When most people think about what it means to be multiple, they go immediately
to the "classic" cases of early MPD documentation - multiples
like Sybil and Eve White/Black, who demonstrated extremely pronounced
changes between their different personalities, accompanied by profound
dissociative amnesia. For example, upon switching, they would insist on
being called another name and make little or no secret of being a separate
entity from the former inhabitant of the body. Their posture, speech patterns,
and mannerisms would radically change. They would often have no memory
of what other selves had been doing in their absence and, once they left,
they would be out of the information loop until their next appearance.
Unfortunately, because this highly dramatic, fascinating, and filmic image
of MPD has embedded itself in our popular culture, more subtle variations
on the diagnosis often go unnoticed or misdiagnosed by therapists, and
many multiples are missing out on the treatment they need. The following
subheadings are all generalisations or outright fictions which commonly
cause multiples to question the truth of their diagnosis.
MPD IS VERY RARE:
Conservative estimates of the proliferance of MPD state that one person
in every hundred is multiple. This is far from "rare". The lingering
false belief that multiplicity is scarce is due to three facts.
Only in the past 20 years or so has there been widespread belief, both
professionally and popularly, in the existence of dissociative disorders
(and some people still don't believe in MPD). Before this time, it was
hard for therapists treating multiples to get peer support for the diagnosis,
let alone have their findings published. For example, Dr Wilbur, Sybil's
therapist, had to ask a journalist to write a novelisation of the case
after she was unable to find a psychiatric journal which would publish
her dissertation. This disbelief was responsible for the misdiagnosis
of thousands of multiples, who were commonly labelled with depression,
hysteria and schizophrenia.
The early documented cases of multiplicity, which influenced the field
of study for so many years, were not explicitly linked to child abuse
as the causal factor for MPD. Despite loosely associating it with a patient
history of a "difficult childhood", there is very little discussion
about extreme childhood trauma being the root of MPD. Infact, none of
the early case studies showed the extreme abuse histories that multiples
these days report, including ritual abuse. The most famous multiple of
this time, Eve White/Black, was not even abused as a child and, indeed,
had a happy, loving family. Furthermore, thanks to influences like Freud,
with his theories of little girls fantasising of sex with their fathers,
as well as a patriarchal society which protected the reputation of men
at the expense of their daughters, child abuse was not considered a serious
issue in those days. Therefore it may be theorised that psychologists
of the time were not looking in-depth at the very section of the population
(abuse survivors) to whom are now attributed 97% of MPD diagnoses.
Although psychiatrists have been aware of multiplicity for hundreds
of years, study of the condition was fairly new in the first part of this
century. While the dramatic, bizarre symptoms of the overt multiple were
almost impossible to miss, psychiatrists did not yet have the understanding
or skills to recognise the more typical picture of multiplicity - one
of obsessive secrecy, masked symptoms, terror of exposure, and intense
post-traumatic stress. The increase in numbers of MPD diagnoses over the
years seems to support the opinion that the only thing rare about MPD
is the ostentatious variety of the condition. As therapists become more
skilled at, and more open to, recognising the subtleties and secrets of
multiplicity, more true multiples are being diagnosed.
SYBIL IS THE TYPICAL MULTIPLE: Perhaps the case which causes the most
problems for multiples is that of Sybil. She is an icon of multiplicity.
Most of the current diagnostic criteria for MPD can be found in her story.
Even so, many multiples fear they are not "proper multiples"
because they're not like Sybil. For example, they do not simply walk into
their therapist's office and announce themselves as a different personality.
They do not lose big chunks of time, waking up in a different city, not
knowing how they got there. A comprehensive study of the differences between
Sybil and modern-day multiples has yet to be done. This article is not
the place to go into such depth, but there are a few basic points which
can be made.
Sybil had met and bonded with Dr Wilbur years before going to her for
intensive therapy, and infact had moved cities and saved money for years
so she could see Dr Wilbur again. Furthermore, a great deal of therapeutic
groundwork was done before Sybil's other selves made themselves known
to the doctor, a fact which is not always remembered.
Sybil's mother was her only abuser. She had a loving, although distant,
father. She was not abused after leaving home and, in fact, led a quiet
life populated by various friends. Her mother was dead by the time Sybil
entered psycho-analysis. Perhaps for these reasons, Sybil's system was
not so obsessed with maintaining their secret existence, because the threat
to their lives was gone.
The influential alters in Sybil's system displayed quite borderline
characteristics, with a tendency to act out internal conflicts. It is
a common misconception that all multiples are borderline and likely to
act out in this way. Many multiples are infact highly concerned with controlling
themselves and their circumstances. Many label themselves "perfectionist
control freaks" and always keep a tight rein on their behaviour.
Even before they know they are multiple, they invest huge amounts of energy
in acting and appearing singleton.
My consistent experience as a researcher and supporter to many other
multiples is that the typical picture of modern MPD is one of subtlety,
secretiveness, and intense post-traumatic stress which complicate and
mask the multiplicity.
ALTERS TAKE OVER THE BODY WHEN THEY COME OUT:
Most of the time, multiples do not switch completely or overtly. Rather,
they commonly experience internal switches where selves influence their
feelings and actions rather than coming "out" to take possession
of the body. This creates sensations like hearing words coming out of
your mouth that don't belong to you, seeing the world as if you are taller
or shorter, having someone else's feelings and thoughts overlapping your
own, and so on. There is little external indication of multiplicity. Your
voice doesn't change. You don't suddenly announce that you are Sue instead
of Harriet. Often, this "behind-the-scenes" action is a matter
of safety. Many feel being entirely present in the world is dangerous.
They worry that their abusers will somehow be able to sense their presence
and come to get them. More generally, others fear being seen because,
in the past, that always led to being abused. As a result, their other
selves tend to operate from a safe distance, behind the primary person.
A MULTIPLE LOSES TIME WHEN HER OTHER SELVES ARE PRESENT:
A number of multiples do not lose any sense of an observing self, even
when their other selves completely emerge. They always have present, at
some level, their "host" (also known as the primary person,
body person or the person who has the MPD.) This person may sit back and
watch what the new self is doing. Some therapists call this co-consciousness
and state that it is "less multiple" than the experience of
those who have blank spells when their other selves emerge. I disagree
with this, for three reasons.
Event amnesia, where a person loses time, is not the only type of amnesia
possible. Identity amnesia, which sees a person adopts another identity,
also fits the criteria for "extensive forgetting of personal details"
which people must experience in order to have MPD, without necessarily
losing track of time. In other words, the person becomes the other self,
instead of an exchange of selves. This is sometimes known as possessiform
multiplicity.
Nothing in MPD is simple. It is not necessary for selves to come out
only in discrete succession. There can be more than one self present at
the same time. Even if a multiple's primary person is present when her
other selves emerge, she typically has little or no control over them.
They do and say exactly what they want. The primary person can not necessarily
anticipate anything, nor stop anything from happening. She is merely an
observer. Sometimes, she may hold the body and do the speaking for the
other selves, so they do not have to take physical occupation. At these
times, it simply appears that she is the one talking. Very little about
her may change, except perhaps her manner of speaking and something about
her aura or presence. To the other person in the room, nothing "multiple"
seems to be happening, unless they are experienced with multiplicity and
can sense the layering of selves. But the primary person is not speaking
on her own behalf, nor does she have any influence over the things she
is saying. She is merely a channel, a mediator between inside and out.
This talking-through phenomenon may be most common amongst those multiples
who have very large systems, or systems in which there is no "person
who has MPD", but where the entire system is the person - in other
words, an "inside out" format.
For many people, having relatively continuous sense of time is an important
defence mechanism that the system deliberately arranges and regulates.
This is not something mentioned in MPD textbooks or biographies, but it
has come up in my consulting work with people who have confirmed MPD diagnoses.
A number had big blanks in their childhood but now lose time subtly enough
that they tend to claim they just have a bad memory. The thought of losing
hours or weeks is appalling to them. I theorise that some multiples stop
having significant blank spells when their recurrent amnesia becomes a
danger to them (perhaps at the point in childhood when they actually notice
that they have been losing time, or when they realise that other people
do not have the same experience.) It would not be safe, as a child living
in a chronically abusive situation, to be constantly jarred and confused
by missing time. Someone might notice and start asking questions that
would uncover the abuse the child was trying so desperately to hide -
or, worse, the abusers would not notice that the child was aware something
was wrong with herself or her life. Therefore the inner system may have
organised itself so the child would not have big losses of time (except
of course for the hours during which the abuse occurred.) When she did
lose time, the knowledge that she had was erased from her mind. Having
an adult observer who is always present at some level of awareness, holding
the body in an adult state, may mean that the multiple does not exhibit
the pronounced physical changes that other, more explicit multiples often
experience, such as changes in vision, physically regressed behaviour
in the child selves, and so on. When she switches, there may be little/no
physical indication at all.
ALTER SELVES ARE ALWAYS DISTINCT:
Contrary to popular perception and the wishes of therapists, not all
selves have names, nor does a multiple or her system always know who is
speaking at any given time. For some multiples, dissociation exists on
many layers inside the system. Certain selves may be extremely dissociative
or multiple. Others may exist on a sliding chronological scale - in other
words, one day they are five years old, the next day they are eight. Some
systems have a centralised memory bank which different selves can access
at different times, and which can shut down completely when required,
locking everyone out. In such a system, a person may remember something
one day but not the next. Also, the memory bank may hold not only memories
but information about the different selves - for example, a self may be
unaware at times of her own identity, because for some reason she has
been cut off from the memory bank. In terms of naming, it is common for
multiples to give names their other selves for the first time after the
selves have come forward to tell their story and be identified. Prior
to this, inner selves have had no need for an individual name, or have
felt that to be named would be to expose themselves to risk.
MULTIPLES HEAR VOICES IN THEIR HEAD:
A number of multiples do not hear voices at all. Instead, they experience
"loud thoughts" or thoughts/feelings that they know are not
their own.
STRANGE THINGS IN THE CLOSET:
A major feature of MPD folklore is the mysterious appearance of items
in the closets of multiples. Many of us joke about the shoes that don't
fit, the 10 pots of butter we have in our fridge. But many of us never
experience this phenomenon and can identify the origin of every item in
our household, even if we don't necessarily approve of their presence.
This is not evidence of non-multiplicity. It can actually be evidence
of a number of things - being too poor to spend indiscriminately, having
good selves-control, being organised, one self alone being responsible
for the money, or having a continuous observer-self, whose awareness of,
for example, what's already in the fridge or the painful reality that
feet do not change size along with a change of selves, can help regulate
spending.
MULTIPLES CALL THEMSELVES "WE":
Use of the plural self-indicator seems to be something that happens after
the multiple has accepted her diagnosis, and often develops simply for
the sake of convenience, or as a way of making it clear that the primary
person does not admit responsibility for what is being said or done, although
it may become increasingly comfortable or habitual over time. Some multiples
feel they ought to train themselves to say "we" even though
it is strange, after a lifetime of saying "I", and even though
it feels like dangerous exposure of the internal reality.
MULTIPLES HAVE A GENIUS I.Q.:
Unfortunately, multiples are not necessarily any more intelligent than
other non-traumatised singleton people. It is true that multiples may
have more acquired skills than others, because their different selves
have pursued different interests - and multiples do have extra physical
and mental energy to help them with these pursuits. It is also true that
multiples may be more open-minded than other people, because their self-system
contains so many different perspectives; paradoxically, however, individual
selves in the system are usually very close-minded and deny the beliefs
of others both inside and out of the system.
It must be made clear that the diagnostic criteria for MPD are quite
specific. To be a multiple, a person must have two or more alter selves
who have their own ideas about themselves and their world. This is more
than merely having different aspects to your personality or even different
inner parts. Alters are "someone else". They can take over the
person's behaviour and/or body, during which time the person loses time
and/or a complete sense of her personal identity. However, I believe one
of the most important things to remember about MPD is that it is personality-based
- a way of being, rather than a structured state. The form of multiplicity
for each person reflects the uniqueness of their personality and, because
of this, there are as many rich, complex and different expressions of
multiplicity as there are multiples. Meeting the three diagnostic criteria
makes someone multiple - the rest is just style.
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If
you are going to work with ritual abuse survivors, you must also get educated
if you want to be effective. And you must learn to be humble. Trauma survivors
do not need to be around ignorant, modern-day Pharisees. Survivors in
pain need people who will connect with them on an emotional level, get
right down in there where they are, and listen. --Kathleen Sullivan