DID is about survival! As more people begin to appreciate this concept, individuals with DID will start to feel less as though they have to hide in shame. DID develops as a response to extreme trauma that occurs at an early age and usually over an extended period of time.

As an undergraduate student in psychology, I was taught that multiple personalities were a very rare and bizarre disorder. That is all that I was taught on ... It soon became apparent that what I had been taught was simply not true. Not only was I meeting people with multiplicity; these individuals entering my life were normal human beings with much to offer. They were simply people who had endured more than their share of pain in this life and were struggling to make sense of it.

As a therapist, I have many avenues in which to learn about DID, but I hear exactly the opposite from clients and others who are struggling to understand their own existence. When I talk to them about the need to let supportive people into their lives, I always get a variation of the same answer. "It is not safe. They won't understand." My goal here is to provide a small piece of that gigantic puzzle of understanding. If this book helps someone with DID start a conversation with a supportive friend or family member, understanding will be increased.

Basic misunderstandings about DID encountered in the therapeutic community include the following:

° The expectation that all clients with DID will present in a Sybil-like manner, with obvious switching and extreme changes in personality.
° That therapists create DID in their clients.
° That DID clients have very little control over their internal systems and can be expected to stay in the mental health system indefinitely.
° That alter personalities, especially child alters, are simply regressive states associated with anxiety or that switching represents a psychotic episode.

Anyone who experiences dissociation on a regular basis knows better, however. DID is not only disruptive to everyday life but is also confusing and, at times, frightening.

Interestingly, the patients who presented to me self-diagnosed [with Dissociative Identity Disorder had tried to tell previous therapists of their plight, but had been disbelieved. These therapists had used fallacious "capricious criteria" (KIuft, 1988) to discredit the diagnosis; e.g., that the patient could not possibly have MPD because she was aware of the other alters [sic!].

It was soon after that I, overwhelmed with the implications of that memory, overdosed - well, somebody did but as it was my mouth and my stomach that was involved I had to take the consequences. Somehow or other (did an alter ring him?) Bruce (from my support group) got to know, drove over and took us to the hospital.