Within the mental-health system in North America, the borderline victim of severe childhood trauma is usually blamed for her behaviour, which is regarded as having no legitimate basis and being self-indulgent; her trauma history is ignored and not talked about; and she is given as little treatment and follow-up as possible. At St Boniface Hospital in Winnipeg, many staff members expressed the opinion, in my presence, that borderlines and multiple personality disorder patients did not have a legitimate right to in-patient treatment, and the out-patient department would not accept patients with either diagnosis. (1995)

I had people saying 'it's all in your head'. Do you honestly think I want to feel this way?

I cut myself up really badly with the lid of a tin can. They took me to the emergency room, but I couldn’t tell the doctor what I had done to cut myself—I didn’t have any memory of it. The ER doctor was convinced that dissociative identity disorder didn’t exist. . . . A lot of people involved in mental health tell you it doesn’t exist. Not that you don’t have it, but that it doesn’t exist.

Those with dissociative disorders face a big enough battle living as multiples and dealing with past trauma. Like everyone else, they deserve to be heard and recognised, not stigmatised.

Stigma against mental illness is a scourge with many faces, and the medical community wears a number of those faces.

Public stigma
Stereotype Negative belief about a group (e.g., dangerousness, incompetence, character weakness)

Prejudice Agreement with belief and/or negative emotional reaction (e.g., anger, fear)

Discrimination Behavior response to prejudice (e.g., avoidance, withhold employment and housing opportunities, withhold help)

Self-stigma
Stereotype Negative belief about the self (e.g., character weakness, incompetence)

Prejudice Agreement with belief, negative emotional reaction (e.g., low self-esteem, low self-efficacy)

Discrimination Behavior response to prejudice (e.g., fails to pursue work and housing opportunities)

Understanding the impact of stigma on people with mental illness. World Psychiatry. Feb 2002; 1(1): 16–20.
PMCID: PMC1489832