The document discusses dissociative identity disorder (DID), previously known as multiple personality disorder (MPD). It notes that there remains debate about the exact nature and causes of DID within the research and clinical communities. While some experts believe it may be an "offshoot" of other disorders like schizophrenia, brain imaging studies have found neurological differences in DID patients. The document also explains that the disorder involves a lack of a singular, cohesive identity rather than having multiple distinct personalities. It concludes that more research is still needed to determine if MPD exists as its own diagnosis or is properly classified as DID.

3. Conclusion
Strength &
Weakness
Controversy
Abstract
CONTENT
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4. The journal was done following the method. Here,
the researcher focused on the diagnosis of MPD using S/S & also
hilighting the differential diagnosis. The researcher main opinion was
MPD exists and most of the times they are misdiagnosed as other
illness.

5. Controversy
Can a person have more than one personalities that they are
sometimes aware of and sometimes not?
The authour himself said -
Moreover,
understanding the development of multiple personalities is difficult,
even for highly trained experts. The diagnosis itself remains
controversial among mental health professionals, with some experts
believing that it is really an "offshoot" phenomenon of another
psychiatric problem, such as or the
product of profound difficulties in coping abilities or stresses related to
how people form trusting emotional relationships with others.

6. Other types of dissociative disorders defined in the DSM-5, the main
psychiatry manual used to classify mental illnesses, include dissociative
amnesia (with "dissociative fugue" now being regarded as a subtype of
dissociative amnesia rather than its own diagnosis), and
depersonalization/derealization disorder.
While there remains debate within the research and clinical
communities regarding the exact nature and etiology of dissociative
identity disorder, it is recognized by both the DSM-5 and ICD-10 under
dissociative disorders and has been observed by clients, families, and
clinicians around the world.

7. Indeed, brain imaging studies reveal meaningful structural and
functional differences in dissociative patients that suggest a
neurological basis for the condition. Furthermore, there is no doubt
that its symptoms are experienced as very real; people with the
disorder clearly switch between alternate identities, each of which may
have unique characteristics, including “differences in voice, gender,
mannerisms, and even such physical qualities as the need for
eyeglasses.”

8. However, part of the reason for the reclassification of multiple
personality disorder to dissociative identity disorder was that the
disorder is in fact not defined by the multitude of personalities, but the
absence of a singular, cohesive identity. In other words, the problem is
not that someone has 5 or 10 or 20 personalities, it is that they don’t
have just one. In fact, it is this absence of singularity that is the
personality. It’s also important to note that this lack of a unified
identity is not the product of a psychotic disorder such as
schizophrenia, as alternate personalities are neither delusions nor
hallucinations. Rather, dissociative identity disorder is typically
understood to be a kind of protective response to trauma.

9. It is still debatable if MPD exists. This journal is excellent for the
practitionar who believe it not as dissociative disorder. S/S are very
elaborately written.
In mental status exam, the authour mentioned as a
symptom. According to, DSM V this sign itself is a disease called
Question do arise if the resercher is giving
less importance to NSSID to diagnose MPD.
The resercher suggested the following can be asked to diagnose- Have
you ever referred to yourself by different names? In
book it is always advised not to ask leading question if it
can be avoided.

10. According to the researcher, specialists failed to diagnose MPD due to
lack of experience. It is very much possible that the diagnosis that were
made as MPD might be other D/D 's he mentioned.
So, according to DSM V and ICD 10 we might classify it as Dissociative
Identity Disorder not as MPD

11. It still needs a lots of research to establish if MPD exists or not. But,it is
an excellent journal to diagnose MPD for those who believe it to be
true.

13. Thank You