Can anyone describe to me what it is to be in "the revolving door" in your own words? I've researched it online, but for some reason am not entirely clear on it.
Is it a lot of alters coming forward, sort of like rapid switching?
Moderators: Snaga, NewSunRising, lilyfairy
Thought Disorder
At times, MPD patients may appear to have a profound thought disorder. This is caused by a dissociative phenomenon known as "rapid switching" or the "revolving-door crisis," which occurs when no single alter personality is able to gain and maintain control over the patient's behavior. The revolving-door phenomenon often follows and further contributes to a personal crisis by producing a marked psychosis-like picture. The patient appears to be extremely affectively labile, typically cycling rapidly through a wide range of inappropriate emotions. The patient will appear to have signs of a major thought disorder, including blocking, thought withdrawal, and "word salad" speech. In a revolving-door crisis, the patient may exhibit extreme ambivalence, doing and undoing some act in a psychotic or perseverative fashion.
What is happening is that the patient is failing to stabilize in a single alter personality state long enough to carry on coherent and integrated behavior. A series of alters are whizzing by, and the lability, incoherence, and ambivalence manifested by the patient represents the sum total of his or her often incompatible affects and behaviors. Rapid cycling may represent a struggle among alters for control of behavior, each attempting to displace the others; or it may be caused by an abandonment of control, during which the major personalities have surrendered executive control and other alters, often unwillingly, are being thrust into this vacuum. Probably the most important feature that distinguishes this presentation from a true thought disorder is that it is usually transient and can be related to a specific crisis. MPD patients do not show a true sustained thought disorder, such as is often found in schizophrenia (Coons, 1984; Putnam et al, 1984). A more extensive discussion of revolving-door crises follows in Chapter Eleven.
Return to Dissociative Identity Disorder Forum
Users browsing this forum: No registered users and 138 guests