How do Patients Diagnosed with Dissociative Identity Disorder Experience Conflict? A Qualitative Study.
J Trauma Dissociation
; 24(1): 125-140, 2023.
Article
en En
| MEDLINE
| ID: mdl-36062716
The role and nature of conflict in the development and manifestation of dissociative identity disorder (DID) remains underexplored beyond theoretical deduction. In this qualitative instrumental case study, we explored the subjective experience and nature of conflict in a group of adult psychiatric patients diagnosed with DID. We purposively selected typed transcriptions of 28 previously recorded in-depth individual interviews with 15 patients, their audio recordings and associated field notes. The data were thematically analyzed and constant comparison was applied. Two main themes emerged from the transcriptions, namely, participants' experiences of having one or more incompatible and conflicting worldviews about their DID, and the type and nature of conflict that arises between dissociative identities, i.e., conflict of information in awareness, conflicting actions or behaviors, conflicting emotions, conflicting goals, conflicting values, and a battle of wills. Patients with DID have contextually and culturally variable comprehension of the origin of their DID. Conflict between dissociative identities was pervasive, multifaceted, and exacerbated by a lack of awareness between identities. The study provides insight into the complexities of conflict between dissociative identities, as well as highlights the role of inter-identity awareness in conflict.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Trastorno Disociativo de Identidad
Tipo de estudio:
Diagnostic_studies
/
Qualitative_research
Límite:
Adult
/
Humans
Idioma:
En
Revista:
J Trauma Dissociation
Asunto de la revista:
TRAUMATOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Sudáfrica