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clinical literature is virtually unanimous that full MPD [Multiple Personality Disorder] cannot be created iatrogenically. There is no evidence that such a case has been demonstrated; clinicians of widely different orientations have studied the available information and arrived at similar conclusions (e.g., Braun, 1984; Gruenewald, 1984; Kernberg, in press; Kluft, 1982; Putnam, 1989). Nonetheless, most of these observers have noted that many of the phenomena of MPD can be created quite readily, and that phenomena with striking superficial resemblance to MPD can be generated with relatively little effort. In fact, I noted in passing (Kluft, 1986a) that I had replicated the interventions of Harriman (1942,1943), Leavitt (1947), and Kampman (1976), and found the resultant phenomena clearly distinguishable from clinical MPD.
(from Kluft, R. P. (1989). Dissociation: Vol. 2, No. 2, p. 083-091: Iatrongenic creation of new alter personalities)
Richard P. Kluft Quotes: clinical literature is virtually unanimous
The often dramatic differences among the personalities are more an arresting epiphenomenon than the core of the condition. Characterological factors, cultural influences, imagination, intelligence, and creativity make powerful contributions to the form taken by the personalities. Most DID patients are rather muted compared to those cases incorrectly assumed to epitomize the condition (Kluft, 1985b). The personalities enact adaptational patterns and strategies that developed in the service of defense and survival. Once this pattern, which disposes of upsetting material and pressures rapidly and efficiently, is established, it may be repeated again and again to cope with both further overwhelming experiences and more mundane developmental and adaptational issues.
Richard P. Kluft Quotes: The often dramatic differences among
The summary of Lambert and Lillenfelt's "Bloodstains" in Scientific American Mind in the October 12, 2007 The Informed Reader passes along many of these authors' strong opinions on complex and controversial topics without informing the readership that the authors' perspective is extreme, polarized, and vulnerable to challenge at many crucial points.
It is clear that false memories can be implanted in about 25% of subjects, when those memories concern issues in the normal and expectable range of experience. However, about 75% of subjects resist such efforts, and efforts to implant memories of abuse or offensive medical procedures are almost universally rejected. Therefore a wholesale attack against therapies that explore patients' memories is unwarranted. "Recovered Memory Therapy" is not a school of treatment. It is a slur used to mischaracterize approaches offensive to the authors' perspectives, designed to evoke an emotional bias against those to whom the slur is applied.
Richard P. Kluft Quotes: The summary of Lambert and
It appears that the picture of DID as the ongoing clash of polarized personality types (e.g., good girl-bad girl, upright citizen-sociopath) is hard to sustain, although such clashes, when they occur, arrest attention and at times become a concern of the forensic psychiatrist. Most patients have personalities that are named, but there may be those who are nameless or whose appellations are not proper names (i.e.. "the slut," "rage," etc.).
Child personalities, those who retain long periods of continuous awareness, those who claim to know about all of the others, and depressed personalities are the most frequent types enumerated (Putnam et al.. 1986).
Richard P. Kluft Quotes: It appears that the picture
Most DID patients are rather muted compared to those cases incorrectly assumed to epitomize the condition (Kluft, 1985b). The personalities enact adaptational patterns and strategies that developed in the service of defense and survival. Once this pattern, which disposes of upsetting material and pressures rapidly and efficiently, is established, it may be repeated again and again to cope with both further overwhelming experiences and more mundane developmental and adaptational issues.
Once the DID that developed in order to cope with intolerable childhood circumstances has achieved some degree of secondary autonomy, it becomes increasingly maladaptive.
Richard P. Kluft Quotes: Most DID patients are rather
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