Thigpen and Cleckley (1954): A
Case of Multiple Personality
Multiple Personality Disorder (MPD) is a disorder when more than one
personality exists in the same individual. Each personality is relatively
stable and integrated. It is regarded as a neurosis meaning that it
is an illness in which an individual remains in touch with reality
but suffers psychological problems relating to anxiety. The DSM-IV calls
MPD a dissociative identity disorder (DID). So, not only is there more than one
personality, but personalities can appear totally separate from and may be
unaware of one another. Each personality will have different memories,
perception and intellectual abilities. An example of this may be wearing
glasses of different strengths. When each of the personalities are in control
all of their characteristics are present all of the other personalities will
effectively 'disappear'. This is not to be confused with schizophrenia
which is a mental disorder marked by some of the following symptoms; delusions,
hallucinations, incoherent speech, inappropriate emotions. or lack of emotions.
A person diagnosed with schizophrenia is considered by the
medical profession to be problems relating to reality which is a
psychosis which is a mental illness in which an individual has difficulty
relating to reality.
In our everyday lives our definition to what we class as abnormal
changes and is affected by the culture we live in. So some phenomenon may
challenge our view of life and so its regarded with scepticism. So things such
as supernatural and religious experiences and visions are ones commonly
reported but do not fit into our current explanation of the world so such
events are often marginalised and ignored.
A person considered to have MPD is seen as abnormal. This is because MPD
challenges our view of people and receives considerable scepticism as a result.
Thigpen and Cleckley suggested that their case study is evidence for the
existence of this condition.
The Case Study
The Aim
The aim of the study was to provide an account of the case of an
individual considered to have MPD. This account is based on the
psychotherapeutic treatment of a 25 year old patient known as Eve White.
The Methodology
The method was the treatment of Eve which involved
psychotherapeutic interviews and occasional hypnosis with Thigpen and Cleckley
(T&C). Family members were also interviewed to obtain background
information. an to corroborate (prove) some of Eve's stories.
The Referral
Eve White was referred for therapy because of severe and blinding
headaches which complaints of blackouts although her family were not aware of
anything that would suggest a real loss of consciousness or a serious mental
confusion. The patient appeared to have a number complex, but relatively
unexceptional martial conflicts and personal frustrations. She showed amnesia
for a recent trip and the therapists used hypnosis to restore that memory.
The Letter
The first sign of anything unusual was when a letter arrived for T&C
some days after the hypnosis. It was written in confident hand and concerned
her therapy but at the bottom of the page there was a childish postscript
written in different handwriting. On the next visit Eve White denied sending
the letter though she remembered having begun one which she had not finished.
The Appearance of Eve
Black
During an interview Eve white became distressed and asked whether
hearing an imaginary voice indicated that she was insane. Then she had reported
that on several occasions heard a voice addressing her. During the conversation
Eve White (EW) suddenly put both hand to her head as if in pain and after a
moment of silence her hands dropped and the therapist observed a 'quick,
reckless smile' In a bright voice she said ' Hi there, Doc !' The
therapist observed a change in posture and personality from a distressed
EW to a person who called themselves Eve Black (EB). It almost looked to the
researchers as if Eve's whole personality and posture completely changed from
the demure and retiring EW to a confident and relaxed person who was more
playful and sexually attractive (more feminine and flirty- ‘cause let’s face it
having a patient considered as sexually attractive would just be awkward that
on the side note lets carry on with the case study!) EB ‘had a childishly more daredevil air and an erotically mischievous
glance, a face marvellously free from habitual signs of care, seriousness and
underlying stress.’ They also
commented on the fact that EB language totally changed and became in the eyes
of the therapists a completely different woman. She was referring to EW as she
or her as if she was another person. When she was asked for
her own name she replied saying ‘Oh, I’m Eve Black’
On-going presence of
Eve Black and her presence During Childhood Years (possible emergence of MPD)
Over 14 months of the on-going therapy for MPD, Thigpen and Cleckley
continued with interviews; that lasted of a 100 hours in total and explored the
behaviours of EW and EB. Although sometimes EB would appear out of nowhere she
could be accessed by the therapists when EW was under hypnosis. EB had been
present in some childhood experiences, when she was consequently she was not
aware of this at all. EB was often the presence of mischievous events which as
a consequence led to EW being punished. For example EW has one childhood
experience where she was punished for going into the woods nearby her house
despite denying that she had been there. During the therapy treatment EB
admitted to being in the woods but ‘went
back inside’ in time for EW to get punished
and some of these incidents, revealed during the therapy were later substantiated
in the interviews with her husband and family.
Eve Blacks
personality and relationship to the husband and daughter
EB was irresponsible and shallow, looking for pleasure and excitement and
concealed identity from EW and husband and daughter. EB also denied marriage to
EW husband which she despised and denied any relationship to EW daughter. EW
was beaten by husband after shopping habits which plunged the family into debt.
She denied knowledge of the purchases, even when they were found in her house.
EB confirmed that she had indeed brought and hidden the clothes and was unmoved
by the impact this had on the relationship between EW and her husband. Some differences
in normal behaviour such as random aggressiveness were recorded by family
members and husband.
Personality Testing
Both EW and EB were given personality testing …
Test
|
EW
|
EB
|
IQ
|
110
|
104
|
Memory Function Test
|
Far Superior
|
|
Rorscach Test (ink blot)
|
Repressive (anxious,
obsessive-compulsive traits, rigidity, inability to deal with
hostility)
|
Regressive (much healthier but with a hysterical tendency)
|
Negotiating Time out
The goal at the end of the therapy was to leave Eve with only one
personality, however this was a proven task as EB could not be hypnotised, had
no sympathy for EW and didn’t cooperate with the therapists. It was found that
EB admitted to be the cause of the headaches and the imaginary voices plus
erasing some of EW memory. As EW became more aware of the presence of EB she
was able to prevent her ‘coming out’ on occasions, so negotiation was necessary
for EB to get more time out, which allowed EW to gain more control over EB and began
to excel in work and also left her husband. In effect of this all the headaches and
blackouts disappeared and everything seemed to be on track.
The Emergence of Jane
After 8 months EW headaches started to reoccur, she experienced more blackouts.
EB denied responsibility, generally EW seemed disorientated and confinement was
considered. Therapists could more easily
call out the personalities wanted to be studied at a given time and childhood
experiences were investigated under hypnosis. During an one episode EW appeared
to relax into a sleepy state then after a while her eyes opened and she stared blankly
around the room, with a changed mannerism she ask the therapist in a husky
voice ‘Who are you?’ it appeared that a third perosonality who called them
seleves jane emerged. Jane was fully aware of both of the other persnaloties
but neither of them were aware of her. Jane seemed more responsible than EB and
was more interesting than EW.
Testing the tree Personalities
and the differences between them
The three perosonalities underwent electroencephalograms (EEG’s) and they
were clearly diffrenent readings. EW and Jane showed 11 cycles per second
whilst EB showed 12.5 cycles per second,
The differences in perosonalities will be shown in a table below.
Eve White
|
Eve Black
|
Jane
|
-
Stressed , denial of occurrences that
ended up in a punishment
-
Demure and retired
|
-
No sympathy for EW
-
Denied responsibility of blackouts at
one point
-
Denied marriage to EW husband and
relationships to EW daughter
-
Carried herself in a better mannered
became more attractive, flirty and calm.
-
Allowed EW rot take responsibility
for her wrong doings.
|
-
Fully aware of the other two personalities
-
Most reasonable out of the other two
personalities
|
‘Killing off’ the
personalities
Therapy continued of all three of
the personalities. Jane was aware of both personalities and had some control
over EW and began taking over the tasks. But she couldn’t displace EB but could
determine when she was lying. Therapists believed that Jane was the personality
most likely to bring a solution to the troubled mind and her growing dominance
over the other personalities appeared to be the appropriate solution. Thigpen
and Cleckley do point out that ‘we have not judged ourselves as wise enough to
make more active decisions’ about how drama would develop, and they note problems
with ‘killing’ one or more of the personalities.
Conclusions
Thigpen and Cleckley offer no explanations, other than simply their explanation
and a request for further research into MPD.
Evaluation
What were the strengths of T&C method?
|
-
Psychometric testing used by T&C
allowed for an easy comparison between the diffrenent personalities
-
Filming their interviews and hypnosis
allowed for a lot of ricj and detailed analysis to occur
|
What were the weaknesses of T&C method?
|
-
Only one person considered to have
MPD was studied.
-
Hypnosis could have caused severe
psychological damage such as retrieving information that was considered as a
bad memory etc that the participant did not want to revisit.
|
How representative was the sample in T&C study?
|
-
Only one person being studied is not
reflective to the rest of the population however only a small percentage of
the population suffer with MPD which could be considered as a representative
sample from that point of view
|
What type of data was collected?
|
-
Both qualitative and quantitative
data was collected. Qualitative data was recorded by the comments made during
interviews and qualitative data was recorded during the IQ tests .
|
How useful was the research?
|
-
Hypnosis could be seen as an
appropriate way of treating MPD and also T&C method could be a
development point for the training of therapists.
|