A Case of Multiple Personality Disorder

Multiple Personality Disorder (MPD) is defined as a dissociative disorder in which two or more distinct personalities coexist within one and the same individual.   It is an example of a neurotic disorder.Multiple Personality is not a form of schizophrenia.

The aim of this article was to provide an account of the psychotherapeutic treatment of a 25-year-old woman who was suffering from severe headaches.

The patient (referred to as Eve White in the study) had been referred for therapy because of ‘severe and blinding headaches’. At the first interview she also complained of ‘‘blackouts’’ following her headaches, although her family were not aware of anything that would suggest a real loss of consciousness or serious mental confusion.

During interviews several emotional difficulties were revealed.  The psychiatrists believed that she had a number of complex, but relatively commonplace marital conflicts and personal frustrations.

However they were puzzled that Eve White had no memory of a recent trip. The therapists used hypnosis and the amnesia was cleared.

Several days after a visit to the therapists, a letter from Eve White appeared at the therapists’ office.  The letter concerned her therapy and was written in her usual handwriting, but at the bottom of the page there was a paragraph that looked like a child had written it.

On her next visit Eve White denied sending the letter, though she recalled having begun one, which she never finished and thought she had destroyed. During the interview, Eve White who was normally very self-controlled became distressed and asked whether hearing an occasional imaginary voice made her insane.

She reported that she had on several occasions over the last few months briefly heard a voice addressing her. During this conversation Eve White, as if in pain suddenly put both hands to her head. After a tense moment of silence her hands dropped, and the therapist observed a ‘quick, reckless smile’ and in a bright voice she said: ‘Hi there, Doc’!

To the therapist it seemed that the usually conventional and retiring Eve White had changed into a carefree person.  She also seemed to have a very different physical presence in terms of manner, gestures, and eye movements.  When asked her name she immediately replied that she was Eve Black. 

The therapist noted that this new person ‘had a childish daredevil air, an erotically mischievous glance, a face marvellously free from the habitual signs of care, seriousness and underlying distress’. The voice and language structure were also very different, and to the therapist it appeared to be an entirely different woman.

Over the next 14 months, during a series of interviews totalling approximately 100 hours, extensive material was obtained about the behaviour and experience of Eve White and Eve Black.

The therapists found that although Eve Black could sometimes ‘pop out’ unexpectedly, she could only be ‘called out’ by the therapists when Eve White was under hypnosis.  Similarly, after a few hypnotic sessions the therapists could request Eve Black to let them speak to Eve White.

After more sessions they found that hypnosis was no longer needed for obtaining the changes.  However, the therapists stated that this did complicate Eve White’s life considerably as Eve Black found herself more able to ‘take over’ than before.

The therapists believed that Eve Black had enjoyed an independent life since Eve’s early childhood and when she was ‘out’ Eve White was not aware of what was happening. In contrast, when Eve Black was not out she was aware of what was happening.

Eve Black told the therapists about a number of incidents in childhood where she engaged in acts of mischief or disobedience, which Eve White was unaware of and was punished for.  Some of these incidents were later backed up in interviews with her parents and her husband.

According to the therapists, Eve Black’s behaviour was ‘characterised by irresponsibility and a shallowly hedonistic desire for excitement and pleasure’.    She succeeded in concealing her identity not only from Eve White, but also from her parents and husband. Eve Black denied marriage to the man, who she despised, and denied any relationship to Eve White’s daughter except that of an unconcerned bystander.  To her husband, daughter and parents her unpleasant behaviour, harshness and occasional acts of violence were explained in terms of  ‘unaccountable fits of temper in a woman who was habitually gentle and considerate’.

During Eve Black’s longer periods ‘out’ she avoided her family and close friends, and sought the company of strangers and she was also able to remain unrecognised when it suited her by imitating Eve White.

Both personalities were given a series of psychometric (i.e. IQ and memory tests) and projective tests (i.e. Rorschach and drawings of human figures) by an independent expert with the following results:

IQ test results:  Eve White obtained an IQ of 110 and Eve Black 104. 

Memory Test results: Eve White had a superior memory function than Eve Black

Rorschach test (ink blot test) and drawings of human figures results:  The profile of Eve Black was far healthier than Eve White.  Eve Black though was regressive whilst Eve White was repressive showing obsessive-compulsive traits, rigidity and an inability to deal with her hostility.

During the therapy sessions it became clear that Eve Black had little compassion for Eve White, and could not be persuaded to help with the therapy.  For example, the therapists noted that Eve Black had ‘often misled the therapist into believing she was cooperating, when in fact her behaviour was particularly detrimental to Eve White’s progress’. 

As Eve White became aware of Eve Black’s existence through the therapy, she became able to prevent her ‘getting out’ on occasions, and so negotiation was necessary for Eve Black to get more time ‘out’.   After eight months of treatment Eve White seemed to be making progress.  Her ‘blackouts’ had ceased and she was working well at her job (as a telephone operator) and ‘was reaching some acceptable solution to her marital problems’.

However as the treatment progressed, Eve White’s headaches returned and so did the ‘blackouts’. Eve Black denied all responsibility and said that she also experienced lack of awareness during these ‘blackouts’. Eve White’s general state of mind was deteriorating and confinement was considered. It became easier for the therapist to call up whichever personality he wanted to examine, and childhood experiences were investigated under hypnosis. During one such episode, Eve White appeared to relax into a sleepy state. ‘After two minutes, her eyes opened, blankly staring about the room trying to orient herself.  When her eyes finally met those of the therapist, slowly, with an unknown husky voice and immeasurable poise, she said, ‘Who are you?’ 

The therapists believed that another personality had emerged who called herself Jane. The other personality, they argued, was more responsible than Eve Black and more confident and interesting than Eve White.

After Jane appeared the three personalities were given electroencephalogram tests (EEG).  It was possible to make a clear distinction between the readings of Eve Black and the other two personalities.  Although it was not possible make a clear distinction between Eve White and Jane’s EEG. 

Having been able to work with the three personalities for several months the therapists concluded that if Jane could take possession of the personalities the patient would regain full health and find her way to a happy life.  Jane had awareness of both Eves’ thoughts and behaviour but did not have complete access to their memories prior to her appearance.  Jane had learnt to take over many of Eve White’s tasks at home and work to help Eve White and showed compassion to Eve White’s daughter.  However, although the therapists could work with Jane to determine whether Eve Black had been lying, Jane had not found a way to displace Eve Black, or to communicate through her.

It was decided the Jane was the person most likely to bring a solution to the troubled mind, and that her growing dominance over the other personalities to be an appropriate resolution. A postscript to this remarkable story came in the revelation in 1975 by Eve that she had experienced many other personalities before the original therapy and after it. She recalled a total of 22 and suggested that the fragmentation of her personality had been to protect herself from things she could not bear.

The therapists, Thigpen and Cleckley do not point to the cause of MPD, the received wisdom is that MPD is usually a response to child abuse – a way for the individual to protect him or herself.

 

Source: (http://www.holah.karoo.net/thigpenstudy.htm)

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7 Mind Tricks You Didn’t Know You Fell For

Your thoughts and behavior are surprisingly affected by seemingly unconnected ways because of the mind tricks going on in your brain, argues psychologist Adam Alter in his recent book Drunk Tank Pink.

Mind trick: You have an unconscious “like” around your name.

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Science shows we show a preference for the letters that appear in our names more than other letters. Fascinatingly, research also indicates which charities we’re more likely to support. In one study of Red Cross donations following tropical storms, 10 percent of all donations post-Hurricane Katrina came from people with “K” names, a group that had donated 4 percent to disasters previously. That’s a 150 percent increase!

Mind trick: Descriptions can change how you remember things.

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Memory researcher Elizabeth Loftus has shown that description can distort memory through a number of different experiments, says Alter. In one fascinating study, participants watched a video of two cars colliding. Researchers told one group that the cars had hit each other, and the other group that the cars had smashed. A week later, the scientists asked participants if they recalled broken glass at the accident. Fourteen percent of those in the “hit” group remembered seeing glass, while a third of the “smashed” panel thought it was there. But really? There hadn’t been any glass. As Alter puts it, “the sensationalized ‘smashed’ label had replaced reality with a false memory in which the cars spilled glass following the accident.”

Mind trick: Mirrors may make you behave more morally.

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Researchers have found that people are more honest when forced to stare at their own mirror images, Alter writes. In one mid-70s experiment, college students were asked to unscramble a series of anagrams during a five-minute period, even though there was no way they could finish all of the puzzles during that time. The participants were told to stop working after a bell rang at the five-minute mark, or it would be considered cheating. Some did the work in front of a mirror; some couldn’t see their reflections. The fascinating results: Only 7 percent of the mirror group cheated, compared to 71 percent of the other group. “When people consider behaving badly, their mirror images become moral policemen,” says Alter.

Mind trick: Hospital window views can affect a patient’s recovery.

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Patients recovering from gallbladder surgery at a suburban Philadelphia hospital had notably different experiences, depending on whether their rooms faced a brick wall or a small group of trees. The wall-facers needed to stay in the hospital a full day longer, on average, and also had more pain and were more likely to be depressed. Very few of the patients with the tree view needed more than one dose of a strong painkiller by the middle of their visit; whereas the wall facers required two or three doses. By some measures, Alter writes, patients who gazed at a natural scene were four times better off than those who faced a wall. Other studies have found that natural environments have had positive impacts on children with ADHD. Alter explains that “while man-made landscapes bombard us with stimulation, their natural counterparts give us the chance to think as much or as little as we’d like, the opportunity to replenish exhausted mental resources.” 

Mind trick: You recall more in a similar setting.

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If you’ve ever heard teachers advise students to study in environments as similar to their exam room as possible, this research explains why. Researchers had scuba divers memorize lists of words, sometimes they were underwater and sometimes they were on land. They found that divers who performed the task under the sea had more accurate recall while submerged than while on land, and those who did the experiment on land remembered the words better there than under the water. “Locations form a lens through which we perceive newly acquired information,” says Alter.

Mind trick: Bright pink calms you down.

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In a famous 1979 experiment, a group of healthy young men demonstrated dramatically more arm strength when they stared at a bright blue piece of cardboard compared to when they looked at a bright pink one. The study author Alexander Schauss began touting the “miraculous tranquilizing power of bright pink at public lectures across the United States,” notes Alter, and the message took off. Country jails and detention centers began to paint holding cells bubblegum pink, which became known as “drunk tank pink.” Football coaches at Colorado State and the University of Iowa even painted the visitor locker rooms pink—“in an attempt to pacify their opponents”—until athletic conferences mandated both sets of locker rooms had to be the same color.

Mind trick: Hot weather can make tempers flare.

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Experts believe that heat changes us physically (we sweat more, our hearts beat faster), and it’s easy to mistake this excitement for anger during frustrating situations. Heat also makes us uncomfortable, which can promote anger and aggression—for example, studies have also found road rage is more common on warm days than cool ones. Scientists have also observed that Major League Baseball batters are much more likely to be struck by errant pitches on hotter days than cooler ones. (Note: pitches were equally accurate on warm and cool days.) Separate research also noted that when a batter was hit by the opposing team, his pitcher retaliated. At a cool 55 degrees, pitchers struck back 22 percent of the time. However, on 95 degree days, pitchers let loose 27 percent of the time. It may not seem like a lot, Alter notes, but this means that “121 additional batters would be hit in retaliation if every day of the season peaked at 95 degrees rather than 55.”