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Conditions & Diseases: Psychological & Mental Health

Dissociative Identity Disorder
(formerly known as Multiple Personality Disorder)

See Also:
DID: Introduction
DID: Overview
DID: Symptoms
DID: Causes
DID: Diagnosis
DID: Treatment

Dissociative Identity Disorder Diagnosis

Considerable progress has been made in the diagnosis and treatment of the dissociative identity disorder during the past decades. Despite the effort conducted to inform the professional community regarding the prevalence and clinical presentation of the disorder, clinicians still fail to establish an accurate diagnosis, and many patients with DID are misdiagnosed and inappropriately treated.

The main reasons that might explain the difficulties to diagnose DID are (1) the lack of education among clinicians regarding concepts such as dissociation, dissociative disorders, and the psychological effect of trauma, (2) a limited clinical suspicion about dissociative disorders and misconceptions about the disorder's presentation (it is believed that DID is a rare condition with "a florid, dramatic presentation."), and (3) an old standard diagnostic guideline focused on interview techniques and mental status examinations that don't include questions about dissociation and history of psychological trauma. (9)

According to the Diagnostic and Statistical Manual, 4th Edition, Text Revision, the diagnostic criteria for dissociative identity disorder is:

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).

B. At least two of these identities or personality states recurrently take control of the person's behavior.

C. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.

D. The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.

See Also:
DID: Introduction
DID: Overview
DID: Symptoms
DID: Causes
DID: Diagnosis
DID: Treatment

Article by Alina Morrow,
MS Psychology
OmniMedicalSearch.com

 

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Page Last Modified:
05/04/2009