2020年8月11日火曜日

ミラーニューロンと解離 17

Let us consider if A or B suffers any type of disturbed sense of self. Can A or B only be a part of a whole self, as van der Hart etc. indicated? Let us remind ourselves of his statement.

… dissociative parts of the personality together constitute one whole, yet are self-conscious, have at least a rudimentary sense of self. …

Apparently, this condition might apply to A or B. Some might argue that A might be missing a child-like, emotional, and tomboyish part of herself that B might aptly represent, while B might be missing social capacity with stronger mechanism of defense that A might possess. However, it is a very hard question to ask if A, B and possibly other parts would constitute one whole if put together ? The concept of a whole personality itself should be under scrutiny before arguing this issue. How could allegedly 30 year-old female personality and a 6 year-old child personality can be integrated to become a “whole”? How old would they become, then, etc.

If a therapist takes an attitude of regarding each personality as incomplete and not an integrated one, this might quickly alienate at least some of these personalities and impair therapeutic relationship with them. How would some personalities react to the therapist’s statement, such as “you are merely a part of your host personality that you should eventually get integrated into, as you broke off with him (her) sometime in the past.

Isn’t it possible that that therapist is practically denigrating the sense of self of that personality?

 It is very important to treat respectfully the personality whether she is child, adult, male or female, instead of treating them as someone like sub-human and not taking them seriously. It is all the more as many personalities are functioning as an ordinary person in the society. Remember that DID patients are quite often suspected as feigning, pretending to be having that condition, and this speaks to the fact that they quite often appear ordinary and inconspicuous in the society. How can a “partial human” do that? To the point, many personalities of the DID look quite ordinary, each having its own identity.

One condition which might remind of ourselves of that partial or insufficient and rudimentary personality is the condition that we consider as insufficiently crystalized or sublimated personality state. It can often be encountered in a dissociative trans state, characterized as “an acute narrowing or complete loss of awareness of immediate surroundings that manifests as profound unresponsiveness or insensitivity to environmental stimuli” (ICD-11 draft).