Impacto do trauma e dissociaÃÃo da consciÃncia na personalidade mÃltipla : um estudo de caso

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

This research investigates the traumatic and dissociative impact on a patient diagnosed with the Multiple Personality Disturbance, a mental disorder of difficult diagnosis due to the diversified symptomatology and to its strong comorbidity. For this dissociative disturbance â currently classified as Dissociative Identity Disorder, previously denominated Multiple Personality Disorder â there are specific criteria defined in the Diagnostic and Statistical Manual of Mental Disorders, as well as a register in the International Statistical classification of Diseases. In the core of the characteristics of the syndrome, that is not an iatrogenic artifact, and whose essential characteristic is the existence inside of the individual of different personalities, each one dominant in a specific moment, there are the alternative personalities or alters. Ten personalities acting on Carolineâs life were identified. The case study presents two thematic axes: symptomatical and psycodinamic. Besides, it embraces the presentation of several evidence sources â texts, poetries, drawings, manual works and notes â, as well as case reports, dissociative scales, interviews and two projective instruments: the Color Pyramid Test and the Aperception Thematic Test. The following prominent results are highlighted: a) the association of multiple personality with traumatic subjects linked to abandonment, rejection, helplessness, abuses and mistreatments as trigger factors of Carolineâs pathological dissociation; b) the amnesia, the depersonalization, the derealization, the confusion and the identity alteration as signs and fundamental symptoms in the case; c) the inter-connection among the personalities, as well as their respective productions. As a conclusion, we can say that the essence of the multiple personality disorder or the conditions of its origin, reside in real traumas of the past that caused great impact and were partially forgotten. The ab-reaction processes cause such traumas to be remembered and reproduced, reducing the dissociation â fundamental defense mechanism â along the time. There are fixations in the childhood and the adolescence phases. There is also cleavage of the ego with differentiated psychic attitudes according to the distinct realities of each alter. Finally, as future perspective, the study invites other researchers to new investigations in the field of multiple personality.

ASSUNTO(S)

psicologia doenÃas mentais; trauma psÃquico - personalidade dissociation multiple personality trauma dissociaÃÃo personalidade mÃltipla

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