Dissociative Identity Disorder..a good explanation

Dissociative Identity Disorder Terminology DSM-5 References

Alters are highly distinct, dissociated personality states with amnesia between at least two of the states The DSM-5 uses the term, personality state, when referencing the alternative selves found in dissociative identity disorder. Regardless of the terminology used, the determination is that individuals with this disorder have highly distinct and dissociated personality states, as opposed to the continuity experienced with multiple self states in others. [Boon, 2011, p.25]  In dissociative identity disorder these separate states that make up the personality are called alters, identities, personalities, sides, selves, ANP, EP and so on. (Gillig,2009)   I. Personality A sum of our partsAn individual with or without dissociative identity disorder is a sum of all the parts of their personality. (Howell, 2011 p.7-8, 32) There is no original personality  The personality is made up of the ANP and EP, and sometimes parts that are a mixture of both, and all are dissociated aspects of an individuals one personality. (van der Hart, 2006, p. ) No one part is who the person was meant to be. To make this perfectly clear, no part is the original.  (Miller, 2011, p. 21) Distinct sense of self  Often EP and ANP in those with dissociative identity disorder have a sense of self that is separate from other parts of the personality system.  (Howell, 2011 p.55) This separateness can be seen in speech mannerisms, physical behavior, handwriting, somatic illness, sense of body and history.  (Howell, 2011 p.55-57). Amnesia - dissociative boundaries Dissociative boundaries that are highly impermeable are responsible for the amnesia that is present between the parts in those with dissociative identity disorder to one degree or another. [Howell, 2011 p.134] Not all parts in those with dissociative identity disorder have amnesia between them. (Howell, 2011 p.4) In fact, by the time an individual is an adult, or at least after they have done a great deal of therapy, they have probably obtained coconsciousness between many parts. (Howell, 2011 p.7-8) Third reality - inner world ANP and EP both exist in what is called a third reality, (Kluft, 1998, 2000) although not all parts are active inside. The parts that often are not are the ANP, and it's very common that those who experience the inner world have no recall of it when they are in executive control. The inner world can be extravagant and is only limited by imagination or what researchers call trance logic. Trance logic simply means what the part in the inside world feels is real to them. (Howell, 2011 p.70-71) The concept of personality  Any alter, ANP or EP will experience major deficits in self-awareness and functioning. No part of the personality is complete in those with dissociative identity disorder, including the ANP that function in day to day life.  (Howell, 2011 p.134) II. Switching Switching of states is also known as full dissociation  Those with dissociative identity disorder tend to switch, replacing the one in executive control with another, when there is a perceived psychosocial threat. Switching allows a distressed state to retreat while a state who is more competent comes forward to handle an emerging situation. (Herman, 2012) Full switching is between states that have full amnesia between them. (Howell, 2011 p.4-6) Partial dissociation When parts inside influence the part in executive control, this is known as partial dissociation. (Dell, 2006) Examples include limbs and the face moving on their own, smelling an odor, emotions and so on. They can also be the withdrawal of experience resulting in the one in charge not experiencing thoughts and emotions. (Howell, 2011 p.4-6) III. States making up the personality  Most authors are moving toward using the terms ANP, apparently normal part, and EP, emotional part. Apparently normal parts are who are in control of an individual the majority of the time, at least once the individual is an adult and safe from an abusive environment. ANP do not hold trauma memory, but instead go about the business of daily life. They are usually oblivious to having the disorder, and even after other parts are well known, ANP may not be. ANP can be so similar that they switch between themselves all day and no one has a clue this is happening, including them. EP on the other hand, are the parts that hold trauma memories. EP took over for a child during abuse and can still act childish and react with childlike emotion. EP can intrude that emotion onto ANP without taking over fully so that ANP feels like it is their own emotion. (van der Hart, 2006) Apparently normal part (ANP)Back in the 1980's most referred to the usually presenting state as the host, but the term host is misleading for many reasons, including the fact that all states can act as the host, and all states in the personality system are equally important. It is more accurate to use the term ANP. The ANP has normal emotions and is usually in charge to a greater extent once the individual is an adult and out of their abusive childhood environment.  (van der Hart, 2006, p. 30, 73-88) These states usually do not have access to unprocessed trauma memories. It's not that they have forgotten anything. It's that the specific part was not aware during the period that the abuse was done to the individual.  (Miller, 2011, p. 22) ANP normally have no idea they are not the whole self, at least until they become aware of their illness. There are often many ANP that answer to the birth name, and even in individuals that fully experience many of their dissociative states do not realize that there are more than one state switching back and forth, making up the part that is in executive control the majority of the time. To not be aware is due to the ANP's denial of what is going on, and their extreme dissociation, rather than EP or other ANP hiding from them. (van der Hart, 2006, p. 80)  Emotional Part (EP)These states hold unprocessed trauma memories, (Ross, 2013, p. 82) and they can be simple or highly evolved states. They are easily triggered by unprocessed memories and will react in a way that is entirely out proportion to the situation.  They may take over completely or may intrude their feelings onto ANP, and the dissociated ANP usually has no clue what is going on and thinks  irrational feelings are their own. (van der Hart, 2006, p. 73-88) Mixture of ANP and EP If a child is under constant threat, a complex mixture of ANP and EP can result. These children will almost always have an over abundance of dissociated states compared to most with dissociative identity disorder. When the child is rarely safe, they confuse the usual boundaries of the states, at least in appearance. When looking closely the properties that make the states distinctly EP or ANP are present. (van der Hart, 2006, p. 78) Observing EP Everyone probably has a part of their personality that passively observes, but like all states in dissociative identity disorder the observing EP is more evolved, distinct and of course dissociated. (van der Hart, 2006,p.67-70) These EP have described themselves as being able to hear and see all other states in a personality system at one time - if and when they want to. Mind control  The observing EP might be confused with "Recorders. (Miller, 2011, p. 254-255)