BASIC CONCEPTS

— When novelists claim they do not invent it, but hear voices and find stories in their head, they are neither joking nor crazy.

— When characters, narrators, or muses have minds of their own and occasionally take over, they are alternate personalities.

— Alternate personalities and memory gaps, but no significant distress or dysfunction, is a normal version of multiple personality.

— normal Multiple Personality Trait (MPT) (core of Multiple Identity Literary Theory), not clinical Multiple Personality Disorder (MPD)

— The normal version of multiple personality is an asset in fiction writing when some alternate personalities are storytellers.

— Multiple personality originates when imaginative children with normal brains have unassuaged trauma as victim or witness.

— Psychiatrists, whose standard mental status exam fails to ask about memory gaps, think they never see multiple personality.

— They need the clue of memory gaps, because alternate personalities don’t acknowledge their presence until their cover is blown.

— In novels, most multiple personality, per se, is unnoticed, unintentional, and reflects the author’s view of ordinary psychology.

— Multiple personality means one person who has more than one identity and memory bank, not psychosis or possession.

— Euphemisms for alternate personalities include parts, pseudonyms, alter egos, doubles, double consciousness, voice or voices.

— Multiple personality trait: 90% of fiction writers; possibly 30% of public.

— Each time you visit, search "name index" or "subject index," choose another name or subject, and search it.

— If you read only recent posts, you miss most of what this site has to offer.

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Saturday, April 19, 2014

How to Prove that a Psychologist or Psychiatrist is Incompetent

If you ever want to challenge the competence of psychiatrists (M.D.) or psychologists (Ph.D.), ask them how often they diagnose Body Dysmorphic Disorder (BDD), which is when people think they have a physical deformity, but they really don’t.

According to the diagnostic manual, DSM-5, BDD is more common than schizophrenia, which means that psychiatrists and psychologists who rarely or never make this diagnosis have frequently missed this diagnosis. And if they frequently miss the diagnosis of a disorder that is more common than schizophrenia, they must be incompetent.

Why do most psychiatrists and psychologists miss this diagnosis? There are two reasons. First, BDD is barely mentioned in their training. Second, people who have BDD rarely mention it to their psychologist or psychiatrist. (When they want help with their alleged physical deformity, they go to a dermatologist or a plastic surgeon.)

Psychologists and psychiatrists frequently miss the diagnosis of multiple personality for the same two reasons: little training, and patients who have multiple personality rarely mention it. How common is multiple personality? According to DSM-5, multiple personality is more common than schizophrenia, just as we saw for BDD.

Both BDD and multiple personality are hidden disorders, but the latter is even more hidden than the former. A person with BDD may not volunteer the (alleged) fact that they have a physical deformity, but if you ask whether they do, they will know that they do and readily admit it.

In contrast, if you ask a person with multiple personality whether they have multiple personality, they will deny it, although the host personality and the alternate personalities will say “no” for different reasons: the host personality doesn’t know about it due to amnesia, while the others think they are not alternate personalities, but different people.

So now you know how to prove that psychologists and psychiatrists are incompetent. For if they keep missing diagnoses which the DSM says are more common than schizophrenia, they must be.
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