Split Sciences: The Legal Accountability of Patients With Dissociative Identity Disorder

2021 ◽  
Vol 10 (4) ◽  
Author(s):  
Madhalasa Iyer ◽  
James Neve

The thriller “Split” by M. Night Shyamalan showed a glimpse into the multiple personalities of the antagonist in the film. While many elements were added for intense suspense, the existence of such a disorder was factual. Dissociative Identity Disorder is defined by the American Psychiatric Association as a “psychological illness with 2 or more distinct identities, each accompanied by changes in behavior, memory, and thinking” (American Psychiatric Association). In a legal setting, the actions of the patients with DID have numerous ramifications. This paper aims to illustrate how the accountability of DID patients during a crime should be assessed. To find out how DID patients could be held accountable, we analyzed the disorder by researching the transformations in the brain, identified its origins, and explored the consequences in a judicial milieu. After conducting this research, we identified the solution that could be seamlessly embedded into our current society and benefit the patient as well as the courts. Through the analysis of the psychological disorder with a social lens, we evaluated that the jury and the public should be made more aware of the disorder and the court should not automatically assume innocence based on just the Insanity Defense. This plan is the best course of action for patients and the court systems and also aims to adapt societal thought to be more aware of DID’s difficulties. 

2015 ◽  
Vol Ano 5 ◽  
pp. 32-37 ◽  
Author(s):  
MIRIAN PEZZINI DOS SANTOS ◽  
LIDIANE DOTTA GUARIENTI ◽  
PEDRO PAIM SANTOS ◽  
EDUARDO FERREIRA DAURA ◽  
ADRIANA DENISE DAL’PIZOL

Na prática clínica, deparamo-nos com um grande número de pacientes vítimas de violência, sobretudo durante fases precoces do desenvolvimento, uma das causas centrais na etiologia dos transtornos dissociativos (ou transtorno de estresse pós-traumático complexo). Este artigo descreve o caso de um paciente diagnosticado com transtorno dissociativo de identidade após permanecer sintomático por 10 anos e comenta sobre o manejo e os desafios no tratamento desses pacientes.


2021 ◽  
Vol 30 (4) ◽  
pp. 694-701
Author(s):  
Michael J. Vitacco ◽  
Alynda M. Randolph ◽  
Rebecca J. Nelson Aguiar ◽  
Megan L. Porter Staats

AbstractNeuroimaging offers great potential to clinicians and researchers for a host of mental and physical conditions. The use of imaging has been trumpeted for forensic psychiatric and psychological evaluations to allow greater insight into the relationship between the brain and behavior. The results of imaging certainly can be used to inform clinical diagnoses; however, there continue to be limitations in using neuroimaging for insanity cases due to limited scientific backing for how neuroimaging can inform retrospective evaluations of mental state. In making this case, this paper reviews the history of the insanity defense and explains how the use of neuroimaging is not an effective way of improving the reliability of insanity defense evaluations.


2020 ◽  
pp. 191-202
Author(s):  
Iris Berent

At the “age of the brain,” one would expect the public to view psychiatric disorders as “diseases like all others.” But mental illness still carries a significant social stigma that deprives them of employment, housing, and social opportunities. Invoking the brain as the source of disease helps reduce stigma, but it elicits curious fatalistic reactions. People believe that if the disease is “in the brain,” then it is more severe, incurable, and resistant to psychotherapy. And it is not only the general public that is taken by such misconceptions. Patients believe the same, and so do even trained clinicians. Why do psychiatric disorders elicit such persistent misconceptions? No one would shun a cancer patient because she has a tumor in her breast. Why shun the sufferer of a disorder that ravages the brain? And why believe brain diseases are incurable? This chapter traces the misconceptions of brain disorders to the core knowledge of Dualism and Essentialism. Dualism prompts us to presume that the mind and matter don’t mix and match; if the disease is “in your brain matter,” then, in our intuitive psychology, ephemeral “talk therapy” won’t do. Essentialism further compels us to believe that what’s “in” our material body is innate, hence, immutable, so biology is truly destiny. Thus, the same core knowledge principles that plague our self-understanding in health also derail our reasoning about psychiatric disease.


2020 ◽  
pp. 1-14 ◽  
Author(s):  
Rosalind D. Butterfield ◽  
Jennifer S. Silk ◽  
Kyung Hwa Lee ◽  
Greg S. Siegle ◽  
Ronald E. Dahl ◽  
...  

Abstract Anxiety is the most prevalent psychological disorder among youth, and even following treatment, it confers risk for anxiety relapse and the development of depression. Anxiety disorders are associated with heightened response to negative affective stimuli in the brain networks that underlie emotion processing. One factor that can attenuate the symptoms of anxiety and depression in high-risk youth is parental warmth. The current study investigates whether parental warmth helps to protect against future anxiety and depressive symptoms in adolescents with histories of anxiety and whether neural functioning in the brain regions that are implicated in emotion processing and regulation can account for this link. Following treatment for anxiety disorder (Time 1), 30 adolescents (M age = 11.58, SD = 1.26) reported on maternal warmth, and 2 years later (Time 2) they participated in a functional neuroimaging task where they listened to prerecorded criticism and neutral statements from a parent. Higher maternal warmth predicted lower neural activation during criticism, compared with the response during neutral statements, in the left amygdala, bilateral insula, subgenual anterior cingulate (sgACC), right ventrolateral prefrontal cortex, and anterior cingulate cortex. Maternal warmth was associated with adolescents’ anxiety and depressive symptoms due to the indirect effects of sgACC activation, suggesting that parenting may attenuate risk for internalizing through its effects on brain function.


1984 ◽  
Vol 12 (1) ◽  
pp. 93-102
Author(s):  
Randy G. Lagrone ◽  
Don C. Combs

The insanity defense, so named from the verdict of “not guilty by reason of insantiy” (NGRI), has been a source of empassioned debate since its inception. More recently, the NGRI controversy was renewed by the verdict of NGRI in the case of John Hinckley, Jr. This article examines various issues and alternatives to the insanity defense, i.e., “guilty but mentally ill” (GBMI) and “not responsible by reason of insanity” (NRRI), that are evolving in the public arena today. An argument favoring NRRI is presented.


Author(s):  
A Muhiddinov

The article deals with the problem of scientific identificationof multiplexing at different levels of codification (biomolecular, psychological,socio-cultural) of verbal information. The article shows the specifics of multiplexingmechanisms in the form of biomolecular codification in the deep layers of the brain,mental codification in the consciousness of a language personality, socio-culturalcodification in the public consciousness of a language community, and thepeculiarity of multiplex representation of information in the virtual media space.


2003 ◽  
Vol 6 (4) ◽  
pp. 325-325 ◽  
Author(s):  
Suzana Herculano-Houzel
Keyword(s):  

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