lb_lee: A happy little brain with a bandage on it, enclosed within a circle with the words LB Lee. (Default)
lb_lee ([personal profile] lb_lee) wrote2010-01-18 02:08 am

Integration Statistics

So, I took advantage of my student status to drag up follow-up studies on folks with DID, to see how many multiples achieved integration and held on to it.

Here are the results.  Note the small sample sizes; I guess us multis are hard to chase down for studies.

First, according to Kluft, integration

Coons, Philip M. and Bowman, Elizabeth S. (2001). Ten-year follow-up study of patients with dissociative identity disorder. Journal of Trauma & Dissociation, vol. 2, issue 1, pg. 73-89.

Twelve systems, checked up after ten years.  Six integrated, but two of the integrations ended up collapsing, so only four stayed integrated.  One out of three success rate.

Ellason, Joan W. and Ross, Colin A. (1996). Million Clinical Multiaxial Inventory-II follow-up of patients with dissociative identity disorder. Psychological Reports, vol. 78, issue 3, pg. 707-716.

Thirty five systems, checked up on after two years.  Eight integrated during the follow-up period.  Only abstract available, so no idea if any relapsed, or any other criteria.  Less than one in four success rate.

Ellason, Joan W. and Ross, Colin A. (1997).Two-year follow-up of inpatients with dissociative identity disorder.  The American Journal of Psychiatry, vol. 154, issue 6, pg. 832-839.

Fifty-four systems, checked up on after two years, all from one hospital in Dallas.  It was unclear whether the integrated patients had integrated during the course of those two years, or had integrated beforehand; also unknown was when they had gotten their diagnoses.  Regardless, sixty percent of the patients maintained integration.

I can't help but wonder WHY this procedure is so vaunted when they can't even get a study on it with any decent-sized sample.  And what I do see about its success rates ain't exactly giving me great feelings.

[identity profile] worldofcharlie.livejournal.com 2010-01-18 08:10 pm (UTC)(link)
I noticed that most of the periodicals you have listed are over 10 years old...and believe it or not...mental health profession has changed their stance on MPD/DID quite a bit since then (even with the last revision of the DSM, quite a bit of the old defintion was removed)...

But there are therapists that belong in several camps: some that don't believe there's such thing as disassociation/multiple personalities, then those that just want to only talk to the "host" and want to integrate everyone...

Usually camp #2 - are really inexperienced therapists.

The thing is - If the system/folks feel that's what they need - I'm not going to convince them otherwise, but I also don't believe in forcing it (integration) either. You can be disordered and be multiple...that exists as well as being healthy and multiple.

Integration isn't used as often as a therapy tool/plan as it used to be. MPD/DID also isn't diagnosed as often either...

Too bad that you don't have recent data...on this...cause basically DID isn't really diagnosed anymore...why you might not find any...

[identity profile] lb-lee.livejournal.com 2010-01-19 02:10 am (UTC)(link)
I'd love to have a newer study, but alas alack: there weren't any. Those are the only three follow-up studies I could find, period. They're few and far between, it seems.

[identity profile] dante-deo.livejournal.com 2010-01-18 10:56 pm (UTC)(link)
We were so problematic that the psychiatric community has effectively decided that we don't exist any more.

xD