Citation

Martins HADL, Ribas VR, dos Santos Ribas KH, da Fonseca Lins L, Mainieri AG. Front. Psychiatry 2022; 13.

Copyright

(Copyright © 2022, Frontiers Media)

DOI

10.3389/fpsyt.2022.662290

PMID

unavailable

Abstract

INTRODUCTION: Dissociative identity disorder, formerly called multiple personality disorder, is a rupture of identity characterized by the presence of two or more distinct personality states, described in some cultures as an experience of possession.

OBJECTIVE: The case of a 30-year-old woman with dissociative identity disorder and borderline personality disorder associated with a previous history of anomalous experience was reported. Case Report: A 30-year-old woman who fulfilled the DSM-5 criteria for dissociative identity disorder and borderline personality disorder reported the presence of unusual sensory experiences (clairvoyance, premonitory dreams, clairaudience) since she was 5 years old. The patient told that for 12 months she presented episodes in which a "second self" took charge of her actions: she would then speak with a male voice, become aggressive, and require several people to contain her desire for destruction. After 3 months of religious follow-up, and accepting her unusual experiences and trance possessions as normal and natural, she had significant improvement.

CONCLUSION: When approaching DID and BPD patients, it is necessary to observe the anomalous phenomena (in the light of) closer to their cultural and religious contexts, to promote better results in the treatment of their disorders, which has not been explored in the treatment guide. Copyright © 2022 Martins, Ribas, dos Santos Ribas, da Fonseca Lins and Mainieri.

Language: en

Keywords

adult; human; female; case report; depression; aggression; schizophrenia; behavior change; suicide attempt; personality; mood; dissociation; experience; social isolation; hopelessness; consultation; clinical article; fluoxetine; nortriptyline; fear; quetiapine; patient referral; anxiety disorder; panic; multiple personality; treatment refusal; borderline state; risperidone; restlessness; psychiatric treatment; escitalopram; absenteeism; Beck Anxiety Inventory; Article; tonsillectomy; Mini Mental State Examination; medical history; bedtime dosage; voice change; DSM-5; Catholic; borderline; anomalous experience; mediumship