Assessing malingering and personality styles in dissociative identity disorder: a case study

Neurocase. 2023 Oct;29(5):141-150. doi: 10.1080/13554794.2024.2348218. Epub 2024 May 4.

Abstract

Dissociative Identity Disorder (DID), formerly Multiple Personality Disorder, involves two or more distinct identities controlling behaviour, stemming from trauma-related dissociation. Understanding DID's cognitive, neural, and psychometric aspects remains a challenge, especially in distinguishing genuine cases from malingering. We present a case of a DID patient with nine identities, evaluated to rule out malingering. Using the Millon Index of Personality Styles, we assessed the primary and two alternate identities, revealing marked differences. High consistency scores support validity. We suggest employing personality inventories beyond symptomatology to characterise dissociative identities' consistency and adaptation styles, aiding in malingering assessments in future studies.

Keywords: Dissociative identity disorder; adolescent; malingering; personality; psychiatry.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dissociative Identity Disorder* / diagnosis
  • Dissociative Identity Disorder* / psychology
  • Female
  • Humans
  • Male
  • Malingering* / diagnosis
  • Personality / physiology