What is Dissociative Identity Disorder?

Dissociative Identity Disorder (DID) is a condition in which a person exhibits the behaviors of two or more distinct identities. Often various identities display amnesia for the actions of other identities, making people with DID seem forgetful. Formerly called Multiple Personality Disorder, the condition was first popularized in the media by books the books The Three Faces of Eve and Sybil.

How common is Dissociative Identity Disorder?

There is a myth that Dissociative Identity Disorder is extremely rare, but that is not true. Approximately 1% of the general population suffers from DID, making it about as prevalent as schizophrenia. People think DID is rare, because many people with the condition don’t know they have it.

How does Dissociative Identity present?

Despite media portrayals of DID as a dramatic condition in which various alternate personalities announce their presence and act strangely, in truth the changes among identities are usually subtle. They are so subtle, in fact, that even those closest to someone with DID might not realize he or she has it.

It is the nature of DID for sufferers not to recognize when they have switched personalities. While they often forget the things they’ve done when they are a different identity, people with DID also have what is known as “amnesia for the amnesia”—meaning they do not recognize that they have forgotten time.

What causes Dissociative Identity Disorder?

It’s generally believed that Dissociative Identity Disorder is caused by severe and repeated abuse in early childhood. In order to cope with frightening and dangerous situations, the child dissociates (or “zones out”) during abuse. Over time, the repeated dissociation affects the child’s still forming personality, leading to abnormal development.

The so-called “controversy” surrounding Dissociative Identity Disorder

Many sites and articles claim that Dissociative Identity Disorder is a “controversial” diagnosis. This is not true. Dissociative Identity Disorder is recognized by the American Psychiatric Association and has been for decades. In addition, all mainstream organizations that study psychological trauma recognize the validity of DID.

What are remedies for Dissociative Identity Disorder?

Because people with Dissociative Identity Disorder usually don’t realize they have it, they rarely seek treatment for the disorder. Instead, people with DID often seek treatment for other conditions such as depression, anxiety, PTSD or suicidality. During the course of therapy, if the therapist has had training in dissociative disorders, he or she may be able to recognize a case of DID. However, because most therapists haven’t been trained to look for symptoms of DID and believe it to be extremely rare, the condition is routinely misdiagnosed—on average for seven years.

​Once a person knows that they are suffering from DID, he or she should work with a competent therapist to treat the disorder. Treating Dissociative Identity Disorder usually takes many years of psychotherapy. In addition, medication is often needed to treat depression and anxiety, which are both common in people with DID.
With proper diagnosis and treatment, people with Dissociative Identity Disorder can improve immensely and go on to lead happy, fulfilling lives.

What is child sexual abuse?

Child sexual abuse describes any sexual behavior between an adult and someone under the age of eighteen. It can also describe sexual behavior between two underage people if there is a significant age difference between them or they are developmentally mismatched. While child sexual abuse includes obvious behaviors like touching and penetration, it also includes less obvious behaviors, such as looking at or showing body parts in a sexual manner, sharing pornography, or talking inappropriately about sex.

How common is child sexual abuse?

Unfortunately, child sexual abuse is incredibly common. Up to 40% of all women and 13% of all men in the United States report that they experienced at least one episode of sexual abuse in childhood. Internationally, some regions report that up to 60% of children are sexually abused, making it a problem of pandemic proportions.

Who commits child sexual abuse?

There is a general belief that most child molesters are strangers that take children by force, but this is not true. In actuality, 90% of all sexual abuse is committed by someone the child already knows—30% by family members (such as fathers, stepfathers, uncles and brothers) and 60% by acquaintances (such as teachers, coaches, neighbors, and clergymen). The vast majority of child molesters are heterosexual men.

Grooming

While some perpetrators will use violence and force to commit child sexual abuse, many don’t. Instead, they groom children for abuse. Grooming is a process by which an abuser slowly and methodically wears down a child’s resistance so that the child actually believes she or he has consented to sexual activities with the adult.
Even though a child or adolescent may feel that she or he consented and was somehow complicit in the sexual behavior, this is never true. Someone under the age of eighteen is too immature, emotionally and legally, to provide consent. Child molesters use this immaturity to manipulate their victims.
 
What are the effects of child sexual abuse?

Child sexual abuse can have long-term consequences for victims. Adults who were abused as children are at increased risk for future sexual assaults, depression, anxiety, Post-Traumatic Stress Disorder, substance abuse, self-harm behaviors such as cutting, suicidality, Borderline Personality Disorder, and dissociative disorders. Because sexual abuse happens while a child is still developing, it can permanently alter the victim’s sense of self, as well as his or her ability to trust others, making it difficult to form healthy relationships or enjoy healthy sexuality later in life.

What are remedies for the effects of child sexual abuse?

​Many adults who were sexually abused as children do not realize how it may have affected them, so they don’t seek help for the abuse. Instead, they eventually enter psychotherapy for secondary issues like anxiety, depression, substance abuse, and relationship problems. During the course of therapy, victims of child abuse often begin to see a link between their current problems and their past abuse. In remembering the abuse and mourning its damage, survivors can free themselves to lead more fulfilling lives.

What is child abuse?

Child abuse is when a parent or caregiver, whether through action or inaction, causes harm to a child. There are many forms of child abuse, including physical abuse, sexual abuse, emotional abuse, and neglect. Growing up in a home where there is domestic abuse, substance abuse, or other scary, chaotic, or violent parental behavior is also a fo(rm of abuse.

How common is child abuse?

Because of the secretive nature of child abuse and various definitions of what abuse constitutes, it is difficult to know exactly how many children are abused. According to the Centers for Disease Control and Prevention, 1 in 4 adults (25%) in the U.S. say they were abused as children. The true number is probably higher, as many adults do not realize that their parents’ harsh punishments, neglect, abandonment, substance abuse, or violent behaviors are forms of child abuse.

What causes child abuse?

Child abuse is a complex problem with multiple causes. The use of physical or corporal punishment is a major risk factor. More than 2/3 of all child abuse is the result of punishment that got out of hand. Parents who have unrealistic and age-inappropriate expectations for their children’s behavior are more likely to commit child abuse, as are parents with anger management problems. Some other factors that have been shown to increase the likelihood of child abuse are parental substance abuse, parental mental illness, domestic violence in the home, and poverty. Children born of unintended pregnancies and children with disabilities are at increased risk.

What are the effects of child abuse?

Child abuse can cause a range of psychological, emotional, and physical problems. One long-term study found that up to 80% of abused people had at least one psychiatric disorder at age 21, with problems including depression, anxiety, Post-Traumatic Stress Disorder, eating disorders, and suicide attempts. Adults who were abused as children are at increased risk for low self-esteem, dissociative symptoms, and difficulties with trust and relationships. Victims are also more likely to commit crimes as juveniles and adults.

Adults who experienced abuse or neglect during childhood are more likely to suffer from physical ailments such as allergies, arthritis, asthma, bronchitis, high blood pressure, and ulcers. There may be a higher risk of developing cancer later in life, as well as possible immune dysfunction.

Poly-Victimization

Unfortunately, many children are abused multiple times in multiple ways. Poly-victimization, especially experiencing different types of abuse (e.g., physical, sexual, neglect) is associated with the development of more symptoms of trauma. There is a strong relationship between the number of abusive experiences a child experiences and later cigarette smoking, obesity, physical inactivity, alcoholism, drug abuse, depression, attempted suicide, sexual promiscuity, and sexually transmitted diseases. People who reported higher numbers of negative experiences in childhood were also more likely to have heart disease, cancer, stroke, diabetes, skeletal fractures, liver disease, and poor health as an adult.

What are remedies for the effects of child sexual abuse?
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Many adults who were abused as children do not realize how it may have affected them, so they don’t seek help for the abuse. Instead, they eventually enter psychotherapy for secondary issues like anxiety, depression, substance abuse, and relationship problems. During the course of therapy, victims of child abuse often begin to see a link between their current problems and their past abuse. In remembering the abuse and mourning its damage, survivors can free themselves to lead more fulfilling lives.