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Check in: Multidimensional Inventory of Dissociation

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Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Sat Oct 15, 2011 12:27 pm

The Multidimensional Inventory of Dissociation (MID) is a very detailed diagnostic inventory developed by Dr. Paul F. Dell and published in 2006. It is a self-administered pen-and-paper assessment. You can download and print the free PDF (link below).

Scoring the results requires a programmed Excel spreadsheet. A therapist can get the spreadsheet from Dr. Dell by e-mail (*mod edit- please do not post email addresses, whether your own or others'*), or (preferred) ISSTD member therapists can download it from the ISSTD website members-only area.

Here is the abstract of the peer-reviewed article describing the MID and its validation:
J Trauma Dissociation. 2006;7(2):77-106. The Multidimensional Inventory of Dissociation (MID): A comprehensive measure of pathological dissociation. Dell PF. Trauma Recovery Center, Norfolk, VA, USA. *mod edit- email address removed*

This article describes the development and validation of the Multidimensional Inventory of Dissociation (MID). The MID is a 218-item, self-administered, multiscale instrument that comprehensively assesses the phenomenological domain of pathological dissociation and diagnoses the dissociative disorders. The MID measures 14 major facets of pathological dissociation; it has 23 dissociation diagnostic scales that simultaneously operationalize (1) the subjective/ phenomenological domain of pathological dissociation and (2) the hypothesized dissociative symptoms of dissociative identity disorder (Dell, 2001a). The MID was designed for clinical research and for diagnostic assessment of patients who present with a mixture of dissociative, posttraumatic, and borderline symptoms. The MID demonstrated internal reliability, temporal stability, convergent validity, discriminant validity, and construct validity. The MID also exhibited incremental validity over the Dissociative Experiences Scale (DES) by predicting an additional 18% of the variance in weighted abuse scores on the Traumatic Experiences Questionnaire (TEQ). Confirmatory factor analysis (CFA) did not support a one-factor model of the MID's clinical scales (i.e., the 14 facets and the 23 diagnostic symptoms). In contrast, however, CFA of the MID's factor scales (Dell & Lawson, 2005) has strongly supported a one-factor model. It was concluded that both the MID's 168 dissociation items and the construct of pathological dissociation have a second-order, unifactorial structure.


PDF Download: Multidimensional Inventory of Dissociation *mod edit- link amended*
Last edited by lilyfairy on Fri Nov 09, 2018 11:59 am, edited 1 time in total.
Reason: Link removed/amended
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Re: Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Sat Oct 15, 2011 12:39 pm

I posted this in another thread back in August, but it seems like a good idea to start a "check in" thread just for the MID. So here is my "check in".

MID results for me were consistent with my understanding of my situation: diagnosis DDNOS Type 1 (DID-like) or DID, plus PTSD; significant somatization and Schneiderian first rank symptoms, no schizophrenia, no personality aka character disorder.

I scored very low on "made feelings", so low that my T and I checked for data entry errors and we concluded that I had systematically scored myself in an unusual way on all questions concerning mood. I understood mood as referring to emotional climate whereas it was meant to refer to emotional weather. My T says my climate is stable from session to session but my weather is often extreme with rapid changes. Weeping one minute, laughing and cheerful the next. This is true. She say she sees this consistently in her DID clients and the variable affect is easy to mistake for bipolar disorder but it is totally different. The difference is that with DID the affect varies in accord with the varied thoughts and attitudes of the alters; the affect is consistent and what actually varies is the source identity that is producing the affect.
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Re: Check in: Multidimensional Inventory of Dissociation

Postby dividedtruth89 » Sat Oct 15, 2011 1:27 pm

Una+ wrote: I understood mood as referring to emotional climate whereas it was meant to refer to emotional weather. My T says my climate is stable from session to session but my weather is often extreme with rapid changes. Weeping one minute, laughing and cheerful the next. This is true. She say she sees this consistently in her DID clients and the variable affect is easy to mistake for bipolar disorder but it is totally different.
Una, this really interests me and I wonder if you could expand on this just a little more, or if you feel more comfortable, in a PM. This is my behavior consistently in therapy. No emotion, then bawling in audible sobs, then totally chill and even laughing. Is this not normal? When someone gets done crying are they supposed to be sad for a really long time :lol: ? Sorry I know I am over-analyzing, I am just confused over mood vs. weather vs. climate, whatever.

Lol I just started RECENTLY to truly understand mood, emotions, and how they are all defined; I never used to use the word "sad" for example, I just said "I feel aweful" or "I feel horrible" etc. :lol: Slow learner alert...
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Re: Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Sat Oct 15, 2011 2:26 pm

Extreme emotional variability, also known as emotional dysregulation, is not normal. It is a common symptom seen in people diagnosed with bipolar disorder, borderline personality disorder, complex PTSD, and DID. Many people who experienced significant childhood trauma have a small emotional vocabulary. There is a special word for this: alexithymia. Sometimes we even misuse words. When a parent tells you "I hit you because I care" then the word "care" tends to take on a meaning something like "hate".

My current favorite emotional vocabulary list is this PDF on Byron Katie's website: TheWork.com: Emotions and Reactions List.

Wikipedia: Alexithymia
Wikipedia: Emotional dysregulation
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Re: Check in: Multidimensional Inventory of Dissociation

Postby dividedtruth89 » Sat Oct 15, 2011 2:35 pm

Thanks for those links Una. My T labeled some of my experiences as "emotional dysregulation" once, but I figured this was something everyone experienced. It makes sense that it is associated with early psychological trauma...
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Postby Kerry H » Wed Oct 19, 2011 11:00 am

Bump to the top. X
I feel like hiding.
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Re: Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Thu Aug 23, 2012 3:49 pm

Una wrote:The Multidimensional Inventory of Dissociation (MID) is a very detailed diagnostic inventory developed by Dr. Paul F. Dell and published in 2006. It is a self-administered pen-and-paper assessment. You can download and print the free PDF (link below).

The link in the first post in this thread is to an article about the MID that does not now include the MID itself. Below is a link to a PDF that does include the MID. It is Appendix 3 from the book Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders, Second Edition, by James A. Chu, MD, Copyright 2011 John Wiley & Sons, Inc.

Wiley.com: Rebuilding Shattered Lives: Treating Complex PTSD and Dissociative Disorders
Wiley.com: Appendix 3: The Multidimensional Inventory of Dissociation (MID)
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Re: Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Tue Mar 05, 2013 3:53 pm

This post is an update on my diagnosis using the MID. Now that I have more internal communication and have discovered more recent lost time, based on the MID my diagnosis is now DID (not DDNOS-1), PTSD, and Somatoform Disorder. I totally agree. The PTSD symptoms (flashbacks) and somatoform symptoms (recurrent pain without organic cause) are now mostly gone, so that leaves only the DID but my level of distress is now low and going lower. I can see on the horizon a time when all these valid diagnoses will no longer apply. Whether we reach full fusion or not, we are going to be a-okay!
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Re: Check in: Multidimensional Inventory of Dissociation

Postby lifelongthing » Tue Mar 05, 2013 6:50 pm

That is wonderful Una+. I am happy to follow your journey on here.
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Re: Check in: Multidimensional Inventory of Dissociation

Postby Una+ » Tue Mar 05, 2013 7:09 pm

lifelongthing wrote:That is wonderful Una+. I am happy to follow your journey on here.

Thank you. I wish you and everyone here an equally rapid resolution of whatever symptoms or other issues are causing you distress.
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