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(p. 356) Response 

(p. 356) Response
Chapter:
(p. 356) Response
Author(s):

Steven Jay Lynn

, Liam Condon

, and Gep Colletti

DOI:
10.1093/med:psych/9780199733668.003.0042
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date: 22 October 2019

We thank Professor Merckelbach for his thoughtful commentary, which raises important questions about the treatment of DID and is replete with interesting observations (e.g., DID may represent a complex mood disorder, DID is a severity marker of a polysymptomatic condition, the need to take symptom exaggeration into account in a complete evaluation of DID). For example, Merckelbach questions whether our patient’s DID symptoms could be an example of “spontaneous developing DID, and thereby provide a falsification of the sociocognitive model,” as he presumed we “went to great lengths to avoid the suggestive shaping of DID symptoms.” Shaping influences on patients may be subtle (e.g., exposure to movies, books, magazine misinformation about DID), and symptoms may appear to arise “spontaneously.” Yet in the case of Ms. M., potentially suggestive influences were less than subtle, if not blatant. Indeed, she was not only an avid consumer of media with trauma-based depictions of multiple personalities, but relatively early in her treatment (before SJL came on board), her previous therapist at some point began to interact with supposedly separate personalities, potentially reifying them and rewarding their manifestation....

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