By way of preface to the subject’s introspective analyses I reproduce here the following remarks, which I wrote as an introduction to the “Life,” but slightly expanded and with a few verbal changes to make the matter clearer.
An account of the various phases of dissociated personality written by the patient after recovery and restoration of memory for all the different phases cannot fail to be of interest. If the writer is endowed with the capacity for accurate introspection and statement such an account ought to give an insight into the condition of the mind during these dissociated states that is difficult to obtain from objective observation, or, if elicited from a clinical narration of the patient, to accurately transcribe. In that remarkable book, “A Mind that Found Itself,” the author, writing after recovery from insanity, has given us a unique insight into the insane mind. Similarly the writer of the following account allows us to see the beginnings of the differentiation of her mind into complexes, the final development of a dissociated or multiple personality, and to understand the moods, points of view, motives, and dominating ideas which characterized each phase. Such an account could only be given by a person who has had the experience, and who has the introspective and literary capacity to describe it.
The writer in publishing, though with some reluctance and at my request, her experiences as a multiple personality, is actuated only, as I can testify, by a desire to contribute to our knowledge of such conditions. The experiences of her illness—now happily recovered from—have led her to take an active interest in abnormal psychology and to inform herself, so far as is possible by the study of the literature, on many of the problems involved. The training thus acquired has plainly added to the accuracy and value of her introspective observations.
A brief preliminary statement will be necessary in order that the account as told by the patient may be fully intelligible.
The subject was under my observation for about four years. When first seen the case presented the ordinary picture of so-called neurasthenia, characterized by persistent fatigue and the usual somatic symptoms, and by moral doubts and scruples. This condition, at first unsuspected, was later found to be a phase of multiple personality and was then termed and is described in the following account as state or personality A. Later another state, spoken of as personality B, suddenly developed. A had no memory of B, but the latter had full knowledge of A. Besides differences in memory A and B manifested distinct and markedly different characteristics and traits which included moods, tastes, health, emotions, feelings, instincts, sentiments, points of view, habits of thought, and controlling ideas. In place, for instance, of the depression, fatigue, and moral doubts and scruples of A, B manifested rather a condition of exaltation, and complete freedom from neurasthenia and its accompanying obsessional ideas. A and B alternated during a long period of time with one another. After A, for example, had existed as a personality for a number of hours or days she changed to B, and vice versa. After the first appearance of B it was soon recognized that both states were only fragments, so to speak, or phases of a dissociated personality, and neither represented the normal complete personality. After prolonged study this latter normal state was obtained in hypnosis (c´), and on being waked up a personality was found which possessed the combined memories of A and B, and was free from the pathological stigmata which respectively characterized each. This normal person is spoken of as C. Normal C had, therefore, been split and resynthesized into two systems of complexes or personalities, A and B. Leaving out for the sake of simplicity certain intermediate hypnotic states, A and B could be hypnotized into a single hypnotic state which was a synthesis that could be recognized as a complete normal personality in hypnosis. All that remained to do was to wake up this state and we had the normal C. This process could be reversed and repeated as often as desired: that is, C could be split again into A and B, then resynthesized in c´ who when awakened became C again. This relationship may be diagramatically expressed as follows:[[269]]
The various traits which characterized and differentiated the different personalities will appear in the course of this genetic study. With this introduction we will proceed to the latter.
II
The Disruption of Personality
The first of the accounts above mentioned by the normal personality, C, written after recovery, is in the form of a letter. She had complete memory for both her phases A and B. It will be noticed in passing that this normal self speaks of the phases A and B as herself, transformed to be sure, but still herself in different “states.” “As A, I felt” so and so, “as B, I felt” thus, etc. On the other hand, the secondary personality, B, in her account, always refers to the other personalities as distinct personages, and uses the third person “she” in speaking of them. In this matter of differentiation of personalities B was very insistent, maintaining, as has been frequently noted in other cases, that she had no sense of identity of her own self-consciousness with that of the others. “I am, at any rate, a distinct personality,” she remarks. In her consciousness there was no feeling that the self-consciousness of C and A was identical with her own, but the contrary. This frequent phenomenon presents a standpoint from which the problem of the “I” may be studied. What is it that determines the self-consciousness of an ego? We are not concerned with this old question at present, but it is worth noting that cases of dissociated personality offer favorable material for the solution of the problem.
The following extracts from the accounts by “C” and “B” have been taken as a basis for our analysis which will further attempt to coordinate the two accounts and to clarify the psychological development of the case.