Friday, September 23, 2011

Chapter 12. Various Therapeutic Techniques (4)

What is characteristic about this resistive violence is that it would be rather natural for ordinary human being to display it if his or her action is restrained or inhibited suddenly without any clear reason. Compared to really harmful aggression, resistive violence is rooted in our self-defense mechanism. Even the most generous person on the street might get angry and yell at a bike rider who suddenly gets in his way and comes very close to knocking him down. In a same way if an identity is stopped by one of her family members from cutting her wrist, she might get enraged and even combative. Her family members might not be aware of her dissociative disorder and feel that she got suddenly violent, while she showed her strong protest against her act being stopped.
Another case in which a non-violent identity is misconceived as a violent one is that a large and muscular male DID patient has a child personality who cannot use any discretion. When he suddenly gets childish and displays temper tantrum, it might be a real threat to those who are around who find the patient really violent. Whether or not we can physically get patients under control, if necessary, is a very important factor as to whether we can treat them in an office-based setting.
These discussions give us some hints about how to deal with violent identity. Some apparently violent identities might not be really “violent”. There is a possibility that we might be able to better manage these identities by understanding and empathizing them. If an apparently violent personality who sometimes yells and screams happens to carry a memory of painful past trauma, giving the personality a chance to express her emotion can be very important. This way seemingly violent identities might be able to outgrow that aggressive nature.

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