At cocktail parties, I played the part of a successful businessman's wife to perfection. I smiled, I made polite chit-chat, and I dressed the part. Denial and rationalization were two of my most effective tools in working my way through our social obligations. I believed that playing the roles of wife and mother were the least I could do to help support Tom's career.During the day, I was a puzzle with innumerable pieces. One piece made my family a nourishing breakfast. Another piece ferried the kids to school and to soccer practice. A third piece managed to trip to the grocery store. There was also a piece that wanted to sleep for eighteen hours a day and the piece that woke up shaking from yet another nightmare. And there was the piece that attended business functions and actually fooled people into thinking I might have something constructive to offer.I was a circus performer traversing the tightwire, and I could fall off into a vortex devoid of reality at any moment. There was, and had been for a very long time, an intense sense of despair. A self-deprecating voice inside told me I had no chance of getting better. I lived in an emotional black hole.p20-21, talking about dissociative identity disorder (formerly multiple personality disorder).

كان علىّ أن أحاول أن أوفق بين فكرتي عن نفسي كإنسانة تتكلم بهدوء ومنضبطة تماما, إنسانة على الأقل حساسة عموما لأمزجة ومشاعر الآخرين.. وبين امرأة ساخطة ومجنونة تماما وفاقدة لكل منافذ السيطرة على النفس والتفكير العقلاني

I remembered during puberty, through the anorexic mists of intermittent menstrual cycles, that man, my father, lifting Shirley's nightdress over her head and asking her in his mocking way to choose what colour condom she wanted. 'Red or yellow?' Which did she choose? I can't remember. Perhaps she alternated. Perhaps there were other colours. It didn't happen once. It happened again and again. I had no power to stop it. That man, my father, had some control over me. I was drugged by the black silence in that big house, the vile whiff of aftershave, the crushing torment of inevitability. My father fucked Shirley using red or yellow condoms and it was those condoms that brought it all to an end. It was my last realization of the day; any more would have been too much to contemplate. That time when my mother had found used condoms in bedroom, he had admitted, after a pointless burst my father's of denial, that he had been going to prostitutes. That was no doubt true but I can't imagine clients take used condoms away with them; prostitutes would surely get rid of the things. No. My father kept those used condoms as a prize. He was fucking his fourteen-year-old-daughter. He was proud of it. Rebecca welled up with tears. Poor thing, she kept saying. Poor thing.

Capitalist realism insists on treating mental health as if it were a natural fact, like weather (but, then again, weather is no longer a natural fact so much as a political-economic effect). In the 1960s and 1970s, radical theory and politics (Laing, Foucault, Deleuze and Guattari, etc.) coalesced around extreme mental conditions such as schizophrenia, arguing, for instance, that madness was not a natural, but a political, category. But what is needed now is a politicization of much more common disorders. Indeed, it is their very commonness which is the issue: in Britain, depression is now the condition that is most treated by the NHS. In his book The Selfish Capitalist, Oliver James has convincingly posited a correlation between rising rates of mental distress and the neoliberal mode of capitalism practiced in countries like Britain, the USA and Australia. In line with James’s claims, I want to argue that it is necessary to reframe the growing problem of stress (and distress) in capitalist societies. Instead of treating it as incumbent on individuals to resolve their own psychological distress, instead, that is, of accepting the vast privatization of stress that has taken place over the last thirty years, we need to ask: how has it become acceptable that so many people, and especially so many young people, are ill?

The word is dissociate. There is no 'a' before the invariably say dis-a-ssociate, which, if you're suffering Disso-ciative Identity Disorder/Multiple Personality Disorder, can be irritating. People then want to know how many personalities I have and the answer is: I don't know. The first book about Multiple Personality Disorder to make an impact was Flora Rheta Schreiber's Sybil, published in 1973, which carries the subtitle: The True and Extraordinary Story of a Woman Possessed by Sixteen Separate Personalities. Corbett H. Thigpen and Hervey M. Cleckley published the controversial The Three Faces of Eve much earlier in 1957, and Pete Townshend from The Who wrote the song 'Four Faces'. People seem to feel safe with numbers. The truth is more complicated. The kids emerged over time. Billy, the boisterous five-year-old, was at first the most dominant. But he slowly stood aside for JJ, the self-confident ten-year-old who appears when Alice is under stress and handles complicated situations like travelling on the Underground and meeting new people. The first entity to visit was the external voice of the Professor. But he had a choir of accomplices without names. So, how many actual alter personalities are there? I would say more than fifteen and less than thirty, a combination of protectors, persecutors and friends - my own family tree.

Dr. Talbon was struck by another very important thing. It all hung together. The stories Cheryl told — even though it was upsetting to think people could do stuff like that — they were not disjointed They were not repetitive in terms of "I've heard this before". It was not just she'd someone trying consciously or unconsciously to get attention. really processed them out and was done with them. She didn't come up with them again [after telling the story once and dealing with it]. Once it was done, it was done. And I think that was probably the biggest factor for me in her believability. I got no sense that she was using these stories to make herself a really interesting person to me so I'd really want to work with her, or something. Or that she was just living in this stuff like it was her life. Once she dealt with it and processed it, it was gone. We just went on to other things. 'Throughout the whole thing, emotionally Cheryl was getting her life together. Parts of her were integrating where she could say,"I have a sense that some particular alter has folded in with some basic alter", and she didn't bring it up again. She didn't say that this alter has reappeared to cause more problems. That just didn't happen. The therapist had learned from training and experience that when real integration occurs, it is permanent and the patient moves on.

When your mind wants to bolt, but your heart hangs on, it is because you don’t know with absolute certainty what the truth is. When you waste so much time on something that you want to believe is true, you begin to overthink things. Eventually, something obvious becomes twisted into something absurd, which keeps us from believing a simpler answer. Over time, you believe your own lies and fantasies to shield yourself from hurt, when following what is logical would have been the quickest way to healing. It is through your own self-imposed delusions that you lose your perspective. The world then becomes different to you when in fact you are different. Why? Because your own ego gets in the way. Everyone wants to feel special. Everyone wants to have faith in others. Everyone wants to believe in fairytales, happy endings and have all bad interactions with others explained. It is easier to sit in denial with your delusions and pray God will intervene, not realizing he has. He gave you commonsense and intuition, but you didn’t like how it made you feel. This is what true mental illness really is: Following your gut instinct through hell because you want to prove you are right, either to yourself or others. You sacrifice choosing to do right, in order to avoid pain. However, you don't realize that you have been in pain for a really long time and believed this was how happiness felt.

Haymitch isn't thinking of arenas, but something else. "Johanna's back in the hospital."I assumed Johanna was fine, had passed her exam, but simply wasn't assigned to a sharp shooters' unit. She's wicked with a throwing axe but about average with a gun. "Is she hurt? What happened?""It was while she was on the Block. They try to ferret out a soldier's potential weakness. So they flooded the street, " says Haymitch.This doesn't help. Johanna can swim. At least, I seem to remember her swimming around some in the Quarter Quell. Not like Finnick, of course, but none of us are like Finnick. "So?""That's how they tortured her in the Capitol. Soaked her then used electric shocks," says Haymitch. "In the Block, she had some kind of flashback. Panicked, didn't know where she was. She's back under sedation." Finnick and I just stand there as if we've lost the ability to respond.I think of the way Johanna never showers. How she forced herself into the rain like it was acid that day. I had attributed her misery to morphling withdrawal. "You two should go see her. You're as close to friends as she's got," says Haymitch.That makes the whole thing worse. I don't really know what's between Johanna and Finnick, but I hardly know her. No family. No friends.Not so much as a token from District 7 to set beside her regulation clothes in her anonymous drawer.Nothing.

As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept.Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)

Working simultaneously, though seemingly without a conscience, was Dr. Ewen Cameron, whose base was a laboratory in Canada's McGill University, in Montreal. Since his death in 1967, the history of his work for both himself and the CIA has become known. He was interested in 'terminal' experiments and regularly received relatively small stipends (never more than $20,000) from the American CIA order to conduct his work. He explored electroshock in ways that offered such high risk of permanent brain damage that other researchers would not try them. He immersed subjects in sensory deprivation tanks for weeks at a time, though often claiming that they were immersed for only a matter of hours. He seemed to fancy himself a pure scientist, a man who would do anything to learn the outcome. The fact that some people died as a result of his research, while others went insane and still others, including the wife of a member of Canada's Parliament, had psychological problems for many years afterwards, was not a concern to the doctor or those who employed him. What mattered was that by the time Cheryl and Lynn Hersha were placed in the programme, the intelligence community had learned how to use electroshock techniques to control the mind. And so, like her sister, Lynn was strapped to a chair and wired for electric shock. The experience was different for Lynn, though the sexual component remained present to lesser degree...

Suicide is a form of murder— premeditated murder. It isn’t something you do the first time you think of doing it. It takes some getting used to. And you need the means, the opportunity, the motive. A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.It’s important to cultivate detachment. One way to do this is to practice imagining yourself dead, or in the process of dying. If there’s a window, you must imagine your body falling out the window. If there’s a knife, you must imagine the knife piercing your skin. If there’s a train coming, you must imagine your torso flattened under its wheels. These exercises are necessary to achieving the proper distance.The debate was wearing me out. Once you've posed that question, it won't go away. I think many people kill themselves simply to stop the debate about whether they will or they won't. Anything I thought or did was immediately drawn into the debate. Made a stupid remark—why not kill myself? Missed the bus—better put an end to it all. Even the good got in there. I liked that movie—maybe I shouldn’t kill myself.In reality, it was only part of myself I wanted to kill: the part that wanted to kill herself, that dragged me into the suicide debate and made every window, kitchen implement, and subway station a rehearsal for tragedy.

For three days and three nights, Phædrus stares at the wall of the bedroom, his thoughts moving neither forward nor backward, staying only at the instant. His wife asks if he is sick, and he does not answer. His wife becomes angry, but Phædrus listens without responding. He is aware of what she says but is no longer able to feel any urgency about it. Not only are his thoughts slowing down, but his desires too. And they slow and slow, as if gaining an imponderable mass. So heavy, so tired, but no sleep comes. He feels like a giant, a million miles tall. He feels himself extending into the universe with no limit. He begins to discard things, encumbrances that he has carried with him all his life. He tells his wife to leave with the children, to consider themselves separated. Fear of loathsomeness and shame disappear when his urine flows not deliberately but naturally on the floor of the room. Fear of pain, the pain of the martyrs is overcome when cigarettes burn not deliberately but naturally down into his fingers until they are extinguished by blisters formed by their own heat. His wife sees his injured hands and the urine on the floor and calls for help. But before help comes, slowly, imperceptibly at first, the entire consciousness of Phædrus begins to come apart — to dissolve and fade away. Then gradually he no longer wonders what will happen next. He knows what will happen next, and tears flow for his family and for himself and for this world.

Other personalities are created to handle new traumas, their existence usually occurring one at a time. Each has a singular purpose and is totally focused on that task. The important aspect of the mind's extreme dissociation is that each ego state is totally without knowledge of the other. Because of this, the researchers for the CIA and the Department of Defense believed they could take a personality, train him or her to be a killer and no other ego stares would be aware of the violence that was taking place. The personality running the body would be genuinely unaware of the deaths another personality was causing. Even torture could not expose the with, because the personality experiencing the torture would have no awareness of the information being sought. Earlier, such knowledge was gained from therapists working with adults who had multiple personalities. The earliest pioneers in the field, such as Dr. Ralph Alison, a psychiatrist then living in Santa Cruz, California, were helping victims of severe early childhood trauma. Because there were no protocols for treatment, the pioneers made careful notes, publishing their discoveries so other therapists would understand how to help these rare cases. By 1965, the information was fairly extensive, including the knowledge that only unusually intelligent children become multiple personalities and that sexual trauma endured by a restrained child under the age of seven is the most common way to induce hysteric dissociation.

Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone.So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.

In response to threat and injury, animals, including humans, execute biologically based, non-conscious action patterns that prepare them to meet the threat and defend themselves. The very structure of trauma, including activation, dissociation and freezing are based on the evolution of survival behaviors. When threatened or injured, all animals draw from a "library" of possible responses. We orient, dodge, duck, stiffen, brace, retract, fight, flee, freeze, collapse, etc. All of these coordinated responses are somatically based- they are things that the body does to protect and defend itself. It is when these orienting and defending responses are overwhelmed that we see trauma.The bodies of traumatized people portray "snapshots" of their unsuccessful attempts to defend themselves in the face of threat and injury. Trauma is a highly activated incomplete biological response to threat, frozen in time. For example, when we prepare to fight or to flee, muscles throughout our entire body are tensed in specific patterns of high energy readiness. When we are unable to complete the appropriate actions, we fail to discharge the tremendous energy generated by our survival preparations. This energy becomes fixed in specific patterns of neuromuscular readiness. The person then stays in a state of acute and then chronic arousal and dysfunction in the central nervous system. Traumatized people are not suffering from a disease in the normal sense of the word- they have become stuck in an aroused state. It is difficult if not impossible to function normally under these circumstances.