Dissociative identity disorder in the context of "Iatrogenesis"

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⭐ Core Definition: Dissociative identity disorder

Dissociative identity disorder (DID), previously known as multiple personality disorder (MPD), is characterized by the presence of at least two personality states or "alters". The diagnosis is controversial and remains disputed. Proponents of DID support the trauma model, viewing the disorder as an organic response to severe childhood trauma. Critics of the trauma model support the sociogenic (fantasy) model of DID as a societal construct and learned behavior used to express distress; developed through iatrogenesis in therapy, cultural beliefs, and exposure to the behavior in media or online.

Public perceptions of the disorder were popularized by alleged true stories in the 20th century; Sybil influenced many elements of the diagnosis, but was later found to be fraudulent. After multiple personality disorder (MPD) was recognized as a diagnosis in DSM-III in 1975, an epidemic of the disorder spread across North America, closely tied to the satanic panic. Therapists began using hypnosis on patients, believing they were discovering alters and recovering forgotten memories of satanic ritual abuse. Psychologists familiar with the malleability of memory argued they were constructing false memories. Diagnoses reached 50,000 by the 1990s, but the FBI failed to validate allegations made against caregivers. Skepticism increased when MPD patients recovered from the behavior, retracted their false memories, and brought successful lawsuits against therapists. A sharp decline in cases followed, and the disorder was reclassified as "dissociative identity disorder" (DID) in DSM-IV. In the 2020s, an uptick in DID cases followed the spread of viral videos about the disorder on TikTok and YouTube.

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Dissociative identity disorder in the context of Two-Face

Two-Face is a supervillain appearing in American comic books published by DC Comics. The character was created by Bob Kane, and first appeared in Detective Comics #66 (August 1942). He has become one of the superhero Batman's most enduring enemies belonging to the collective of adversaries that make up his rogues gallery.

In his comic book appearances, Two-Face is the alter ego of Harvey Dent, Gotham City's former district attorney who becomes a criminal mastermind obsessed with duality and the number two. Half of his face is hideously scarred after mob boss Sal Maroni throws acid at him. The resulting disfigurement drives him insane and causes him to make decisions based on the flip of a coin. The Modern Age of Comic Books portrays the character as having dissociative identity disorder, with Two-Face being an alternate personality that developed as a result of childhood abuse. The modern version is also established as having once been an ally of Batman and Commissioner James Gordon, and a close friend of Batman's secret identity, Bruce Wayne.

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Dissociative identity disorder in the context of Mr. Robot

Mr. Robot is an American psychological techno-thriller television series created by Sam Esmail for USA Network. It stars Rami Malek as Elliot Alderson, a cybersecurity engineer and hacker with social anxiety disorder, clinical depression, and dissociative identity disorder. Elliot is recruited by an insurrectionary anarchist known as "Mr. Robot", played by Christian Slater, to join a group of hacktivists called "fsociety". The group aims to destroy all debt records by encrypting the financial data of E Corp, the largest conglomerate in the world.

The pilot premiered via online and video on demand services on May 27, 2015. In addition to Malek and Slater, the series stars an ensemble cast featuring Carly Chaikin, Portia Doubleday, Martin Wallström, Michael Cristofer, Stephanie Corneliussen, Grace Gummer, BD Wong, Bobby Cannavale, Elliot Villar, and Ashlie Atkinson. The first season debuted on USA Network on June 24, 2015; the second season premiered on July 13, 2016; and the third season premiered on October 11, 2017. The fourth and final season premiered on October 6, 2019, and concluded on December 22, 2019.

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Dissociative identity disorder in the context of Bruce Banner

The Hulk is a superhero appearing in American comic books published by Marvel Comics. Created by writer Stan Lee and artist Jack Kirby, the character first appeared in the debut issue of The Incredible Hulk (May 1962). In his comic book appearances, the character, who has dissociative identity disorder (DID), is primarily represented by the alter ego Hulk, an immense, green-skinned, hulking brute, possessing a limitless degree of physical strength, and the alter ego Dr. Robert Bruce Banner, a physically weak, socially withdrawn, and emotionally reserved physicist, both of whom typically resent each other. Lee stated that the Hulk's creation was inspired by a combination of Frankenstein and Dr. Jekyll and Mr. Hyde.

Following his accidental exposure to gamma rays while saving the life of Rick Jones during the detonation of an experimental bomb, Banner is physically transformed into the Hulk when subjected to emotional stress, at or against his will. This transformation often leads to destructive rampages and conflicts that complicate Banner's civilian life. The Hulk's level of strength is usually conveyed proportionate to his anger level. Commonly portrayed as a raging savage, the Hulk has been represented with other alter egos like a gangster (Joe Fixit), a merged personality (Merged Hulk), a mindless, destructive force (War), a brilliant warrior (World-Breaker), a self-hating protector (Devil Hulk), a genius scientist in his own right (Doc Green), and several minor alter egos.

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Dissociative identity disorder in the context of Otherkin

Otherkin is a subculture of individuals who identify as partially or entirely nonhuman. Some otherkin believe their identity derives from non-physical spiritual phenomena, such as having a nonhuman soul or reincarnation. Some otherkin give non-spiritual explanations for themselves, such as unusual psychology or neurodivergence, or as part of dissociative identity disorder or being plural. Many otherkin say they are physically human.

The otherkin subculture developed primarily as an online community during the 1990s. It had partly grown out of some small groups of people who described themselves as elves during the 1970s and 1980s. During the late 2000s, the word has come to be treated as an umbrella term for some other nonhuman identity subcultures.

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Dissociative identity disorder in the context of Dissociative fugue

Dissociative fugue (/fjuːɡ/ FYOOG), previously referred to as a fugue state or psychogenic fugue, is a rare psychiatric condition characterized by reversible amnesia regarding one's identity, often accompanied by unexpected travel or wandering. In some cases, individuals may assume a new identity and be unable to recall personal information from before the onset of symptoms. It is classified as a mental and behavioral disorder and is variously categorized as a dissociative disorder, a conversion disorder, or a somatic symptom disorder. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), dissociative fugue is a subset of dissociative amnesia.

Recovery from a fugue state typically results in the restoration of prior memories, and additional treatment is generally unnecessary. Episodes are not considered dissociative fugue if attributable to psychotropic substances, physical trauma, general medical conditions, or disorders such as dissociative identity disorder, delirium, or dementia. Dissociative fugue is often triggered by prolonged traumatic experiences and is most frequently associated with individuals who experienced childhood sexual abuse, during which they developed dissociative amnesia to suppress memories of the abuse.

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