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.

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Saturday, July 19, 2014

Opioid Dissociation: Why a Person With Multiple Personality Would Abuse Morphine

Multiple personality is a way to cope with childhood trauma, which can have lifelong effects. However, it is not a perfect solution, hence some people do not just have normal multiple personality, but have multiple personality disorder.

Multiple personality disorder is known in the psychiatric diagnostic manual, DSM-5, as dissociative identity disorder, and is classified as a dissociative disorder. Dissociation, in this context, means the use of psychological dividedness of the self to cope with posttraumatic anxiety.

Multiple personality is psychological dissociation. Opioid drugs, like morphine, tend to create chemical dissociation. The drugs don’t create multiple personality, but they do tend to distance the person from their posttraumatic anxieties and emotional pain by chemical amnesia, chemical emotional numbing, and a serene feeling (1).

Thus, some people with the aftereffects of childhood trauma cope by having multiple personality, some cope by abusing opioids, and some do both.

1. Eli Somer. “Opioid Use Disorder and Dissociation.” In Dell PF, O’Neil JA (Eds.), Dissociation and the Dissociative Disorders: DSM-5 and Beyond. New York, Routledge, 2009.

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