Commentary on "Minds, Memes, and Multiples"
- Commentary on “Minds, Memes, and Multiples”
Multiple Personality Disorder challenges the idea we have of ourselves—selves whose essential characteristics are simplicity, identity, transparency. Stephen Clark argues that we should look behind the myth of a unitary self to an older tradition which represents personal integration not as a given but as something to be striven for, “a distant, luminous goal,” a “light” over the multiple parts of the human personality, a therapeutic and personal ideal of ourselves as persons separate from the ideas that invade us and the experiences that flow through us.
He argues that this notion has a number of advantages. It is compatible with the data of Multiple Personality Disorder. It avoids Cartesian myths while providing a self substantial enough to meet both philosophers’ demands for an explanation of the coherence of experience and clinicians’ requirements for a therapeutic objective.
Clark sees Multiple Personality Disorder as an exotic manifestation of the unstable and fractured nature of familiar experience. He points up the complexities of our personalities and the passivity of our normal experience. So our everyday experience comes together with the psychiatric disorder to encourage a looser, more dispersed notion of the self than has been felt necessary since Descartes.
The notion of self which we think of as Cartesian (though, Clark suggests, Descartes may never have accepted it), caught on as part of the settlement between the emerging sciences and older wisdom. The basis of the settlement was that the world was to be made amenable to scientific investigation and our innermost selves were to be protected from it. This requires that the self has to be all the things that the rest of the world is not—non-spatial, privately accessible, outside determinist, causal chains, simple and indivisible. The settlement was never stable, and, as contemporary arguments over the cognitive sciences demonstrate, it is as controversial today as ever. Multiple Personality Disorder adds psychiatric considerations to the evidence piling up against the Cartesian self.
However, the diagnosis is extremely controversial. A highly critical editorial in the British Journal of Psychiatry in March 1995 suggests that the condition is largely generated within therapy. 1 The diagnosis, as the New Scientist (June 17, 1995) reported, seems excessively subject to trends and fashions. 2 Clark shares these reservations, but he concludes that there is now strong evidence of a “real condition.” Yet he does not discuss what he means by a “real condition.” Certainly he intends to exclude malingering or mere therapist suggestion. Nevertheless, he prefers to interpret the disorder as a matter of one [End Page 29] person having different strategies for dealing with a stressful world, rather than as the emergence of a plurality of persons. Some psychiatrists will think that his acceptance, however qualified, is too much of a concession, while others may feel that he is not allowing the alters, and therefore the condition itself, to be “real” enough.
Clark’s philosophical remarks are also circumspect, but ambitious claims are there. He wants a re-appraised, strong theory of the self, though he doubts that the truth of such a theory could ever be established. Nevertheless, for Clark, we need a notion of self as “substance, a real being”; we discover and rediscover it; “it becomes aware of itself in me.”
Apart from its philosophical advantages, the notion of self he wishes to revive has therapeutic value. Autonomy is the therapeutic target. Understood in Cartesian terms, Multiple Personality Disorder presents paradoxes of autonomy. Cognitive autonomy is the defining characteristic of the Cartesian self; when we have multiple persons, the question arises: autonomy for whom? The difficulties are softened if our idea of self allows for plurality, opacity and divergence within the one person, so the prospect held out to the patient is the possibility of repossessing the fragmented parts of his or her life.
Clark engages in a two-fold maneuver for making sense of Multiple Personality Disorder. He revives a looser philosophical concept of self, and he interprets the disorder as an extension of ordinary experience in which there is a divergence of coping strategies rather than a plurality of egos. One could argue that Clark is too optimistic...
