Multiple personality disorder (MPD) is a type of dissociative disorder. These are mental health disorders wherein the personalities lack continuity and are developed to cope with traumatic memories and escape reality. There is the core (usual) personality and two or more alternate personalities wherein switching might be involuntary in addition to switching between alternate personalities, amnesia, and short-term memory problems as coping strategies to forget trauma and triggers. Although cases of childhood trauma are not a rarity, community-based epidemiological studies estimate the general population prevalence of MPD to be around 1%. Other trauma-associated disorders, such as post-traumatic stress disorder (PTSD), bipolar disorder, etcetera, have higher prevalence rates. In addition, young women are at a significantly higher risk of developing MPD than men. These can make day-to-day functioning difficult or impossible, especially while navigating through a professional or social life with those unaware of the disorder. However, with a combination of trauma-informed therapy and medication, patients have been able to find alternative coping mechanisms and live healthier lives.
The etiology of multiple personality disorder is extremely complex. It occurs as a result of traumatic events in early life. This may include long-term physical, emotional, or sexual abuse faced by the child at home. The development of alters or split personalities present to cope or distance oneself from these traumatic memories. The alternate personality forms with different memories, and awareness of the past trauma completely erased from consciousness. Traumatic events, such as having been through a natural disaster or war can also cause multiple personality disorders. Psychiatrists report that MPD is a severe form of childhood post-traumatic stress disorder (PTSD), which is also caused by severe or prolonged trauma. Even neglect by loved ones in childhood can cause multiple personality disorders as a coping mechanism as the child grows older. Research also suggests that symptoms of multiple personality disorder might be unknowingly induced due to improper techniques used by psychotherapists. These include hypnosis to revive memories or to find alters. This is known as the socio-cognitive theory, whose theorists note that absurd dissociative behaviors in patients are seldom seen before they undergo these therapeutic practices. Those with dissociative identity disorders are prone to fantasizing, being suggestible, being hypnotized, etcetera, making such therapeutic practices even more harmful. Recovered memories or falsely remembered memories that have been suppressed but resurface during therapy sessions in suggestible individuals can also cause or worsen MPD.
People with multiple personality disorders have one characteristic and defining symptom: the presence of ‘core’ and ‘alter’ personalities. The person’s usual personality is the core and the multiple alternate personalities are called the ‘alters.’ These alter might even exhibit completely different genders, interests, behaviors, and etcetera.
Other symptoms include anxiety and depression, substance abuse and addiction, alcoholism, gaps in memory about recent events or personal identity, disorientation, poor coping mechanisms with stress, identity crisis, etcetera. Suicidal thoughts and behaviors are also associated with MPD patients.
The biggest risk factor, seen in nearly 99% of multiple personality disorder cases, is long-term trauma and abuse in the past, particularly in childhood. Other than abuse, MPD risk is high in those who have faced war, natural disasters, abductions, accidents, and traumatic personal losses. In addition, those who have undergone major medical procedures in early life are also linked with MPD risk.
Those with multiple personality disorder are at a higher risk of developing several other complications impacting their physical and mental health. Complications may include sleep disorders, such as insomnia, sexual dysfunction, drugs or alcohol addiction, PTSD, personality disorders, stress disorders, eating disorders, seizures, social problems, etcetera. In addition, MPD patients might face severe difficulties in building a professional, social, or romantic life.
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