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Article CommentaryAnalysis and Commentary

Dissociative Identity Disorder: Medicolegal Challenges

Helen M. Farrell
Journal of the American Academy of Psychiatry and the Law Online September 2011, 39 (3) 402-406;
Helen M. Farrell
Dr. Farrell is an Instructor, Harvard Medical School, and Staff Psychiatrist, Beth Israel Deaconess Medical Center, Boston, MA.
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    Table 1

    DSM-IV-TR DID Criteria11

    The presence of two or more distinct identities or personality states, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.
    At least two of these identities or personality states must recurrently take control of the person's behavior.
    Patients have an inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.
    The disturbance must not be due to the direct physiological effects of a substance … or a general medical condition.
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    Table 2

    Using Dissociative Identity Disorder* as a Basis for Not Guilty by Reason of Insanity

    CaseYearChargeDefenseCourt Ruling
    State v. Milligan241978RapeNGRI-MPDLack of an integrated personality meant the defendant was not culpable
    State v. Darnall251980MurderNGRI-MPDMultiple personalities do not preclude criminal responsibility
    State v. Grimsley261982Drunken drivingNGRI-MPD; primary personality had no control over the “alter”State of consciousness or personality of defendant is immaterial
    Kirkland v. State271983Bank robberyNGRI-psychogenic fugueLaw does not inquire about other personalities, fugue states, or moods in cases of criminal liability
    State v. Jones281988MurderNGRI-MPDAlter personalities will not be an excuse for inability to distinguish right from wrong
    State v. Greene291998MurderNGRI - DID; primary personality was “unconscious”Evidence of DID, including expert testimony, was not admissible because it did not meet reliability standards
    State v. Lockhart302000Sexual assaultNGRI-DIDDID was not allowed into evidence by the West Virginia Court due to lack of scientific evidence
    • ↵* Dissociative identity disorder formerly was referred to as multiple personality disorder.

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Journal of the American Academy of Psychiatry and the Law Online: 39 (3)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 39, Issue 3
1 Sep 2011
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Dissociative Identity Disorder: Medicolegal Challenges
Helen M. Farrell
Journal of the American Academy of Psychiatry and the Law Online Sep 2011, 39 (3) 402-406;

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Dissociative Identity Disorder: Medicolegal Challenges
Helen M. Farrell
Journal of the American Academy of Psychiatry and the Law Online Sep 2011, 39 (3) 402-406;
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