There are even some patients that have alters that are animals like dogs, cats, or some kind of farm animal. Possession cases, where alternate personalities were easily observed by others Non-Possession cases, where switching between alternate personalities did not occur for extended periods of time, or changes in mannerisms and behaviors were slight or unnoticeable Bythe name multiple personality disorder was changed to dissociative identity disorder in order to better reflect a current understanding of the condition.
Or, there might be one part that endures the abuse, another that gets the body back to its bedroom, and another that goes down to breakfast in the morning. This is because the line between fantasy and reality for the patient has become more blurred.
Other patients simply found much more constructive ways to deal with their problems other than having hysterical outbreaks. Tests such as the DES provide a quick method of screening subjects so that the more time-consuming structured clinical interview can be used in the group with high DES scores.
The studies reporting the links often rely on self-report rather than independent corroborations, and these results may be worsened by selection and referral bias. Not everyone believed Charcot when he first came up with hystero-epilepsy.
People living with DID can have a range of symptoms which may appear at different times. When the staff members that were treating these patients began to ignore the symptoms that they were displaying, they did it gradually.
Once he convinced them that they had the disease he would invite them to join his other patients that he said had the disease. Most previous examples of "multiples" such as Chris Costner Sizemorewhose life was depicted in the book and film The Three Faces of Evedisclosed no history of child abuse.
The problem with this disease is that people get so distracted by the dramatic symptoms that they fail to address the needs of the actual patient themselves.
While some patients may initially present with a large number of alters, this number may reduce during treatment—though it is considered important for the therapist to become familiar with at least the more prominent personality states as the "host" personality may not be the "true" identity of the patient.