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HomePsych NewsDissociative Identity Disorder: Treatment Perspective - Part 9

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Dissociative Identity Disorder: Treatment Perspective - Part 9

23 July 2024


The integration of dissociated parts or alters with the main memory system is achieved through the process of hypnotherapy. With the creation of a channel for communication between the alters of a truncated memory (viz., when they can ‘hear’ and ‘talk’ to each other internally), and after they make sense of the process of integration and agreeing to it, we finally arrive at the cusp of healing the ‘broken’ memory.

The dialogue, all conducted under hypnosis, usually between an alter and the principal dissociated part, is a detailed elucidating process, respecting the integrity of both alter and part. The listening, talking and reflecting ritual goes back and forth individually: first, between the psychologist and the alter, and then between the principal part and the counsellor.

The purpose of these conversations is to tease out any hidden thoughts and intent of each part, to ensure that nothing is left out that may frustrate their integration. Parts sometimes hide relevant and important details from other parts, and by doing so invalidate the integration process.

Following which, with permission from both (the alter and the principal part), and clarifying which part of an emotionally-charged memory has been held by each, we then have both engaging in ‘a conversation’ between themselves. We demonstrate to each that they are part of one another, sharing the same brain and body.

This process of the parts identifying their complementariness is always rewarding to watch, as their reactions betray their ‘individualism’ when, after years of being apart, they suddenly realise they belong together. Each reacting independently as they take turns opening their eyes (under hypnosis), to see they inhabit the same body.

Once orientation towards integration of the disjointed memory is complete and agreement to it secured, the integration of the memory fragments can proceed.

Basically, the two dissociated parts to be integrated have to be brought to ‘consciousness’ under hypnosis, with each other; i.e., they are singled out under hypnosis (with the patient’s eyes closed), so that they are aware of each other's presence and can hear one another.

The process involves them ‘amalgamating’ their memories by literally ‘walking into each other.’ Again, their reactions are priceless to observe as they suddenly begin to understand and process their completed memory in all their cognitive and emotional connections.

For the first time in the patient’s life, she begins to process a complete memory of a traumatic incident since its fragmentation. Invariably, following a successful integration, tears are almost always shed, and at times, strong emotions are displayed. Occasionally, anger is felt for the first time about the trauma.

An almost universal response from patients is, “Why couldn't I remember all this detail before?” Subsequently, confirmation is made for the ‘disappearance’ of ‘the separated alter.’ This is indicative of a successful healing or integration of that particular traumatic memory. This process is then repeated for each alter.

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Coram Deo — before the face of God. This blog reflects on Scripture, world events, science, music, psychology, and the human mind — always through the lens of Christian faith. All of life is lived before the face of God.

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