Online research in philosophy

Many contemporary bioethicists claim that the possession of certain psychological properties is sufficient for having full moral status. I will call this thepsychological approach to full moral status. In this paper, I argue that there is a significant tension between the psychological approach and a widely held model of Dissociative Identity Disorder (DID, formerly Multiple Personality Disorder). According to this model, the individual personalities or alters that belong to someone with DID possess those properties that proponents of the psychological approach claim suffice for full moral status. If this account of DID is true, then the psychological approach to full moral status seems to entail that the two standard therapies for treating DID might, on occasion, be seriously immoral, for they may well involve the (involuntary) elimination of an entity with full moral status. This result should give proponents of the psychological approach pause, for most people find the claim that current treatments of DID are ethically suspect highly counter-intuitive.

A striking feature of post-modernism is its distrust of the subject. If the modern period, beginning with Descartes, sought in the subject a source of certainty, an Archimedian point from which all else could be derived, post- modernism has taken the opposite tack. Rather than taking the self as a foundation, it has seen it as founded, as dependent on the accidents which situate consciousness in the world. The same holds for the unity of the subject. Modernity, in its search for a single foundation, held the subject to be an indissoluble unity. Post-modernism’s position, by contrast, is announced by Nietzsche: “The assumption of one single subject is perhaps unnecessary; perhaps it is just as permissible to assume a multiplicity of subjects, whose interaction and struggle is the basis of our thought and our consciousness in general? ...My hypotheses: The subject as multiplicity.” Given this, there is a natural correspondence between the success of post- modernism and the current interest in multiple personality disorder. In the latter, we actually have the experience of a “multiplicity of subjects” in their interaction and struggle. The subject stands there before us “as multiplicity.” It gives us a concrete case, one which raises some of the pressing questions associated with the post-modern denial of the subject. Confronting it, we ask: how real are the personalities composing the multiplicity of this disordered self? What, in fact, does this multiplicity tell us about the self? about its genesis and status? What does it reveal about “our thought and consciousness in general”? I plan, in the short compass of this paper, to sketch some answers to these questions. §1. A brief description of MPD. The American Psychiatric Association gives two criteria for (MPD) multiple personality disorder. First, and most obviously, there is “the existence within the person of two or more distinct personalities or personality states (each with its own relatively enduring pattern.

Introduction -- Am I alone in my body? -- Multiple personality -- Personal identity -- Diachronic identity -- What am I fundamentally? -- Empirical discernability and fission -- My body -- The various senses of personal identity -- Multiple personality and individuation -- Morton Prince's seminal case study the dissociation of a personality -- Philosophical theories of multiple personality -- The coexistence thesis -- Sharing my body -- A criterion of individuation -- Multiple personality in therapeutic and biographic discourses -- Multiple personality in literary discourses.

The received view of multiple personality disorder (MPD) presupposes a form of realism, according to which the 'secondary personality' is an independent conscious entity joined to the psyche of the host. The received view of MPD is endorsed by the majority of psychologists, as are the major diagnostic criteria for MPD. Realism of this type, gives rise to a certain problem concerning the personal identity of the secondary personality, namely, who this individual is. It is argued that three broad answers to the Question of Who in the context of MPD have been proposed in the history of psychology and psychiatry: psychological realism (Janet and the Dissociationist School); psychological anti-realism (Freud and the Psychoanalytic School), and neural realism (Wigan, Sperry and Gazzaniga). These views are examined. In addition, the relationship of the Question of Who to the traditional problem of personal identity is examined. It is argued that philosophers such as Locke, Reid and Parfit have either overlooked or presupposed the Question of Who.

The condition known as Multiple Personality Disorder (MPD) or Dissociative Identity Disorder (DID) is metaphysically strange. Can there really be several distinct persons operating in a single body? Our view is that DID sufferers are single persons with a severe mental disorder. In this paper we compare the phenomenology of dissociation between personality states in DID with certain delusional disorders. We argue both that the burden of proof must lie with those who defend the metaphysically extravagant Multiple Persons view and that there is little theoretical motivation to yield to that view in light of the fact that the core symptoms of DID bear remarkable similarity to the symptoms of these other disorders where no such extravagance is ever seriously entertained.