DSM-5 Dissociative Identity Disorder

I. Dissociative Disorders

The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) was released May 18, 2013. The DSM criteria and explanations listed here are not meant to self-diagnose, but instead are given to help improve public understanding of dissociative identity disorder. A trauma specialist with experience in the dissociative disorders should be contacted if you suspect you have any dissociative disorder. Many mental health professionals lack the training needed to recognize and treat this class of disorders.

II. Diagnostic and Statistical Manual of Mental Disorders DSM-5 (300.14)
criteria for Dissociative Identity Disorder

Disruption of identity characterized by two or more distinct personality parts. This disruption may be observed by others, or reported by the patient.

True amnesia, rather than dissociative amnesia.

The disturbance is not a normal part of broadly accepted cultural, religious practice, or part of the normal fantasy play of children.

The last two points are commonly stressed with any mental illness.

Causes clinically significant distress and impairment in social, occupational, or other important areas of functioning.

The disturbance is not due to the direct physiological effects of a substance.







Structural dissociation of the personality

III. History of the Diagnostic and Statistical Manual of Mental Disorders-5

The the Diagnostic and Statistical Manual of Mental Disorders-i was published in 1952, followed in 1968 with the DSM II. The DSM III was published in 1980, and the DSM-IV in 1994. The most current version is the DSM-5 was released in May 2013.

Changes from the DSM-IV to the DSM-5
The following changes to the DSM-IV were suggested by the DSM-5 work committee.

  1. Clarification of language.
  2. Different states can be reported or observed. Including Trance and Possession
  3. Mention of experience of possession increases global utility.
  4. Amnesia for everyday events is a common feature.  
  5. Differentiate normative cultural experiences from psychopathology. (Siegel 2011)
Changes from the DSM I to the DSM II

The first time there was mention of the subject of this site in the DSM was in volume II under the heading of Neuroses (300). On page 39, are the subheadings including "hysterical neurosis conversion type (300.13)." As a subheading under this was "hysterical neurosis dissociative type (300.14) which was described as "In the dissociative type, alterations may occur in the patient's state of consciousness or in his identity, to produce such symptoms as amnesia, somnambulism, fugue and multiple personalities.


Changes from the DSM I to the DSM II
It was in 1980 that multiple personality disorder was finally recognized as a condition on it's own. The DSM-III changed multiple personality from a symptom of "hysterical neurosis conversion type to it's own diagnosis - multiple personality disorder.

Dissociative Identity Disorder


Misconceptions, personal bias, media sources, and various forms of denial have worked together to distort the presentation, epidemiology and etiology of dissociative identity disorder, a mental illness often associated with extreme and early child abuse and neglect, and the spread of misinformation has been going on for decades.


To have dissociative identinty disorder is like being a puppet,
with many masters pulling your strings,
and each master is blind to what the other is doing.

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