the staff of such centers is differentially sensitive to the need to probe for previously undiscovered complexity in their efforts to treat patients who have failed to improve elsewhere. However, it is also possible that patients unduly interested in their disorders and who generate factitious complexity enter such series differently, or that some factor in these units or in those who refer to them encourages such complexity or at least the subjective report thereof.”
―
“I was so moved that she remembered my birthday that I cried harder than I had in years. When I returned her call, she told me her computer was broken and she couldn't afford to replace it. My heart fell. As I had done so many times before, I went to her rescue. Still on the phone, I went online and bought her a new laptop, top-of-the-line. That was what she had really called for, She thanked me and hung up. I went to Casey, sobbing. Soon afterward, I closed the bank account and asked my mom to not ask me for any more gifts or money. Now my relationship with my mom is very limited, and it's still very painful for me. She continues to occasionally send me bills she can't pay. I respond by telling her that I love her but I cannot pay her bills.”
― The Sum of My Parts: A Survivor's Story of Dissociative Identity Disorder
― The Sum of My Parts: A Survivor's Story of Dissociative Identity Disorder
“Denial is our very real, personal response to our own trauma. But denial is the normative response to trauma—by everyone. Society may deny that anything bad ever happened to us. It may deny that DID exists. But that doesn't mean to say it's right. All it says is that like global warming, our histories and our stories are an "inconvenient truth".͏”
― Living with the Reality of Dissociative Identity Disorder: Campaigning Voices
― Living with the Reality of Dissociative Identity Disorder: Campaigning Voices
“Debbie Nathan blames the early symptoms on pernicious anemia yet explains their supposed remission by Shirley’s being out of contact with Dr. Wilbur for those 9 years. But Dr. Wilbur never diagnosed a dissociative disorder in 1945. Nathan does not seem to recognize the implausibility of Dr. Wilbur creating via suggestion a complex dissociative disorder in five sessions, particularly when the doctor herself did not diagnose it. Nathan attributes Shirley’s postintegration improvement in functioning to being out of contact with Dr. Wilbur rather than to the therapy. But the pernicious anemia continued to be undiagnosed and untreated during that time period, so any symptoms due to it should have continued rather than showing an improvement that coincided with psychotherapy with Dr. Wilbur. Debbie Nathan’s thesis is self-contradictory.”
―
―
“Severe headaches are especially indicative of switching or internal conflicts among parts.”
― The Dissociative Identity Disorder Sourcebook
― The Dissociative Identity Disorder Sourcebook
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