It's not just a movie: Perceived impact of misportrayals of dissociative identity disorder in the media on self and treatment

Abstract

BackgroundHollywood has demonstrated an interest in dissociative identity disorder (DID), but unfortunately, films and television series have portrayed DID in captivating storylines at the expense of individuals living with DID. These representations of DID are often stigmatizing, stereotypical, and inaccurate. ObjectiveThe present study aimed to explore the impact of media portrayals on patients’ views of themselves and their treatment. MethodA total of 377 individuals with DID completed an online survey about their perceptions of the impact of DID representations in the media, and 151 of those participants reported that media portrayals of DID had an impact on their mental health treatment. Reflexive thematic analysis was used to analyze qualitative data. ResultsOf those participants who reported an impact on their treatment, an overwhelming majority (n = 129) reported the impact to be negative. Five superordinate themes emerged: 1.) portrayals are inaccurate and perpetuate myths among clinicians, 2.) portrayals impact patients’ experiences of themselves and access to treatment, 3.) lack of clinical training and influence of media portrayals lead to negative outcomes, 4.) portrayals lead to maltreatment by clinicians, and 5.) importance of specialty treatment not based on media portrayals. ConclusionsThe present study found that inaccurate, stigmatizing media depictions of DID perpetuate misconceptions about DID and contribute to delays in seeking treatment and getting accurately diagnosed, and increased shame and self-loathing among individuals with DID.