Ross C A
Department of Psychiatry, University of Manitoba, Winnipeg, Canada.
Am J Psychother. 1990 Jul;44(3):348-56. doi: 10.1176/appi.psychotherapy.1990.44.3.348.
Multiple personality disorder (MPD) is often responded to with extreme skepticism by mental health professionals. This skepticism is based in part on twelve cognitive errors about the disorder that can be corrected by argument and research evidence. The errors include the mistaken ideas that MPD patients have more than one personality; that the diagnosis means such patients are not responsible for their actions; that MPD patients are really just borderlines; that MPD is an iatrogenic artifact; that MPD can be created experimentally; that MPD must be rare; that MPD is a therapeutic metaphor; that everyone has different personalities; that MPD will go away if you ignore it; that patients pretend to have MPD in order to please the therapist; that the abuse histories of MPD patients are confabulated; and that one must be a hypnotist to treat MPD. It is important to correct these cognitive errors because MPD is not rare. It can be diagnosed with good reliability and its features are stable and consistent in a number of large published series. Although definitive treatment-outcome studies have not been conducted, clinical experience to date suggests that the disorder can often be cured with psychotherapy. After successful integration, MPD patients function much better than before, and can be released from the mental health system.
多重人格障碍(MPD)常常遭到心理健康专业人士的极度怀疑。这种怀疑部分基于对该障碍的十二个认知错误,而这些错误可通过论证和研究证据予以纠正。这些错误包括以下错误观念:MPD患者拥有不止一种人格;该诊断意味着此类患者对自己的行为无需负责;MPD患者实际上只是边缘型人格障碍患者;MPD是一种医源性产物;MPD可通过实验制造出来;MPD必定罕见;MPD是一种治疗隐喻;每个人都有不同的人格;如果你忽视MPD,它就会自行消失;患者假装患有MPD是为了取悦治疗师;MPD患者的虐待史是虚构的;以及治疗MPD必须是催眠师。纠正这些认知错误很重要,因为MPD并不罕见。它能够以良好的可靠性进行诊断,并且在一些大型已发表系列研究中其特征稳定且一致。尽管尚未开展确定性的治疗结果研究,但迄今为止的临床经验表明,该障碍通常可通过心理治疗治愈。成功整合后,MPD患者的功能比以前有很大改善,并且可以从心理健康系统中出院。