Beware of the Other Side(s): Multiple Personality Disorder and Dissociative Identity Disorder in American Fiction Heike Schwarz, 2014 key notes, chapters 0-8. google doc version here.
this book gives really excellent insight into the history of dissociation, multiple personality and MPD/DID, and in particular studies the interactions between fictional depiction and clinical / social practice.
my poor fingers have finally finished transcribing all the sections from this book that i underlined for use in my dissertation.
feel free to have a read as well.
0. Introduction
"Despite the renaming of the disorder [...] the general notion of the disorder still stuck to the exaggerated and more observable form of MPD."
"the mysterious inner fragmentation into separate identities has been exceedingly used in fictional works such as novels or films with a hyperbolical performativity [...]. Although the [APA] changed the name of MPD to DID in order to stress the inner fragmentation rather than emphasize the proliferation of innumerous distinct entities, the disorder continues to be perceived, both in popular culture and in fictional works, as the existence of two or more persons within one body."
"This study [book] develops the theory of MPD and DID as a "culture-embedded syndrome". Not only psychiatric cases alone contribute to pop psychology. But it seems fairly clear that fictional characters [...] also have a considerable impact on how a disorder is generally perceived and further developed. The prototype of the multiple in the 20th century is undoubtedly Sybil (1973) [...]."
"American authors used MPD and DID to enhance the inner dividedness of their protagonists and their disconnectedness from themselves and their environment."; "Multiple personality and dissociation can also be used as a metaphor within societal structures."
"In popular culture and thus popular fictional works", "MPD remains the core concept whatever name the disorder may obtain in the future, as it functions also as a strong brand can continues to be recognisable."
"[In real life] a template for MPD/DID was clearly given with fictional works as a kind of imperative or instruction for the patients. In this sense, fiction told them how to behave. how to perform, how to feel. The references to the classic cases of Dr. Jekyll and Mr. Hyde and especially Sybil are striking. [...] Thus, this study is an interdisciplinary approach attempting to synchronise psychological dynamics of multiple personality and dissociation as [DID] with presentations of it within fictional adaptations."
1. Personalities or Personality States?: The Definition of MPD/DID in Psychiatric Terms
"variable names for this mythical diversity of the human mind evolved."
"Mood changes, memory loss, cryptic yet characteristic symptoms and more or less covert or overt second lives [are manifest] [...], yet the phenomenon may still remain the same: more than just one personality, or name it identity as hence lessen its complexity – inhabiting and sharing the same body."
"the popular perception of multiple personality in terms of MPD/DID [...] seems to be frozen at a certain point. [...] Quite a number of novels still refer especially to MPD and avoid the change into DID and its continuous journey from an overt to a covert syndrome."
"distinct and distinguishable personalities, personality states, alter egos, alters, ego states within one individual occurs or are expressed – quite a number of terms exist in the universe or multiverse of MPD/DID."
Brenner 2001 — "Once known as Gmelin's Syndrome, exchanged personality, multiplex personality, double existences, dual consciousness, dual personality, double personality, plural personality, dissociated personality, alternating personality, multiple personality, split personality, multiple personality disorder, and, most recently, dissociative identity disorder (Ellenberger 1970; Greaves 1993) [...]."
Prince 1906 — "cases of this kind are commonly known as 'double' or 'multiple personality' [...] but a more correct term is disintegrated personality, for each secondary personality is part only of a normal whole self."
"Even though Morton Prince already includes the hypothesis that multiple personality refers in fact to a concept of internal fragmentation instead of plurality of several personalities inside one body, he insisted on representing a person or personality on his/her own [...] Because here is the core of the disorder, its heart, the stress on entities and persons."
"the American People's Encyclopedia of the year 1969 presents the following entry on [MPD]: "a condition in which the main stream of thought is divided so that two or more personalities exist within the same individual" (Humphrey at al. 1969)." -> spread of misleading definition.
"Ellenberger distinguishes [...] real multiple personalities as "[...] each personality has the feeling of its own individuality at the exclusion of other or others" (1970)."
"The switch from a personality oriented [diagnostic] scheme to the definition of a disorder or personality states or identities within one person is obvious and intended. [DSM-IV states DID] is now understood "as a disorder characterized by identity fragmentation rather than a proliferation of separate personalities".
DSM-I — "psychoneurotic disorders" [...] "dissociative reaction" [...] "gross personality disorganisation" that may deflect into "various symptomatic expressions, such as depersonalisation, dissociated personality, stupor, fugue, amnesia, dream state, somnambulism, etc." (32). — "No further explanations exist."
DSM-II — "Hysterical neurosis, dissociative type". [...] "in the dissociative type, alterations may occur in the patient's state of consciousness or in his identity, to produce such symptoms as amnesia, somnambulism, fugue, and multiple personality." — "[It] does not contain any further explanations but explicitly mentions the term of multiple personality."
DSM-III — "Dissociative disorders" [...] "Multiple Personality Disorder (MPD)" [...] "A. The existence within the individual of two or more distinct personalities, each of which is dominant at a particular time." [...] "C. Each individual personality is complex and integrated with its own unique behaviour pattern and social relationship."
DSM-IV-TR — "Dissociative disorders" [...] "Dissociative Identity Disorder (formerly Multiple Personality Disorder" [...] "A. The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self)." [...] "C. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness."
"This definition adds particularly the criterion of amnesia, loss of memory."
DSM-IV Sourcebook — "It was proposed that the term 'multiple personality disorder' be changed to 'dissociative identity disorder' to stress that the nature of the condition is the lack of personal integration rather than the objective existence of various personalities within a single individual."
"Knowing how to test or prove an assertion that an individual has more than one personality [...] is impossible in the absence of general agreement about what any of these terms mean." (Piper 1997)
"Merckelbach, Devilly, and Rassin accentuate that the alters are suggested as a possible result of "attributional illusions" and they refer the tendency of some patients to "attribute causality to inside agents" which eventually suggests that there is a possibility or interpreting alters as "metaphors rather than real entities". (2002)"
"There is no singular agreement on how [DID] and the variety of personalities or identities should be interpreted. Yet rather than emphasizing real persons inside, there is consistency in stressing the importance of altered states of consciousness due to dissociation. Hence, Dell proposes other names for the disorder such as "dissociative self-state disorder" [also mentioning 'disaggregate self-state disorder', 'major dissociative disorder', 'chronic complex dissociative disorder', 'complex posttraumatic and dissociative disorder']. [...] patients with such a disorder are now not expected to act as if possessed by several persons."
DSM-V — "Dissociative Identity Disorder" [...] "A. Disruption of identity characterized by two or more distinct personality states or an experience of possession. [...]" [...] "D. The disturbance is not a normal part of a broadly accepted cultural or religious practice [...]."
"This states that it is "not part of a broadly accepted cultural or religious practice", but would the latter not refer to mainstream American multiple culture [...]?"; "why is there no self-reflection in terms of an embedment in generally available and consumed mainstream narratives?"
"There is no reference to popular culture or mainstream culture as part of a global understanding of a commonly shared [...] popularised form of mental disorders such as MPD/DID [...]. The term "culture" here applied seems to be the Other, the exotic, the uncommon ground seen from a Western white middle class normativity [...]."; "Why is the American culture (of multiples) excluded here [...]?" -> overdiagnosis of and concept stray for MPD/DID and rise of imitative DID presentations because plural subcultures are not yet recognised as valid vehicles for expression? thus dissociative diagnoses are lumped in / sought after / used as the vehicle of self-understanding for individuals.
"Innumerous diagnosed Americans, as they present themselves in chat rooms, online forums and internet groups, understand themselves within a frame of healthy copying [sic] or at least refer to the established culture practice of the cultural "idioms of distress" (Nichter) of MPD or DID within the American society. DID still is not totally seen like this plural self-conception or multiple agency in the DSM-V, here it still remains a mental disorder."
"in order to understand the translation of a mental diagnosis such as [MPD] into the context of fictional texts and films, it is important to distinguish consequently two concepts of multiple personality. The first concept evolves the idea of distinct personalities within one body with different levels of memory and consciousness, hence a number of persons within one person. [...] This concept seems to be more intelligible; it is easier to translate. The second concept develops from the basis of the first and refers to different yet distinct personality or identity states, which means that a variety of states of consciousness can be defined. Here, not distinct personalities or persons are mentioned but different levels of consciousness are obvious within one person. The fragmentation of a mind is emphasised."
2. The Split of Personality: The Diagnosis of MPD/DID versus Schizophrenia
"The culture of multiple personality is not that of schizophrenia especially in the United States. It may be confused with schizophrenia and understood as split personality. Yet the reference to such a split of personality in terms of being multiple still refers to distinguishable persons or personalities or personality states within one body." [my note: this book avoids the term 'split personality' for multiplicity and typically maintains it with schizophrenia for clarity and consistency; schizophrenia is dubbed as such due to its etymology and functional 'splitting' of "psychic functions" (Bleuler 1950). I personally do use the term 'split personality' for certain trope variants of multiplicity.]
3. Of Demons and Dissociation: The Origins and Early Science of the Other Side
"The observation of alternating states of consciousness and behavioural patterns were firstly explained by the religious concept of demon possession: devilish forces inhabited a human body and soul, speaking in dubious tongues, provoking somatic change. In the aftermath of more scholarly oriented notions of the Enlightenment, a more scientific and physically oriented view was established."
3.1 — Demons and Possession
"This personality admits its demonic nature, refers to itself in first person and uses the third person for the possessed, maintains specific knowledge unknown to the possessed and displays a complete change of character and morals (Wilson 1976 in Ross 1997)."
"Ellenberger classified two different forms of possessions: the "lucid" and the "somnambulistic possession". The lucid possession points at a state "in which the subject feels within himself the two souls striving against each other", and the somnambulistic possession again is a state "in which the subject loses consciousness of his own self while a mysterious intruder seems to take possession of the body and acts and speaks with an individuality of which the subject knows nothing when he returns to awareness". Both the lucid and the somnambulistic forms of possession can be found in the two main forms of multiple personality, Ellenberger calls "simultaneous" and "successive multiple personality". [...] The parallels are clearly made here."
3.3 — Dipsychism and Polypsychism
"According to [the 19th century concept of a "double-ego"] the duality of mind is composed of two egos, which consist of 'upper consciousness' and 'under consciousness' [...]. In addition, the strength of the under consciousness is not to be underestimated as it seeks predominance and represents in itself the very core of dual personality. Such theory of the divided self that involved concerns about the "disintegration of the ego" was announced by Henry Maudsley in the year 1883, just three year prior to [Jekyll and Hyde's publication]. Maudsley's concept emphasises the dual character of the human mind with a hidden other side. The ego or self "holds together" all functions of the body, but "manifold varieties of mental derangement" could result in a feeling of "two alternating and opposite phases"."
"With Freud's triad of self as ego-superego-id, which replaced the conscious-unconcious theory, and Jung's opinion of the human psyche as being essentially multiple, another level [of the divided mind] was reached."
Hall 1991 — "Jungian theory stresses the dissociative nature of the personality. No complex entirely controls the personality, nor should it, although the ego complex is usually dominant during waking life. [...] Identification with another complex (not-ego, not-I) is a dissociative state that may be severe (such as in [MPD] or psychotic state) or transient and temporary (such as in mood)."
3.5 — Pierre Janet: The Concept of Dissociation
"According to Janet, traumatic memories are indeed "encoded in the body" (Howell 2005) thus creating severe physical symptoms which are now also labelled ‘positive somatoform dissociative symptoms’ (cf. Nijenhuis 1999; Nijenhuis and Van der Hart 1999; Howell 2005). Moreover, these are acknowledged to be connected with the current theory on [PTSD]."
"Janet’s approach to his concept of dissociation was a phenomenological one. He interpreted the physical and psychological symptoms of his patients in terms of hysteria, that is "in terms of functional losses, such as anaesthesia and amnesia, and in terms of acute, transient, distressing, and often intrusive symptoms, such as flashbacks, intrusive thoughts, or sudden bodily experiences" (Howell 2005). Accordingly, he also established the connectedness of the mind and body as he observed somatic symptoms after psychological traumata, and although his patients were not victims of any organic disease, they could produce corresponding symptoms without conscious awareness. Furthermore, Janet had the impression that a subconscious part of the human psyche could lead to a performance of these bodily symptoms and that such a subconscious part could be examined as a second consciousness. As Reiber notes, this second consciousness was therefore the result of a dissociated part of the human traumatised mind and could act just like a second personality."
"Freud’s concept [of repression] is understood as a theory of unconscious processes, which are active and motivated. Janet’s concept of dissociation, however, is now understood as an automatic reflex upon a traumatic event and therefore psychologically passive."
Janet 1906 — "a dissociation occurs "not only of an idea, not only of a feeling, but of one mental state of activity"
3.6 — William James: "Mutations of the Self"
"William James – the "preeminent figure in late 19th and early 20th century" (Spanos 1996) – devoted the famous chapter X in his Principles of Psychology (1890) to "The Consciousness of Self". In chapter VIII "The Relations of Minds to Other Things", he had already referred to the splitting of consciousness in a person – "It must be admitted, therefore, that in certain persons, at least, the total possible consciousness may be split into parts which coexist but mutually ignore each other, and share the objects of knowledge between them [...]". In Dissociative Identity Disorder (1997), Ross considered James’ concept of the self as "a plurality of selves in the normal individual" including the material, social, spiritual selves and the pure ego, [...] various psychological derangements [...] could result in severe dissociation or even DID."
"The consciousness of the self, however, is built on a stream of thought, "each part of which as ‘I’ can 1) remember those which went before, and know the things they knew; and 2) emphasise and care paramountly for certain ones among them as ‘me’, and appropriate to these the rest" [...]. If this system of a healthy self, based on identity and constant memory, is disturbed, another phenomenon may occur."
"Whether arguing in favour of religious revelation or psychological terms, James stresses the dividedness or plurality of the self. Referring to various examples from Augustine to contemporary cases of alternating personality, James is one of the most important thinkers of the psyche seen as a multitude of selves united or not."
4. Shock and Trauma: Renaissance of the Dissociation Concept
4.1 — Memory and Identity: The Illusion of the Unitary Self
Spiegel 2011 — "Dissociation is a disruption of and/or discontinuity in the normal, subjective integration of one or more aspects of psychological functioning, including – but not limited to – memory, identity, consciousness, perception, and motor control. In essence, aspects of psychobiological functioning that should be associated, coordinated, and/or linked are not."
Nemiah 1998 — "Contrary to the traditional view that human consciousness is a single, unbroken, and unitary continuity, Janet’s clinical observations provided convincing evidence that there may coexist within one and the same individuals two or more separate, dissociated streams of consciousness, each existing in isolation from the others and each with a wide spectrum of mental contents such as memories, sensations, volitions, and affects. The magnitude and intricacy of those dissociated complexes may vary."
"The unity of the self is an illusion, and yet the self – pathological and healthy – is actually distinguished by its plurality (cf. Howell 2005). This expression, however, may give rise to some inconsistencies, and it may be helpful here to speak of a unity of memory and a plurality of self-perception or a self with an inner plurality and multi-dimensionality."
4.2 — Trauma
"The trauma as a cause of severe dissociation [...] provoked different psychotherapeutical approaches (Hacking 1995). Whereas Freud was convinced that the reexperiencing [sic] of the traumatic event was the precondition for psychic healing, Pierre Janet followed the opposite direction: via suggestion and hypnosis. Janet was even convinced that a patient could be taught to forget the individual trauma so that a psychological reaction like dissociation would not make any sense at all, and in this way, the patient could be healed."
"David Spiegel emphasizes the fragmentation of the traumatised person and at the same time urges therapists to recognise this and not treat the inner fragmentation as separate personalities (2006)."
"[In fictional works] dissociation may not represent a copying [sic] strategy via avoidance, but rather a personal opportunity and change, a creative way of reinventing the self." -> Don’t agree with this assertion and muddled use of terminologies (dissociation ≠ avoidance).
4.3 — Contemporary Theories of Dissociation
"Although [DID] signifies the most severe form of dissociation, it may symbolise the pathogenic form of the natural dissociative structure of the human psyche (Howell 2005)."
"Along a model of continuum, an increasing lack of integrity constitutes a dissociated state of mind. A partly observed self or self state is still able to obtain a fundamental "capacity for self-observation" with diminished memory, claim Gokynkina and Ryle (1999). Such a limited perception may lead to amnesia and a restricted range of reciprocal role patterns. On a continuum, different degrees from healthy identity perceptions more difficult behavioural patterns such as in [BPD] may occur and eventually lead to a [DID]."
5. The Other Side(s): Famous Cases of Double Consciousness and Multiple Personality
"a couple of classic cases shaped the popular knowledge and awareness of the phenomenon."
"All cases [...] are based on what the authors could witness with their patients. Putnam therefore sums up the typical statements on the individual cases. Firstly, the patient undergoes a sudden dramatic transformation and presents a side that contradicts a previous behaviour. [...] Secondly, the rapid transformation "appeared related to environmental stimuli" such as "syncopal episodes or brief periods of sleep", which Putnam calls "swoon switches". Thirdly, there can be amnesiac barriers that separate the personalities."
"All cases were not merely experienced in isolation but were presented to the public. Thus, they all, [...] "deliberately aimed at a general audience" (Leys "The Real Miss Beauchamp")."
5.3 — The Old State and the New State: The Case of Mary Reynolds (1816)
"When the case was briefly mentioned [...] it was not the duality of person which hit public nerve but the mysterious term of double consciousness. The case finally became "the diagnostic category, in English, for most of the nineteenth century" (Hacking 1997)."
5.4 — The Two Identities of A.B.: The Case of Ansel Bourne (1890)
James, Principles of Psychology — "He said his name was Ansel Bourne, that he was entirely ignorant of Norristown, that he knew nothing of shop-keeping, and that the last thing he remembered – it seemed only yesterday – was drawing the money from the bank, etc., in Providence. [...] He could not believe two months had elapsed."
"Eventually James concludes that [...] within Bourne, there are two distinct personalities within one body as he could observe a recognisable change in manners during hypnosis [...]. There seemed to be no possibility of running "the two personalities into one, and make the memories continuous" so that James therefore concluded that "Mr. Bourne’s skull today still covers two distinct personal selves"."
5.5 — A Case of Personality Clusters: Miss Beauchamp (1906)
"These personalities had distinct behavioural patterns and were also easy to differentiate. According to the major American cases of multiple personality [...] such distinct personalities were a phenomenon that is always emphasised. The observation, however, was mostly made by male doctors describing female patients."
Hawthorn 1938 — "It is interesting to note that very often when a male investigator is describing the difference between two personalities of a woman, one will be described as clearly prettier [...]" -> the fetish of multiple personality according to male gaze
5.6 — The Three Selves of Eve: Thigpen and Cleckley (1957)
"The case of Eve was seen as a classic example of "personal problems experienced by many women" whose difficulties were caused "by the operation of social taboos and conventions" (Hawthorn 1983) thus creating a situation in which a feeling of conflict between rival demands of self-realisation and social pressure is born."
"The case "became a media event. Given the quasi-novelistic form in which it was presented, evidently it was meant to" (Kenny 1986). [...] Kenny sees it as a "marvel of nature" and yet the therapists Thigpen and Cleckley later condemned the "profligacy and propagandising" of multiple personalities. However, they did not hesitate to transform a medical case into a media sensation by filming Eve and publishing their psychiatric account or study in the form of a novel, later even allowing the latter to be used for a movie adaptations [sic]."
"Relatively speaking, this case was still based on the duality of a good and an evil side."
"To become the prototype for the later multiple personality, Hacking maintains, the case of Eve also lacked the "framework" of child abuse. Because of this lack of [CSA] as a cause "no one who writes in movement literature has a good word to say for the book, and many critics voice hard judgement of her psychiatrists", he notes. The Three Faces of Eve had been written "in an age of innocence" and therefore it did "nothing to make multiplicity intelligible". The Three Faces of Eve therefore "gave a misleading picture of MPD and ironally may have helped to obscure the clinical features of the disorder"."
Hacking 1995 — "[Chris Sizemore, the real Eve] did not so much join the [plural] movement as serve as a perfect exemplar of the new vision of multiplicity that emerged in the 1970s – including misdiagnosis or maltreatment by an earlier generation of doctors."
5.7 — Fact or Fiction? The Sixteen Persons of Sybil (1973)
Borch-Jacobsen 1997 — "[MPD] [...] was born in 1973 with the publication of Flora Rheta Schrieber’s book Sybil"
Sybil — ""I live there," came the correction. "Jist everybody knows I live in Willow Corners." / Jist. Sybil didn’t talk that way. The doctor was overtaken by an uncanny, eerie feeling."
Sybil — "She seemed smaller, shrunken."
"It is notable that this changed appearance is the similarity between the text and the descriptions of Mr. Hyde [...]."
Sybil — "The way we’re talking to each other, the doctor will think we’re one person talking to herself."
Sybil — "I’m not a patient. I’m patients." [...] "You’re twisting the truth. The others are part of you. We all have different parts of our personalities. The abnormality lies not in the division, but in the dissociation, the amnesia, and the terrible traumas that gave rise to the others."
Sybil — "the integration would result in death for them."
Sybil — "Since Vicky had all the memories and possessed more of the original Sybil than waking Sybil, the doctor had thought it might be a good idea to do away with all the selves, including waking Sybil [...], and allow Vicky to be the one self."
"Spiegel states that Sybil was "a wonderful hysterical patient with role confusion" but not a multiple personality. He saw her personalities "rather as game playing" fostered by Wilbur as personalities one their own when they were in fact certain "perspectives, that she then called by name." -> what is a ‘real’ multiple personality, though?
"The narration shifts from Sybil’s inner world, told from a third person perspective, to Wilbur as central character struggling for a therapy, sometimes a brutal one. Whether we observe Miss Beauchamp, Eve, or Sybil, the patient is literally never in control of her core identity or has true agency."
6. Voices of Doubt: The Validity of Multiple Personality
"As post-modern individuals we comprehend that contradictory emotions, various feelings or impulses may flow inside us. [...] The result [...] may be a conception of a fragmented self in a postmodern incoherent world. "My body is not one but many", says Joyce Carol Oates (1996). Walt Whitman [...] "Do I contradict myself / Very well then … I contradict myself; / I am large … I contain multitudes" (2001)."
"While one side stresses the post-traumatic model, the other side stresses the sociological model. The first side understands dissociation as mechanism of the psyche whereas the other side believes that societal structures may help proliferate wrong ideas about multiple personality." -> both of these are true facts. They are both correct.
"Carter contradicts the theory of multiplicity as insanity, for "it is not in itself abnormal. Rather, it is a manifestation of the extraordinary flexibility of the human psyche and is often perfectly healthy or even beneficial". Hence, separate existences may even help us to "cope with the complexity of modern life and exploit the opportunities it offers" (2008)."
"[Spanos] focuses on multiple personality [...] as one amongst a number of psychological disorders or psychiatric syndromes that had been defined, accepted, and popularised, and that literally changed the conception of the human mind and its coping strategies or surrender to distress (1996)."
"The question is when a feeling of inner plurality may count as a mental disorder."
"Merksey referred to MPD as a ‘doxogenic disease’ and also considered it as a result of mental conceptions of the self: the "patients’ own mental conceptions (from doxa, meaning opinion, and genes, to produce)" consequently characterised the symptoms of the disease." -> why always the framework of disease?
"The contradictions of various definitions by psychiatrists made it nearly impossible for patients to determine the diagnosis as incorrect."
"For Piper [...] [the shift from MPD to DID; the shift from personalities/persons to personality states/identities] is merely cosmetic (1997) as the results remain the same. The public awareness of multiple personality has not completely followed these subtleties."
"The concepts of dissociative identity signs are exported from the North American countries around the world [...] "[...] cinema has influenced the production of dissociative signs" (Piper and Merskey 2004)."
"a posttraumatic model itself is insufficient and that there are also iatrogenic factors, which play an important role in the etiology of DID (Lilienfield et al. 1999)."
Acocella 1999 — "MPD is a field of angry people making absolute judgements. [...] According to MPD believers, the disorder exists, and not to diagnose it is negligence, even malpractice. According to MPD skeptics, the disorder is overwhelmingly iatrogenic [...]."
"The prototypical multiple follows simple facts. Since the second half of the 20th century, the average modern MPD/DID patient has been female and behaves as if she is possessed by "two or more distinct identities" (Spanos 1996). When referred to by name, the MPD patient displays different interpersonal styles [...]. A history of severe [CSA] or even rituals in a satanical environment and [SRA] are mentioned."
"the multiple personality became an expression of the powerless, as "looking at literary and social history suggests that for over a century, multiplicity has offered women a way to express forbidden aspects of the self" (Showalter 1997) [...]. The secondary identity or personality thus functions as a symbol of te excluded, even the unconscious. It mirrors what is wrong within society."
"The success of the novel Sybil created a new MPD stereotype basing the disorder on severe [CSA] (Showalter 1997; Hacking 1995). According to psychiatrist Frank. W. Putnam, this novel eventually "became a template against which all other patients could be compared and understood" (1989). [...] [Sybil] "became a prototype for what was to count as a multiple" (Hacking 1995)."
"In summary, [...] the features of the syndrome, whether called MPD or DID, are connected to presentations within fictional works which work as role models. Such role models therefore need to be examined closely as they created a culture of multiple personality. [...] The syndrome cannot be understood without a close examination of corresponding fictional representations."
7. Brand Identity and "Culture-embedded Syndrome": Multiple Personality and American Culture
"therapeutical settings have only changed insufficiently, as the notion of persons inhabiting one body is still adopted."
"[Culture-embedded Syndrome] refers to multiple personality and dissociation seen as a cultural phenomenon with distinct references within the fictional genre of dissociated minds, making it thus self-referential and also being an aspect of the popular culture and the collective consciousness. Newer and contemporary texts refer to former adaptations."
"Despite the inclusion of "correctional characters" who represent the controversy of the 1990s, the basic elements still remain." -> correctional characters where? I want to see them (genuinely). What is this referring to? Maybe she means the contemporary texts she analyses (haven't read that far yet).
"It was [Jekyll and Hyde] that actually created the pattern of multiple personalities and dissociative identities as a template the readers can recognize [that can thus be and is often called back to by future works]."
"In such film productions, the symptoms are presented as absolute dissociation [...] the alter personalities acquire the status of fully developed people."
"The audience is aware of a division into distinct parts, which are represented as different people, thus making the disorder recognisable."
"The appealing part could mean that expressing one’s despair by using the available metaphor of MPD/DID could help negotiate such despair as it is now recognisable by others – an acceptable "idiom distress" (cf. Nichter 1981). In popular culture, trauma means inner split; inner split means MPD/DID."
Stobart 1994 — "The brand must be consistent. The brand must be meaningfully differentiated; it must stand apart [...] so that consumers recognise that the brand product has particular characteristics."
"This quote by Stobart concerning the marketing of brands could help to explain why the newer definition of DID has not been as successful or popular as the former definition of MPD, or why shifts within the definition espoused by the professional community are not understood or entirely acknowledged by the public."
"Accordingly, various authors or directors can be seen as suppliers, who refer to the MPD brand in order to present a fictional character and his mental state."
Murphy 1990 — "A brand is therefore a ‘pact’ between the owner and consumer."
"this reference to "a pact" neatly sums up the interplay between existing audience expectations and the representations of the split character." -> see Charland 2004 for bearers of mental health labels as ‘consumers’ too.
"Spanos, Lilienfeld and O’Donohue argue that "mainstream treatment techniques for DID appear to reinforce a patient’s display of multiplicity, reify alters as distinct personalities, and encourage patients to establish contact with presumed latent alters" (2007)."
Lilienfeld and O’Donohue 2007 — According to the sociocognitive model of DID, patients actively seek to understand their psychological disorders and do so in terms of available cultural narratives as well as suggestive therapeutic procedures. [...]."
"As such, [MPD] or dissociative identities may exist "in a cultural force field that is increasingly open to considerations of multiplicity" (Tuckle qtd. In Acocella 1999). [...] The multiplicity of a human mind then may exist within a fragmented popular culture itself."
Spanos 1994 — "[the] notion of multiple personality has become commonplace in North American culture, and it is now a legitimate way for people to understand and express their failures and frustration"
Spanos 1994 — "the sociocognitive perspective suggests that patients learn to construe themselves as possessing multiple selves, learn to present themselves in terms of this construct, and learn to reorganise and elaborate on their personal biography so as to make it congruent with their understanding of what is means to be a multiple. These patients are conceptionalised as actively involved in using available information to create a social impression that is congruent with their perception of situated demands, with the self-understandings they have learned to adopt, and with the interpersonal goals they are attempting to achieve." -> modern manifestations in ‘researching DID’ culture, carrds, online plural templates such as alter bio templates, shared role labels, pluralkit, etc.
8. Creating a Public Consciousness: The Role of the Mass Media
"Because the audience may not commonly be able to reproduce the exact terms of scientific studies or explicit details, they may not have access to detailed knowledge concerning developments, changes and current definitions of the disorder. Or, if such an access is given in the times of the Internet, some changes may not be noticed in detail." -> or totally misconstrued. I hate the misinformation that MPD was the ‘alters are not full people’ one.
"generally the public and the representations of the disorder in fiction are still rooted in older conceptions of MPD."
"If the journalist had complied with the last entry ("give the disorder the correct name") the headline would have probably failed to serve its intended purpose, which was to identify an easily understood mental disturbance based on a multiplicity of personality."
"[In autobiographical texts] the reader knows in advance that a mental disorder is being presented. Thus, one can concentrate on the representation of multiple personality from the "inside". The narratives that are thus clear on the phenomenon as MPD seem to offer a handy DIY tutorial and serve(d) as templates when presenting the core identity [...] of the proto/stereotypical case." -> also applies to public figures such as modern day DIDtubers.
Onwards…
Chapter 9 analyses four autobiographical multiple/MPD/DID texts and speaks on this niche in more detail.
Chapters 10 to 13 analyse specific generations of fictional multiple/MPD/DID texts.
Chapters 14 to 21 analyse specific contemporary texts that play with multiplicity/MPD/DID.
I will not be further transcribing this book lest my fingers fall off. If these chapters sound interesting to you or you want to read the previous chapters in their fullest detail, please support the original release!
Read Further:
"The inner fragmentation of fictional characters and their disintegration [...]; Jeremy Hawthorn's analysis in Multiple Personality and the Disintegration of Literary Character (1983)"
"Multiple personality [...] as a modern form of existence [...] James M. Glass in Shattered Selves: Multiple Personality in a Postmodern World (1993). [It also] considers MPD not an entirely valid metaphor for postmodern existence but also a severe posttraumatic disorder causing distress and despair."
"Susan Sontang stressed in her book Illness and Metaphor (1978), that disorders resemble [...] "the night-side of life" [...].
"August Piper considered a general definition [for multiple personality and dissociation] nonexistent; Hoax and Reality (1997)" -> allegedly criticises culture while acknowledging existence of disorder
"Siri Hustvedt presents in her novel Sorrows of an American (2008) another variation of the second concept. An artist explores DID referring to a popular and controversial psychiatric diagnosis and thus attempts to criticise it."
"Henri Ellenberger [...] The Discovery of the Unconscious (1970), a source mainly used by therapists who helped to foster the diagnosis of MPD in the USA [...]."
"Joan Acocella compares Freud and Janet in her critical approach toward the MPD mystery [...] (1999)."
"Judith Herman’s Trauma and Recovery (1992), where she coined the term of ‘complex post-traumatic stress disorder’ or CPTSD [...]."
"The artificial nature of Sybil’s dissociation [...] is in the focus of Robert Reiber’s book The Bifurcation of the Self (2006). Reiber once received tape recordings of Wilbur’s psychoanalytical sessions [...]."
"Science writer Rita Carter [...] Multiplicity (2008) [...] we all may experience the "evidence for human plurality" as "we act out a part, take on roles, live up to expectations and reinvent ourselves"."