Self assesments stop validating

30 Jan

This loss hits home with the epidemic of multiple personality disorder (MPD).

The work of Talcott Parsons (1964), David Mechanic (1978), and Isidore Pilowsky (1969) taught psychiatrists to appreciate that phenomena such as hysterical paralyses, blindness, and pseudoseizures were actually behaviors with a goal: achieving the "sick role." Inspired by Parsons, Mechanic and Pilowsky used the term "abnormal illness behavior" in lieu of hysteria.

Like Sigmund Freud and Pierre Janet, Babinski had observed Charcot manage patients with, what Charcot called, "hysteroepilepsy." But Babinski was convinced that hysteroepilepsy was not a new disorder.

Babinski was bringing the null hypothesis to Charcot and with it, not a rejection of these women as legitimate victims of some problem, but an appreciation that behaving as if epileptic obscured reality and made helping their actual problem difficult.

Some people - experiencing emotional distress in the face of a variety of life circumstances and conflicts - complain to doctors about physical or psychological symptoms that they claim are signs of illness.

Sometimes they display gross impairments of movement or consciousness; sometimes the features are subtle and changing.

Source: Journal of the American Academy of Child and Adolescent Psychiatry, July 1995 v34 n7 p957(3). Mc Hugh Abstract: Multiple personality disorder (MPD) is a form of hysteria induced by therapists by asking patients about alter personalities.

Therapists resort to persuasion to influence patients to commit themselves to having MPD thus forcing them to act in a manner consistent with the role.