Auryn (auryn24) wrote in psychonoir,
Auryn
auryn24
psychonoir

Questions about MPD/DID

Last night, I got to sit down and talk with one of my patients. She shared a lot about her past and her treatment and OFFERED me the chance to ask her questions. She got tired and went to bed, but I had some unanswered questions.

I'm also reading a book called Laura (http://www.amazon.com/gp/product/0889652074/sr=1-1/qid=1144731270/ref=sr_1_1/102-8565398-0886529?%5Fencoding=UTF8&s=books), a book by an anonymous author. It is a book about a girl who experiences sexual, emotional, physical, ritualistic, and cult abuse and has MPD/DID. It is a Christian book (gives the Christian perpsective on healing and treatment) and includes very graphic wording, for any of you who are interested. It most certainly can be triggering, but it is giving me more perspective.

She describes numbing episodes during abuse, where she "turns into a stone/statue." I've heard MORE THAN ONE patient state this to me, in the exact same words..."I was a statue." My question is whether this is related to "switching"/dissociating or is this just a coping tool learned during abuse? I have talked to quite a few patients that didn't start switching until long after the abuse ended, but some who actually switched during abuse cycles.

Also, is integration of personalities the main goal for treatment in most professional treatment programs? I ask this because I have read a lot of anti-psychiatry/anti-DID literature stating that professionals "continue to victimize patients" by continuing to encourage switching in daily life, just so the patient has to come back week after week for more treatment. I know that there is YEARS of therapy involved with patients who have been traumatized from just about the very beginning of their lives, but I was wondering if therapists/MDs are actually working up to integration?

Also, most (?) people who are dissociating, do not remember what they experience during the dissociative episodes, after they are grounded...at least from what I've seen/can tell. Some of the nurses have told me that if they do, that they are not experiencing a TRUE dissociative episode. Is this true in all cases? Does it change during therapy and during the integration process? Our patients "dialogue" with their alters/parts...but typically don't know what has happened if their alters/parts are out. Most of them DO know that they have probably just dissociated/switched. Some can even feel it coming on and some can even control it (especially if they are working on especially hard homework/therapy assignments). However, I haven't met anyone that KNOWS what their alter has done, until after the dissociative episode is over. What is your thoughts?



If anyone has answers/ideas to these questions, please feel free to respond. You can comment anonymously or find me on AIM.
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