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.

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Sunday, June 28, 2015

Bipolar Disorder, Schizophrenia, Dissociative Identity Disorder: Which of these has the highest prevalence in DSM-5, and higher than it had in DSM-IV?

Most psychiatrists, psychologists, science reporters, and members of the general public would get this question wrong. There is a myth that dissociative identity disorder (multiple personality disorder) was a fad diagnosis—beginning with the publication of Sybil in 1970s and lasting through the 1990s—but that now it has gone back to being rare. That is a myth, as is seen if you compare the figures for prevalence given in the last two editions of the psychiatric diagnostic manual, DSM-IV (1994) and DSM-5 (2013).

The prevalence figures for how common these conditions are in the general public are as follows:

DSM-IV (1994)
Schizophrenia: 0.5%—1.0%
Bipolar Disorder: 0.4%—1.6%
Dissociative Identity: too controversial to give a figure

DSM-5 (2013)
Schizophrenia: 0.3%—0.7%
Bipolar Disorder: 0.6%
Dissociative Identity: 1.5% (1.6% in males; 1.4% in females)

The above figures are not cast in stone, since various studies have different results, depending on where the studies were done and the methods used. The above figures are a consensus of experts based on all available studies. So just note the magnitude and trends.

Of the three conditions, multiple personality is the most common, and it is the only one whose trend is toward being both more and more certain.

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