March 23, 2010
So here we go again.
The second season of the Showtime series “United States of Tara” starring the Emmy Award winner Toni Collette has begun.
The first season was full of controversial episodes, and most of the survivor population with dissociative identity disorder was disappointed and angered by the series. Even though some of the best-known trauma psychiatrists were allegedly acting as advisors for the show, there were still far too many inaccuracies and misrepresentations for the comfort level of real DID survivors. (Maybe next time, Showtime, executive producer Steven Speilberg, or writer Diablo Cody should speak more with clinical therapists that treat dissociative clients on a long-term basis. If you ask me, therapists know more about the clinical realities of DID than psychiatrists anyway, but that’s a whole different rant.)
The first episode starts with Tara tossing out the clothing and personal items that belonged to her formerly recognized four or five insiders. Tara had ended the first season in the hospital, and had apparently done so well in her brief hospital stay, that it had been three whole months since her insiders had surfaced. She was sure they were all gone. She was already saying goodbye to them – more like good riddance to them – and her family gathered around the charitable donations dumpster to make crass comments toward the inside parts.
Oh dear. What a way to start the season. Fifty-one seconds into the show and my eyes are popping out with enough material for a blog post. (Dare I even watch the rest of the episode?!) Yeeesh!
So this very first minute of the show brought up some of my very biggest complaints about the way some mental health professionals and hospital programs treat DID / MPD.
One of the most devastating techniques that treatment providers can use with dissociative survivors is to push the whole integration idea. To push the idea that insiders need to not be allowed out, or need to be silenced, or need to be pushed to the back, is damaging to the person as a whole. Integration is not anywhere near the cure-all or ideal goal it is professed to be, and frankly, expecting dissociative clients to having these “alleged integrations” too fast is absolutely harmful.
I have seen too this happen far too many times. This is not good treatment for dissociative identity disorder!!
You cannot go into a hospital program and walk back out, a few weeks later, as an integrated multiple. This is NOT possible. I don’t care how much this is advertised as possible, it is not. It is complete farce, and it will not work.
Sure, you can temporarily push your insiders back into hiding. Or, your insiders can push you out to the front and rebuild the dissociative wall behind you so that you are completely separated from your system. You might think you are alone. You might think you are “integrated”. But you are just separated from your insiders. In fact, you are more dissociated than ever because now you have a complete dissociative block between you and the rest of your selves.
This is not helpful.
Unfortunately, there are hospital programs or therapists that encourage this kind of treatment.
It doesn’t work. It won’t stick. Those inside parts are not gone. They might be hidden, but they absolutely are not gone. And this new or encouraged separation will just cause problems down the road. I’d bet money on that.
I realize that many of you may want to push your insiders back in, or make them shut up, or make them go away, because you believe that your life would be easier and more manageable if they were gone. I can understand the concept that having one personality is easier than having a dozen or two (or three) personalities. I get that.
But it’s still not a good idea.
The various parts of you were created for a reason, and they hold valuable pieces of your life, your history, your emotions, your skills, your abilities, your memories, your talents, your energy, etc. They represent years of your life, and it takes all of you together to make the whole picture – and as appealing as it might be to think that three weeks in the hospital can solve everything with a quick integration, this is an illusion and a lie. Genuine integration, if it is actually desired and if it is actually going to be successful, requires years of work. The various selves to work through all the things that caused them to be separated in the first place – and that just takes time.
It is a cruel trick for hospitals to sell this approach as something they can achieve for the client – because the hospital won’t be there six months or a year down the road, when the apparent “integration” falls apart and the devastated client is left feeling at fault. And it is compounding the wrong for Showtime to present this approach as something that actually happens.
The other problem in this first minute of United States of Tara is the negative way that Tara and her family are speaking about her insiders. Where is their kindness and compassion? Why such blatant disrespect? Where is the appreciation for what those insiders did for her?
EVEN IF I believed in sudden or quick integration as a general theory (which I most definitely do not), I would still say to Tara and her family members that their “good riddance, you big pains in the butt” attitude was an obvious indication of why this particular attempt at integration was not going to work.
Clearly, there were still plenty of issues left unresolved. Clearly, Tara and her family harbored resentment, irritation, and bitterness toward her insiders. The insiders did not integrate because there was acceptance, understanding, and blending of their roles. These insiders were clearly not wanted, not liked, not understood, not appreciated. They were hated. And if Tara is still hating on her insiders, then she is still hating herself. This is not the kind of foundation from which any kind of healthy progress is made.
You cannot integrate your insiders if you hate them.
You cannot make them go away, just because you hate them.
I suppose you can pretend they do not exist because you don’t like what they did. But that will not help you to get better.
I suppose you can act like they are not real because you don’t want them. But that will not help you to get better.
Hating on your insiders, in any way, shape, or form, is not conducive to good treatment.
Hating your yourself, in any way, shape, or form, is not conducive to good treatment.
Your insiders are still parts of you, now and for always.
As far as I am concerned, neglecting your insiders is a form of self-abuse. Neglect is neglect, and if you are not working hard to appropriately meet the needs of your insiders, you are carrying out of form of neglect.
It is so very important to develop positive acceptance and understanding with your insiders. It is imperative to the success of your healing, and one of foundations of your treatment, to be kind, gentle, and compassionate to your inside parts. Build positive teamwork. Build good cooperation. Build good internal communication skills. Become friends with each other. You and your insiders really have to be able to get along and work things out together in order for your healing to progress.
Somehow Tara forgot to do this, and somehow her hospital program forgot it as well.
She can pretend that shoving her insiders away, or pretending they don’t exist, is a wonderful option for her.
But it really will not work.
Later in the previews, it becomes clear that Tara starts realizing she is switching again. (She calls in transitioning. What a bulky word, but ok – it’s a transition from one self to another.) So yes, she clearly switches from one part to another. That’s no surprise.
Someone on her treatment team should have told her months ago that that her “they are gone” approach wasn’t going to work.
Because it didn’t.
Kathy Broady LCSW
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