Multiple Personality Disorder Case Report


This description of MPD comes from a paper by A. Salama Abdel-Aziz, M.D., published in the Journal of Islamic Medical Association of North America in 2005.

“Kathy is a 29 year old white married female who, after having taken an overdose of sleeping pills in her home, was discovered by her husband and admitted to a hospital. This overdose was attributed to her inability to cope with her responsibility as a wife and mother. The husband reported that several times he had found food burning in the oven. On one occasion the patient was saved from a fire in the home but was unable to recall how it started. The patient also denied ever having had a sexual relationship with her husband, although she was the mother of his three children.

The patient’s early development was uneventful except for temper tantrums and nightmares. The nightmares began at about age three when the parents would entertain in their home leaving the child to cry for hours. She would eventually fall asleep only to wake up frightened and screaming.

At age four she had her first traumatic experience. One night she found her father naked in bed with her five year old neighbor. She said that she was stunned with fear and surprise and ran away to her room. Her father followed her and gently persuaded her to take off her clothes and to join him and the other girl in their sexual play. Later,  alone in her room, she felt guilty and cried for several hours, denying to herself what had taken place, and only got relief when she attributed what had happened to someone else, whom she called “Pat.” The second day when approached by her father and the girl, she insisted on being called “Pat.” Also, she continued to engage in oral sex with the father, for nearly five years.

At age nine she experienced her second traumatic event, when her mother caught her with her father. The mother became angry with the father, wept for some time and insisted on taking her daughter in her bed every night. After a short time the mother became attached to her daughter sexually in what the mother described as a safer relationship. “Kathy” could not accept this, denied to herself what was happening and attributed it to a new person, “Vera”, who continued the relationship with the mother for another five years.

At age 14, she suffered her third traumatic experience. This was rape by an older man, who was her father’s best friend. “Kathy” became very depressed, called herself “Debby” and slept away from the mother. At that time, she was described by the parents as being very miserable. She became mute and was admitted to a hospital.

According to the hospital records, she showed a mixture of depression, dissociation and trance-like symptoms, with irritability and extensive manipulation which caused confusion and frustration among the hospital staff.

Following discharge she was seen by a therapist to whom she became very attached. He showed marked curiosity about the different personalities and became fascinated with her case. He suggested hypnosis as a treatment for her condition. His hypnotherapy sessions focused on the rape incident. He felt that “Debby” was the strongest of the personalities. Instead of concentrating on “Kathy”, he encouraged “Debby” to dominate the therapy sessions and talk about “Pat” and “Vera”, reinforcing their roles as dominant personalities. It was at this period, she terminated her therapy and began to call herself “Kathy”, “Pat”, “Vera”, and “Debby” at different times.

At age 18, she had her fourth traumatic experience. “Kathy” became very attached to a boyfriend in town. Her parents opposed the relationship and refused to allow her to meet with him. Her mother was constantly warning her that men could not be trusted, pointing to her own marriage to her father. The patient became scared, unable to trust either of her parents, and ran away from home to another town. She could not find a job, and her need of money drove her into prostitution. She began calling herself “Nancy”.

“Debby” rejected “Nancy” and forced her to overdose on sleeping pills. She was then admitted to a mental hospital where she met her husband, who also was admitted following a suicide attempt. This time the diagnosis of multiple personality disorder was confirmed.

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Other Multiples

If you know someone with multiple personalities, please tell them about my blog. I would like to connect with them

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