Multiple Personality Disorder

How to work with different parts

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When a patient comes in with several parts that all want different things, you have to explore a myriad of possibilities. One part might have a goal that is completely different then another`s goal. All these goals must be understood and explored, and with many parts this can be a real challenge for any therapist. Imagine a part that has experienced abuse, and always had to be strong to not get hurt. Then you have a part that is like the abuser, who hates everyone, even the other parts. As this wasn`t enought, there is another part inside of you that feels vulnerable and afraid.

The therapist has to slow down, and try to take every element and respond to it. For example, if a part says: “You don`t listen to me”, the therapist could respond “So you feel I don`t listen to you?”. The part will then respond with a yes, that immediately create a consensus between the therapist and the part. If the part continues with “You don`t respect me” the therapist again reflects back what the part feels, and maybe asks an extra question based on curiosity: “What is the worst thing about not feeling respected” ? The part feels understood, and one can continue with this collaboration. The therapist offers to look at every core concept, or belief, the part offers, so that the part can be understood and feel validated. Once a part feels validated, the “pressure” to get validated in self-destructive ways, will go down.

This is not easy, since you have to be intoned and empathetic in even in emotional situations that might be hard for the therapist, too. For example, an agressive part can provoke uncertainty and fright, that must be adequately controlled, to be helpful. Every person has their own insecurities and weaknesses, and if a part find those, we might respond in an emotional, automatic way that can be unhelpful. This might scare us, but actually the most important thing is to know your own weaknesses, so it`s possible to recognize them and take a step back. We can take a step back by taking a deep breath, and observe what`s going on: “I recognize that I`m feeling upset right now, so I must take a deep breath to regulate myself”. This is not only good for yourself, but also for the part who can observe a good role model. For parts that have lived among role models that act out their negative emotions even if they hurt others, this is completely new. The part needs this. It needs to be met in a new way, that proves that he or she isn`t all bad, for example. It`s easy for a part to “create” a self-destructive pattern that confirm it`s expectations. Every part has its own memories and reasons for feeling like they do, and the therapist`s task is to respect and understand this.

Therapy video from treatment of a woman with Multiple Personality Disorder

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Multiple Personalities

Multiple Personalities

In early times, evil spirits were thought to possess people and make them act in strange and frightening ways. By the 1800′s, the study of this hysteria led some doctors to believe one person could have separately functioning personalities.


When there are several parts of you


In this rare research film from the 1920′s, a woman has different personalities who believes they are separate people. One is a male that is not comfortable in women’s clothes. Another is a small child. The affliction has been known by different names, but recognized for centuries. Today it is called multiple personality disorder.

Why have they become tormented and broken into different personalities? What is the childhood pain that lies buried in the unknown depths of their mind? How can they search for the deadly memories that holds the secrets of their paths and the promise of their healing?

Watch the full documentary now

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