The Persistence of Folly: A Critical Examination of Dissociative Identity Disorder. Part I. The Excesses of an Improbable Concept

Piper, August; Merskey, Harold

doi:10.1177/070674370404900904

Cited by 109Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchMental Health and Psychiatry

The Persistence of Folly: A Critical Examination of Dissociative Identity Disorder. Part I. The Excesses of an Improbable Concept

Piper, August, Merskey, Harold·2004·The Canadian Journal of Psychiatry

DOI 10.1177/070674370404900904

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Abstract

Objective: To examine the concept of dissociative identity disorder (DID). Method: We reviewed the literature. Results: The literature shows that 1) there is no proof for the claim that DID results from childhood trauma; 2) the condition cannot be reliably diagnosed; 3) contrary to theory, DID cases in children are almost never reported; and 4) consistent evidence of blatant iatrogenesis appears in the practices of some of the disorder's proponents. Conclusions: DID is best understood as a culture-bound and often iatrogenic condition.

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Alters often vary in memory access, self-image, and gender identity.
“These alters often vary in memory access, self -image, and gender identity (Piper and Merskey, 2004).”
From Examining the linguistic and behavioural patterns of gender identity in women with dissociative identity disorder (2025) · cites this paper as Piper and Merskey, 2004
The pattern of intensified abuse recollections aligns with trauma-narrative structures in DID.
“This pattern aligns with trauma-narrative structures in DID (Piper and Merskey, 2004).”
From Examining the linguistic and behavioural patterns of gender identity in women with dissociative identity disorder (2025) · cites this paper as Piper and Merskey, 2004

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Staff Nurse, Nottinghamshire Healthcare NHS Trust, UK
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Authors: Piper, A., & Merskey, H.
Affiliations: Independent practitioner, Seattle, Washington
Western University (CA)
Venue: The Canadian Journal of Psychiatry
Publisher: SAGE Publications
Published: 2004-09
Volume: 49
Issue: 9
Pages: 592-600
ISSN: 0706-7437 (ISSN-L)
1497-0015
DOI: 10.1177/070674370404900904
OpenAlex: W152780911
Cited by: 109
References: 136
Citations by year: 2025: 4 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 5 · 2017: 9 · 2016: 8 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 12
FWCI: 1.04
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Canadian Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords: dissociative identity disorder, childhood trauma, diagnostic reliability, iatrogenesis, culture-bound syndromes, psychiatric diagnosis, psychopathology
MeSH terms: Adult, Child, Dissociative Disorders, Humans, Severity of Illness Index, Stress Disorders, Post-Traumatic

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The Persistence of Folly: A Critical Examination of Dissociative Identity Disorder. Part I. The Excesses of an Improbable Concept

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