Dissociative Identity Disorder/Multiple Personality Disorder and Schizophrenia – Clinical differences

So much misinformation and misunderstanding exist about DID and schizophrenia – many studies show they both affect around 1% of the population world-wide, yet schizophrenia is diagnosed more often whereas DID takes an average of 6 years of obvious symptoms until diagnosis.

A key difference here is that the only known cause of Dissociative Identity Disorder however is extreme childhood abuse beginning at a young age, this history exists in around 95% of those diagnosed with DID. DID is one of a range of Dissociative Disorders: including Dissociative Amnesia, Dissociative Fugue, Depersonalization Disorder and Dissociative Disorder not otherwise specified.

While both psychotic episodes/schizophrenia and dissociative identity disorder commonly feature hearing voices these typically appear external with schizophrenia and internal with DID (i.e. thoughts).

Mood disorders are not part of the diagnostic criteria for DID and can be very much a red herring. Signs of amnesia are key though – forgetting things like who people are, not recognizing familiar places, not knowing always what the year is, finding thing they don’t remember buying, contradicting themselves in conversation and then denying it.
With DID symptoms of PTSD are very common, dissociative amnesia and of course the absence of the thought disorders found in psychosis/schizophrenia. With DID having very childlike emotions or behaviors is also a key indicator.

DID – all these criteria to be met

A. Disruption of identity characterized by two or more distinct personality states or an experience of possession. This involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in effect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual.
B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting.

C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

D. The disturbance is not a normal part of a broadly accepted cultural or religious practice. (Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.)

E. The symptoms are not attributable to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or another medical condition (e.g., complex partial seizures).

Specify if: With prominent non-epileptic seizures and/or other sensory-motor (functional neurologic) symptoms
The SCIDD screening tool, which needs training to apply, is a reliable diagnostic tool for DID. 

Alternative and excellent diagnostic criteria exist in A new model for DID by Paul Dell (see page 10), this also totally refutes the iatrogenic theory of DID.

Schizophrenia diagnosis

Schizophrenia is characterized by delusions, hallucinations, disorganized speech and behavior, and other symptoms that cause social or occupational dysfunction.

For a diagnosis, symptoms must have been present for six months and include at least two active symptoms over at least one month.

A spectrum of Schizophrenia and Psychotic disorders exist, including Delusional, Schizo-affective and Catatonia.

Schizo-affective disorder includes a mood disorder, I’ve heard it informally described as bipolar with schizophrenia.

Treatment options

These vary a great deal, which is why diagnosis is so key. Anti-psychotics will not improve dissociative symptoms for example.

Long-term psychotherapy and trauma work is the recommended treatment for DID, anti-depressants may help if depression or anxiety are present, although interestingly they will not affect all personality parts in the same way.

References

http://www.dissociative-identity-disorder.net/wiki/Schizophrenia

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Ritual Abuse: Convictions and Evidence the media hide and deny

Denials and misinformation continue in mainstream media allowing rapists, pedophiles, organized abuse to continue committing horrific crimes and destroying lives.

Selling newspapers – the “Satanic Panic” headlines

Millions of copies of newspapers were sold in the 1980s and 1990s covering numerous ritual crimes including satanic ritual abuse, the media suddenly reversed the coverage and created the “Satanic ritual abuse myth” – selling many more millions of newspapers. Society at that time did not wish to believe in the horrors of incest, so reports of extreme physical and sexual abuse combined, often with satanic/occult influences became a sensationalist topic in the media.

The backlash – confessions ignored as convictions are overturned, “it’s a Myth” headlines

This backlash was based on a highly effective publicity campaign on “false memories” which began when Peter Freyd’s daughter Jennifer Freyd accused him of raping her as a child. Jennifer – a highly respected psychologist – never recanted – but after public appeals and money from others accused of the similar crimes, including convicted pedophiles a media backlash began. Jennifer has never referred to being subjected to ritual abuse yet the Freyd’s latched onto this, and many convictions for ritual abuse were overturned in the United States. Including a huge number of convictions which had including confessions.

Satanic Ritual Abuse and Ritual Killings – on the rise, yet reporting is declining – Why?

Having already done a U-turn in reporting the media now face the tricky situation of writing newspaper articles on a topic they have convinced many people doesn’t exist. Rather than face public embarrassment by admitting they were wrong in the previous U-turn, and having nobody left to blame it on, convictions are only very rarely reported in radio or TV, and all mention of ritual or religious aspects is minimized within the articles, never to be referred to again. Except of course when you can try a claim an “unsafe conviction” – such as the recent press on Fran Keller which suggests she was convicted on physical evidence (rather than witness testimony and a 60 page confession of an accomplice).

Target: Wikipedia and National Newspapers: Abuser Tactics

Abusers want to keep the silence about ritual abuse: if society acknowledges reality and hears about the number of convictions then victims will be encouraged to report them. For abusers previously reported hearing convictions in the media might give their partners, spouses, children, work colleagues room to doubt their self-proclaimed “innocence” and make them wonder about some of the odd behavior they have seen or heard about. Wifes or husbands of those reported: how hard would you look for evidence that your beloved was not involved in activities like torturing, killing and raping children? So there began an anonymous campaign – with the internet as a perfect tool for hiding their identities. And hiding their previous convictions or arrests to.

Key target: wikipedia. How it was done: gradual persistent editing by a large number of people, followed by wikipedia blacklisting the targeted websites for sending spam. It’s highly unlikely that Ellen Lacter, Ph. D. and well respected author, or Neil Brick, therapist, are spammers but once spam (real or faked) is found wikipedia blacklists the site. No appeals process. No evidence provided. Blacklisted forever. Read about it here, with links to the blacklisted sites:

Wikipedia Blacklisted Four Important Websites By Ellen P. Lacter, Ph.D.

Other targets: all mainstream news websites, via the comments section, scientific and large circulation newspapers via the letters page, cosy relationships with journalists, and best of all journalists ‘specializing’ in printing that ritual abuse is a myth. Articles attempt to make out the falsely accused (yet mentally well) adults are somehow “victims” and talk of “families torn apart” yet never about rape, torture, murders or helping those who reported the abuse.

Enter the Skeptics

The skeptics seem to doubt all mainstream news so they became a perfect target to get involved, as well as a perfectly “acceptable” place for abusers to discrediting any accounts of convictions that appeared. Being a ‘skeptic’ seems to have a social aspect and very few have any scientific qualifications or academic background despite their strong convictions; quoting exclusively from the internet is common.
Classic examples Skeptics in the Pub, the JREF Randi forum (a place for the “false memory” fans to feel at home now their organization has lost it’s Philadelphia office), and the UK’s biggest skeptic magazine Private Eye.

This skeptics thread jokes about convictions for ritualistic child abuse. Those denying abuse make comparisons with unrelated trials, unproven theories and mention the “false memory” movement initiated by reported pedophile Peter Freyd and his wife Pamela. A genuine skeptic points out their obvious bias and lack of objectivity.

GG Science

The title of this thread, and much of the commentary, sound neither objective or skeptical. Rather, this conversation more than hints at a confirmation bias, apparently born of a deeply held belief, e.g. ritual abuse does not exist so this case must be a hoax.

I’d like to understand the rules here. Are there other scenarios in which child abuse just cannot happen? If a pedophile wears a clown suit, does the abuse not happen because everybody knows there’s no such thing as clown abuse?

When the UK’s biggest known pedophile hits the headlines in the national press (one newspaper only printed this despite the credible source) the Private Eye backlash ran the March 2013 story SATANIC PANIC – Familiar Ritual (issue 1334) stating that

“no physical, forensic corroborating evidence has been produced anywhere in the world to substantiate the existence of Satanic ritual abuse”

oddly this was an unsigned story was later found to be the work of Rosie Waterhouse who contributes to the only website I’ve found which claims the 2011 Satanic sex cult in Kidwelly, Wales, UK is not satanic ritual abuse (by claiming it’s not satanic). Rosie of course avoids references the three children conceived within the rapes and sexual abuse in the cult.

Jimmy Savile: Satanic ritual abuse – media misinformation

Denying Savile's abuse by inappropriate humour

Exposed: Jimmy Savile’s satanic ritual
This big headache was dealt with by attacking the source of the information Dr Sinason, avoiding the corroborating medical evidence that her patients were on the hospital wards at the time Savile was abusing others in the that hospital.
Photos used – A huge photo from a movie (thus implying the abuse was fictional) and humorous image of Savile.

Here’s the real image of Savile in his satanic outfit – courtesy of Real Whitby.

Jimmary Savile in satanic ritualistic regalia

And an image from a few months before of a convicted ritualistic sex offender from Cornwall, also in the UK.White witch ritualistic sex conviction

It’s time to start questioning not if ritual abuse exists but how we can PREVENT it and HELP the victims heal.

Growing Not Dwindling: Worldwide Phenomenon of Dissociative Disorders, Disinformation About Dissociation Dr Joel Paris’s Notions About Dissociative Identity Disorder

Eassurvey's Weblog

LETTERS TO THE EDITOR  The Journal of Nervous and Mental Disease & Volume 201, Number 4, April 2013 http://www.jonmd.com p. 353 – 358

Growing Not Dwindling: Worldwide Phenomenon of Dissociative Disorders

To the Editor:

In the December 2012 issue of the Journal, Joel Paris, MD, wrote an article about the current status of dissociative identity disorder (DID) and the dissociative disorder field in general. He suggests that DID is merely a ‘‘fad’’ and that there is no credible evidence to connect traumatic experiences with the development of DID. We refute several of the claims made by Dr Paris.

Our biggest concern as non-North American researchers is that Dr Paris does not reference a single international study related to dissociative disorders and DID, despite the considerable and increasing empirical literature from around the world. His speculation that DID is not diagnosed outside clinics that specialize in treating dissociation is not consistent…

View original post 1,076 more words

Childhood Abuse and Dissociative Disorders

The damage caused by child abuse

Mental health problems are often caused by childhood abuse, so raising awareness of mental health problems can help people recover and heal from such abuse. It has also been shown that survivors of abuse do sometimes become abusers, and that recovering from the own abuse is key to preventing this.

Common psychiatric diagnoses that often result from Child Abuse include Complex Post Traumatic Stress Disorder, Borderline Personality Disorder (which often has roots in emotional neglect) and Dissociative Disorders.

Why do people try to denying the damage?

This blog post raises awareness of Dr Joel Paris‘s attempt to dismiss Dissociative Disorders, which would both deny people treatment and reduce awareness of the abuse which cause the disorders.

His article suggested that one particular disorder – Dissociative Identity Disorder was a ‘fad’, despite it’s inclusion in the DSM psychiatric manual for several decades.

A letter in response to  his article, written by specialists is Dissociative Disorders can be found http://eassurvey.wordpress.com/2013/04/04/growing-not-dwindling-worldwide-phenomenon-of-dissociative-disorders-disinformation-about-dissociation-dr-joel-pariss-notions-about-dissociative-identity-disorder/

What is the reality here?

I did some research and here are some simple figures from Google Scholar which show the number of articles (excluding patents) covering the two main dissociative disorders. Sadly Google Scholar only gives approximate numbers rather than exact ones, it says ‘About 193’ for instance. It all got rather complicated so here is the graph of the results looking at articles for each 5 year period since 1998.

Academic articles found
Academic articles found

Academic articles found

Basically, these results back of the findings of the letter I’m blogging about.
In the last 5 years 2,270 out of 3130 academic articles on “dissociative identity disorder” have also included abuse, over 70%, again refuting Dr Paris’s assumptions.
So I looked at the last 5 years of academic papers written by Joel Paris, 240 appeared, none of those on the first page had a heading with Dissociative or Dissociation in it. Search for “Joel Paris” Dissociative for the last five years gave only two results with Dissociative in the title – the letter I’m blogging about, and the original article.
Not exactly his key interest then.

Some explanation of using Google Scholar in my research…
“Dissociative Identity Disorder” found about 1,920 between 1990 and 2000, increasing to 5,320 articles between 2000 and 2010.

I thought this might be a bit of an unfair search since it used to be known as “Multiple Personality Disorder” and is still called them in the main international psychiatric manual, and was called that in the older versions of the DSM manual, so I searched for that term instead, and found about 4740 results between 1990 and 2000, and about 5840 results from 2000 to 2010 – so still an increase despite the term being rarely used now.

The next disorder in severity is known as “Dissociative Disorder Not Otherwise Specified” or DDNOS for short, so I searched for both terms separately (google scholar seems unable to search for either term). The results said shows 289 articles from 1990 to 2000, increasing to 510 articles between 2000 and 2010.
The DDNOS results from about 193 to 396 results over the same periods.

In the end I just went back and searched in 5 year periods, from 2013 backwards.

No matter how many ways I looked at the data the rise in diagnosis was clear, as was the number of articles now focused on treatment rather than questioning the evidence and cause of dissociative disorders.

Please share this to raise awareness of those working against child abuse awareness.