Source: my father, a clinical psychologist
Source: my father, a clinical psychologist
Some nice descriptions of BPD are in "Meeting the Challenge, Making a Difference": http://www.emergenceplus.org.uk/news-from-emergence/507-meet...
I agree that DID is either unlikely or fantastically rare.
In the mild or moderate cases a person with unstable sense of self presents as someone who doesn't know what they want in life. In extreme cases, where the patient's view of themselves frequently changes, it would look a lot like DID.
I agree it's not the typical presentation of BPD.
A serial killer who killed prostitutes. He was described as dumb as a box of rocks, but his other personality, who allegedly committed the crimes, was left-handed. It's extremely difficult to fake it, even if you have high IQ. The handwritings experts agreed they are handwritings of "two different persons". There were many other facts I can't remember right now, but even the prosecutor agreed this guy probably has DID. And that's rare...
However, the point of the article is that data is accumulating that shows that DID can manifest in ways we can measure on brain scans. It's not just that this woman says she can't see, the brain scans confirm her visual cortex is not active in some of her personalities.
That is strong evidence that the popular opinion about psychologists, that you mention, may be wrong.
All that said, is there really that much difference between a person who genuinely believes and acts like they have DID and someone who "really" has DID? If it looks like a duck, quacks like a duck, etc... I suppose the evidence that would really win me over would be someone designing a novel therapy or medication which helps people with DID, but is not effective on people with borderline personality disorder or similar conditions. Because at that point the label actually becomes useful.
In addition, the fact that brain scans confirm the psychological/hysterical blindness actually happens at a neurological level as well, proves this isn't a case of malingering or of a high-level psychological disorder. This is happening at the lowest brain level we are aware of.
Even with that evidence, I suppose one can still ask "but are they 'really' separate personalities"? And I think you're right that if it quacks like a duck and so forth, we might as well call it a duck. Another perspective: if we saw those personalities on different physical people - very distinct, both psychologically and neurologically - we would have no problem accepting them as different people. The only challenge here is that they occur in the same physical person. Perhaps that's not reason enough to dismiss them as separate.
Even if we accept DID as a legitimate condition, that doesn't mean these separate personalities are real entities in their own right. On of the patients personalities is a 13 year old boy, with all the memories of a 13 year old boy. But these memories are completely false: they did not actually occur. People with DID don't have multiple selves, they have no self at all: their personality is shattered and stitched together by a patchwork of delusions and artificial personality traits.
We are saying the same thing. Some of the personalities are neurologically (not just psychologically) blind, some are not. That's a fascinating result, and certainly suggests that the different personalities are distinct not just psychologically but also at a far deeper level.
> People with DID don't have multiple selves, they have no self at all
It's not clear that your description and the article's are not the same, except for a preference for calling the same state "multiple selves" vs "no self." Both descriptions agree that something "shattered", and both agree that neurologically the split shards/personalities are remarkably distinct, on every level. I don't think there is a disagreement here.