I've got a presentation today about Dissociative Identitiy Disorder, formorly known as Multiple Personality Disorder. The following case study is way deprssing, so you don't need to read the whole thing. We're using it to showcase the serious side of the disease. We will also be showing the following clip from a new showtime show called "the united states of Tara" It's pretty funny. Just to warn you this clip is probably rated PG-13.
Paula’s Story: A Case Study of Dissociative Identity Disorder
Paula was raised in the country by two extremely strict Baptist parents who never spared the rod when disciplining her. Paula recalled being physically abused on several occasions, especially by her mother, who submerged Paula’s hands in boiling water on a regular basis. In addition to being physically abused by her mother, Paula was also sexually abused by her father regularly throughout both her childhood and adult life. The sexual abuse suddenly turned violent when Paula turned fifteen. In therapy, Paula recalled an incident in which her father dragged her into his bedroom, tied her to his bed, and raped her while their neighbor watched. Afterwards, her father watched while he let his neighbor rape her too.Paula’s subsequent relationships with men were also very unhealthy.
When Paula was sixteen, she met a thirty-one year old man named Cal, who also took advantage of her sexually. Despite Cal’s promise that he would marry Paula, he married another woman instead. However, Paula still continued to engage in a sexual relationship with Cal, even after she finally married her husband, Roger. Paula’s relationship with Roger was far from healthy also. When she met Roger, he was married to another woman, but he got a divorce when Paula became pregnant with his child. Roger was in the Air Force and was stationed overseas, so Paula had to stay with her parents and raise her baby by herself, out of wedlock, which her parents strongly disapproved of. Two years after their first child was born, Paula and Roger finally got married when he came home on leave, and Paula became pregnant again. Roger went overseas again only to return home one time in three years, so Paula decided to file for divorce.
Paula began taking night classes at a local university while working as a secretary when she was thirty-eight years old. She was doing exceptionally well in her human sexuality course, receiving A’s on her first two exams, until she failed to come to class for her third exam. When her professor questioned her about missing the exam, Paula swore that she had no idea where she was the day she was that day. Her professor’s concern escalated when she wrote a paper about being sexually abused by her father, and her referred her to a psychologist for counseling.Paula’s therapist, Dr. Harpin, originally diagnosed Paula as having borderline personality disorder due to her pattern of highly fluctuating mood states, apparent alcohol abuse, and highly volatile personal relationships. Paula reported feeling depressed, and even attempted suicide on a number of occasions. During these episodes, Paula claimed that she felt dizzy and experienced extremely intense headaches. She also began experiencing periods of temporary amnesia.It wasn’t until over a year later that Dr. Harpin was able to officially diagnose Paula with dissociative identity disorder.
Dr. Harpin had just concluded a hypnosis session in an effort to help Paula regain her memory from one of her episodes of amnesia when Paula complained of an intense headache. Suddenly Paula seemed very disoriented. She did not know where she was, but she claimed that her name was Sherry and that she was thirty years old. It was later discovered in therapy that "Sherry" was created in order to protect Paula from suffering from the emotional trauma of her father’s sexual assaults. Sherry was aware of the other alters within Paula, and she told Dr. Harpin of another alter, named Janet. Janet was an extremely angry teenager. She admitted that she was responsible for Paula’s alcohol abuse and her extramarital affair with Cal. Later on in therapy, Sherry told Dr. Harpin that she and Janet were very concerned for a fourth personality named Caroline. Caroline was only five years old, but she was very depressed. When Dr. Harpin was able to speak to Caroline, he noticed that she had a completely different voice from the other personalities. Both her speech and tone of voice sounded like that of an actual five-year-old child.
Dr. Harpin quickly realized that he could not learn much from Caroline because she was too afraid to betray her parents, so Caroline was rarely ever summoned during therapy.Several months later, Paula came to Dr. Harpin with a new concern. She kept finding one of her father’s loaded guns in her house. Every time she found the gun, she would return it only to find it back in her house the next day. Stealing a loaded gun was out of character for Paula’s other personalities, so Dr. Harpin decided to hypnotize Paula to see if there were any more alters that he had not spoken to. A fifth personality, Heather, emerged. Heather was in love with Cal, and when Cal would not leave his wife for her, Heather stole Paula’s father’s gun in order to kill herself. Having a suicidal alter put the pressure on Dr. Harpin to be more aggressive in initiating the integration of the alters.
In an effort to begin the integration process, Dr. Harpin asked Paula to read Sybil, a well-known book about a woman with dissociative identity disorder. Paula still completely unaware of her alters, so she could not understand why Dr. Harpin asked her to read a book on DID. His logic became painfully clear when Dr. Harpin showed Paula a videotape of a therapy session in which he was able to speak to all of her alters. Paula did not accept what she saw on the videotape as the truth initially, but eventually she gave in, accepted her disorder, and agreed to cooperate with Dr. Harpin’s plan to integrate her alters.
Dr. Harpin tried to make the alters face the sexual abuse that Sherry endured by Paula’s father, but this technique was unsuccessful. Both Paula and Sherry cried uncontrollably when confronted with the rape. Dr. Harpin decided to focus strictly on preventing any more alters from being formed and integrating the alters that already existed. However, Sherry soon became the dominant alter, and she would not allow Dr. Harpin to make any progress with the other alters. She engaged in destructive behaviors, such as running away with the intention of drinking as much alcohol and sleeping with as many men as she possibly could, on several occasions. Dr. Harpin was finally forced to admit Paula to a mental institution against her will. At the time in which this case study was written, Dr. Harpin was still not able to integrate Paula’s alters successfully (Oltmanns, Neale, & Davison, 1995).
-- "There's only one you...Don't you dare change just because you're outnumbered!" -Charles Swindoll
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