Dr. Ross: Well that question is actually a very complicated problem in the mental health field. One of my books, it's called Schizophrenia - Innovations and Diagnosis and Treatment. It's all about this problem. Which is ninety nine percent ignored in the regular general schizophrenia field. But, in the dissociative disorder field, which is multiple personality as is officially called dissociative identify disorder, so it's one of the dissociative disorders. In the dissociative disorder's field there's quite a literature about this. What are the differences, what are the similarities, how you tell them apart? If you go to the National Institute of Mental Health or any schizophrenia information website, you will hear and read that schizophrenia is a brain illness. It's genetic. It's not caused by childhood trauma and it's got the following symptoms, and it's not multiple personalities. And so, the idea that it's multiple personalities or split personality is just dismissed as confusion in the general public. The psychiatry profession, including all these experts on schizophrenia, act as if the difference is very clear that multiple personalities prove very rare. Most psychiatrists will never see a case and often these people say it's not only rare but, pretty questionable that it's real at all. They just don't think about it on day in day out basis. But, actually many of the symptoms are very similar. I've done a whole bunch of different research studies on this. So if you go to a group of people who have a stable diagnosis of schizophrenia from a physician, psychiatrist, psychologist and you interview them with a standardized interview that inquires about dissociative symptoms, twenty five to forty percent of these people who supposedly have schizophrenia, will come up with the diagnosis of dissociative identify disorder. Other way around, if you interview a large group of people with long lasting stable diagnosis of dissociative identify disorder, using the standardized interview, as many as two thirds will come up with some sort of schizophrenia or schizophrenia related diagnosis. Actually, the reality of the situation is that the official diagnostic criteria and the standardized interviews used for research can't tell the difference. So, what are the differences and what are the things in common would be the next question. So, I'll launch in to that.

Niall:Go for it.

Dr. Ross: The things that are similar and that they have in common are auditory hallucinations, hearing voices and the voices can either be coming from inside the head or from outside the head. They can be friendly, hostile, there's no real feature of the voices that leads you to automatically say for sure, "oh this is a schizophrenic voice", as opposed "this is a dissociative voice". The only research in that regard, that's showing a bit of a hint, is probably people with multiple personalities have more child voices than people with schizophrenia. So, hearing voices is actually a symptom in common and is a whole long workshop to go into why I think voices are dissociative in general. But, that's the number one point of confusion. Then there's several other symptoms and especially if the voices are talking to each other or the voices keep a running commentary on the person's behavior. In the 1994 edition of the Diagnostic Manual, which is now going to be replaced by a 5th edition that's coming out in a couple of weeks. In the prior editions it said if you have any one of those two symptoms. Voices talking to each other or voices keeping a running commentary on the persons behavior, then you have schizophrenia. That's the only symptom you require. It has to last for six months. There has to be some distress and deterioration. But in terms of symptoms, you can get the diagnosis with just that symptom. So, I and others have done research and actually those voices are more common in multiple personality then they are in schizophrenia.

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