The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. The Defence and Decline of Multiple Personality or Dissociative Identity Disorder

@article{Piper2004ThePO,
  title={The Persistence of Folly: Critical Examination of Dissociative Identity Disorder. Part II. The Defence and Decline of Multiple Personality or Dissociative Identity Disorder},
  author={August Piper and Harold Merskey},
  journal={The Canadian Journal of Psychiatry},
  year={2004},
  volume={49},
  pages={678 - 683}
}
  • A. Piper, H. Merskey
  • Published 1 September 2004
  • Psychology
  • The Canadian Journal of Psychiatry
In this second part of our review, we continue to explore the illogical nature of the arguments offered to support the concept of dissociative identity disorder (DID). We also examine the harm done to patients by DID proponents' diagnostic and treatment methods. It is shown that these practices reify the alters and thereby iatrogenically encourage patients to behave as if they have multiple selves. We next examine the factors that make impossible a reliable diagnosis of DID—for example, the… 
Reply: The Persistence of Folly: A Critical Examination of Dissociative Identity Disorder
Dear Editor: This letter is in reply to Dr Piper's and Dr Merskey 's 2 papers on the "folly" of the concept of dissociative identity disorder (DID) (1,2). Psychiatrists are, of course, entitled to
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Dissociative identity disorder: Medicolegal challenges.
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    The journal of the American Academy of Psychiatry and the Law
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References

SHOWING 1-10 OF 102 REFERENCES
Dissociative identity disorder and the sociocognitive model: recalling the lessons of the past.
TLDR
The present authors conclude that Gleaves's analysis underemphasized the cultural manifestations of multiple role enactments and that the history of DID imparts a valuable lesson to contemporary psychotherapists.
Malingering Dissociative Identity Disorder: Objective and Projective Assessment
TLDR
Analysis indicated that malingerers were significantly more likely to endorse dissociative experiences on the Dissociative Experiences Scale II in the range common to patients with diagnosed dissociate identity disorder.
Hypnosis, childhood trauma, and dissociative identity disorder: toward an integrative theory.
  • G. K. Ganaway
  • Psychology
    The International journal of clinical and experimental hypnosis
  • 1995
TLDR
Relevant aspects of instinctual drive theory, ego psychology, object relations theory, self psychology, social psychological theory, sociocultural influences, and experimental hypnosis findings are drawn on to demonstrate the importance of adopting a more integrative theoretical perspective in the diagnosis and treatment of severe dissociative syndromes.
An overview of the psychotherapy of dissociative identity disorder.
  • R. Kluft
  • Psychology
    American journal of psychotherapy
  • 1999
TLDR
An overview of DID treatment as it is practiced by those experienced and skilled in the treatment of this group of patients is provided.
Multiple personality disorder and iatrogenesis: the cautionary tale of Anna O.
  • M. Weissberg
  • Psychology
    The International journal of clinical and experimental hypnosis
  • 1993
TLDR
A review of Breuer's treatment of Anna O., the first patient of the cathartic method, psychoanalysis, and dynamic psychiatry, highlights some of the controversial aspects of multiple personality disorder, specifically its possible vulnerability to iatrogenesis via suggestion and unconscious collusion and other factors.
Rewriting the Soul: Multiple Personality and the Sciences of Memory
Some years ago, one could list by name the tiny number of multiple personalities recorded in the history of Western medicine, but today hundreds of people receive treatment for dissociative disorders
Dissociative Identity Disorder: Diagnosis, Clinical Features, and Treatment of Multiple Personality
THE HISTORY OF DISSOCIATIVE IDENTITY DISORDER. The History Prior to and Including Freud. Freud to the Present. DIAGNOSIS AND CLINICAL FEATURES OF DISSOCIATIVE IDENTITY DISORDER. Epidemiology of
An office mental status examination for complex chronic dissociative symptoms and multiple personality disorder.
  • R. Loewenstein
  • Psychology, Medicine
    The Psychiatric clinics of North America
  • 1991
Personal identity, multiple personality, and hypnosis.
TLDR
The heuristic hypothesis that degreea of proneness to multiple personality are predictive of degrees of hypnotizability is tested and it is concluded that the significant altera- tions of personality characterizing the syndrome are self-reference memoriea and confusions and delusions about particular identity in time and place.
The BASK model of dissociation.
The BASK model conceptualizes the complex phenomenology of dissociation along with dimensions of Behavior, Affect, Sensation, and Knowledge. The process of dissociation itself, hypnosis, and the
...
...