What Is Dissociative Identity?

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also (Dorahy et al., 2014). Internationally there is a lack of consistency among classifications of DID (Dorahy et al., 2014). Not only does this make it hard to research DID among other cultures and obtain comparative research, but it also creates a lot of variation among the diagnosis in different cultures. It is important that although the criterion lacks consistency one still considers all sides of the spectrum when diagnosing DID, especially in cases that differ from the western culture where DSM-5 may not be all inclusive of all the cultures.
In western cultures, the concept of the self is known as an identity that is “fixed, unitary, and autonomous” (Dorahy et al., 2014, p. 403). Other cultures see the concept of the self as more “relational”
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Some cultures consider dissociative trances to be a part of their cultural or religious practices (Sue, Sue, Sue, & Sue, 2014). These trances would not be a qualifying factor when looking at the criterion for dissociative identity disorder. However, it is crucial to consider that cultural factors do help to shape the form DID presents itself in. Generally, in cultures where possession is prominent the symptoms of DID tend to present in the form of possession (American Psychiatric Association, 2013). When considering a case of DID around possession one must look into if it is a normal part of the culture and if it is then look to consider if the symptoms have become “involuntary, distressing, uncontrollable, and often recurrent or persistent…” (American Psychiatric Association, 2013, p. 295) The symptoms of DID form around the normal factors of a culture or society (American Psychiatric Association, 2013). Therefore, what is considered to be a common symptom of DID in one area may not be common in another area. Making informed decisions about the diagnosis of DID comes down to, once again, gathering every single puzzle piece.
Recommendations for Future Diagnosis and Treatment
Traditionally treatment has been viewed as controversial and harmful. Recent research done by Brand et al. (2016) addresses the claim that DID treatment is harmful by saying “this claim is inconsistent with empirical literature

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