An exploration of dissociative identity disorder and an attachment disorder - incorporating a male perspective

The foundation for this thesis was extrapolated from a case study of a male with Dissociative Identity Disorder. This study explores one man's joumey of survival and the recurring issues that have deterred his complete healing. Sexual abuse is examined in its social and political context as weU as issues related to male victimization. The myths and stereotypes surrounding males who have been sexually abused are addressed. The notion that only women are sexually abused and that men abuse, is challenged. This case is analyzed by focusing on the traum~ the immediate effects, the Immediate adaptation and the long term consequences. The long term effeets are addressed in-depth and focus on issues such as grief and loss and attachment related difficulties. The theory that links attachment in infancy and attachment-related trauma ta later dissociative syrnptoms is addressed. Also, the notion that abuse is often symptomatic of the system ofcaregiving within the family is argued. The nature and duration ofthe abuse is not random, but systematically related to the family' s functioning. ln tbis respect, Dissociative ldentity Disorder is viewed as an adaptive technique resulting from an abusive situation, rather than a pathology. The importance of incorporating a loss model in treating these individuals is emphasized by addressing non-bereavement losses and attachment related issues.

Dissertation

English

Laurie Boume-MacKeigan

Boume-MacKeigan, L. (2008, August). An exploration of dissociative identity disorder and an attachment disorder - incorporating a male perspective. (Master's thesis, McGill University)