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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Thursday, November 19, 2020

World Health Organization's ICD-11 may add “Partial Dissociative Identity Disorder” to help clinicians who don’t know multiple personality’s typical presentation


Many clinicians think they never see multiple personality. The reason is that they don’t know what it looks like. If they had read the modern psychiatric literature, they would know the clinical cliché that typical multiple personality is characterized by “hiddenness.”


For example, the very concept of the “host personality” (the regular, social personality) implies that alternate personalities usually hide, and that, when they do come out, usually do so incognito.


Alternate personalities typically become overt only in crises, or when the person is alone, or in special circumstances, such as in therapy for multiple personality, after diagnosis has blown their cover.


To help and appease uninitiated clinicians, it has been proposed that the next edition, ICD-11, add “Partial Dissociative Identity Disorder” (1). 


1. World Health Organization. “Partial Dissociative Identity Disorder.” http://pre.gcp.network/en/icd-11-guidelines/categories/disorder/partial-dissociative-identity-disorder 

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