Meeting the needs of clients with dissociative identity disorder: considerations for psychotherapy.

Ringrose, Jo L.
British Journal of Guidance & Counselling, Aug2011, Vol. 39 Issue 4, p293-305, 13p
Psychotherapy for clients with Dissociative Identity Disorder (DID) is different to therapy with most clients because these clients are multiple, comprising one or more host, and one or more alter personalities.
The necessary components to be addressed in order that clients can live successfully either as a multiple or as an integrated person are outlined, discussed and critiqued.
These include increasing awareness and understanding between the host(s) and the alter(s) and encouraging communication and collaboration between the identities through psycho-education.
As trauma material has not been fully realised, a key component of therapy is working through trauma events; the BASK model is introduced as a method to facilitate this process. Finally, considerations for integration are evaluated and discussed.
The authors use the term “live successfully” rather than symptom free, healed, or other words that would suggest the malady is gone, in remission, or under control. Living successfully, in the MPD/DID community has a definition of its own that seem to include anything other than living a life of productivity and responsibility like the rest of us.
What the authors should be required to tell you is that the therapy they sell is often life-long and once you enter, you don’t usually find the way out because there is none. According to MPD/DID therapists, working through trauma is a process that takes years, sometimes decades, and often your entire life.
Leave a comment


  1. Hello Keith, Good to hear from you.

    I am not suggesting that psychotherapists are intentionally hooking clients in life-long treatment, rather, it seems to be the nature of treatment for DID.

    I agree, there is an acceptance that some mental health patients are not expected to heal and live free of care takers.


  2. keith

     /  12/10/2013

    Jeanette, you refer to the term “live successfully” in disparaging terms, as if accusing the authors of some malicious intent, to hook paying clients forever etc etc.

    The fact is that in the UK government published white papers on mental health provision and treatment, do not provide any mention of recovery. The entire approach of mental health treatment in the UK is positioned behind phrases such as “live successfully”, its part of the culture of the NO-SUCCESS-EVER EXPECTED mental health provision here in the UK.




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