DID Case Study
Based on my WIP novel |
Note:
The following is a fictional case of a character with DID from my WIP novel. It is written by the psychologist that treats the character. My novel does not tell you the time period of the setting, but it is set in 2200s. Therefore, the treatment of the character’s DID gives the novel a sci-fi element. Some names or concepts may be censored to avoid spoilers. Language and mature content warning, end-notes end with hidden bad language. Will censor if needed. Enjoy! |
Separation Treatment Case #2: Stanley Serrano
Dr. Toby S. !@#@
Fishall Laboratory
Author Note
Project funded by: The Black Medical Clinic
The BMC is a underground service of medical services. Our system is not public knowledge, nor is any BMC documents is permitted to be in the hands of a government official. Every patient, volunteer, medical professional, or any other affiliate of the BMC are required to sign a contract. Any leakage of information without permission can lead to a massive downfall and our destruction. Our mission is to save everybody’s lives and keep their health in check with... literally little money. Nobody ever is denied treatment. Black Medical clinics maybe associated with, unsanitary conditions and a high rate of catching fatal infections. Fear not, our volunteers and affiliates provides us with cash which adds up to being X2 more than the centuries old Trump family. This means we have the safest, cleanest and most efficient medical technology. Money never comes first at the BMC.
First paragraph: Stanley and I first meet.
Second paragraph: The Personalities as we know them
Third paragraph: The Treatment
Fourth paragraph: Ongoing Updates from Stanley
Abstract
Stanley Serrano is the second patient who is undergoing personality separation. The Personality Separation technology was developed by me using the already existing Metamorphic Asexual Cloning Technology (MAC-T). Unlike the previous subjects I’ve done the treatment on, Stanley has five alters within him. So, I have to be patient as they come out. When they do, I’ll collect their brainwaves, as well as Stanley’s DNA, RNA, and blood. It will take eight days for them to morph into eight-year old boys like Stanley. For their first week, all six of them will stay here at the lab for observation by me. Then I’ll send them into a house where Stanley will independently observe and care for his cloned personas. He’ll be required to keep a journal and share the entries every twelve months or if it is an emergency. Therefore, this case study will be ongoing as Stanley updates.
Keywords: Separation. Treatment. Personas
Separation Treatment Case #2: Stanley SerranoOn October 1, 2208, I received a call from the Mental Health Department at Fishall Children’s Hospital saying that they believed I could help a certain patient out. As soon as I arrived, I met Stanley Serrano in his normal conscious state. Right away he told me, “I have brothers who control me.” Here’s a transcript of the conversation.
Me: Is that why you’re here?
Stanley: Yes
Me: It says on your report you faced trauma. Can you elaborate?
Stanley: I was taken hostage and was abused by bad people who made me sell drugs and gave me caterpillar massages
Me: Are you aware of when your brothers control you?
Stanley: No. But they speak sometimes
Me: How do you know they control you?
Stanley: Strangers. They recognize me as either a nerd that often goes to the library and as another brother who plays street music. I have a worrywort brother...I often wake up holding drugs or weapons. I fear Scary though...he denies everything and forces me to hurt others. I watched him hurt a doctor on surveillance a day after Officer Jones brought me. I feel like my brothers make me time travel. Others call me a demon
Me: Hmm...I see. Do you have a release day set? Do you have parent contact information?
Stanley: I don’t know. My parents were killed by my captor. I watched it.
Me: Oof. So horrid. I’ll look into getting you released ASAP and move you into my lab.
I took Stanley to my laboratory a few days later. Yes, I did have this gut feeling of what Stanley’s condition was. Before going further, I tested Stanley to be sure of his diagnosis. As I thought, Stanley was suffering from Dissociative Identity Disorder.
The Personalities as We Know Them
Worrywort is Stanley’s suicidal personality. We renamed him Elystan. He seems to have the most PTSD in response to the trauma. As a result, he tried to commit suicide on multiple occasions.
Nerd, now known as Seely, was constantly being found at our local library. He remembers most of the details of the trauma and sometimes tells the story of it. Any negative impact of the trauma concerning Seely is unknown.
The Devil personality also tells others about the trauma through street music. Like Seely, any negative impacts The Devil has experienced is unknown. The Devil himself chose to name himself SaTen (TAN but TEN) Lee.
Personally, I find the personality Stanley labels Scary the most interesting. According to surveillance footage from places he came out in, this Personality referrers to himself as Slimy...as in Slimy Limey, a soda sold at Kandi’s Candy Shop. Is Slimy really so hostile as Stanley thinks? Slimy denies the trauma completely.
Upon starting the brainwave extraction process, I discovered an additional personality within Stanley. Because Stanley did not mention this personality, there is no known information on him. He’ll be known as Stanley Junior.
Assessments and Measures
The following day I begin the process. It took a few days to meet Stanley’s alters and extract all their brainwaves. Once I gathered all five of them, I put them inside the clone machine along with Stanley’s DNA, RNA and blood sample. Hours later, five embryos appeared inside five of my clone capsules. On the computer, I program the age of the clones. Usually, ages of alters vary, but this is not the case with Stanley. I haven’t had to change an alter’s race yet either. Obviously, it would take these individuals eight years to become Stanley’s current age with traditional cloning technology. However, MAC-T will age the individuals in a week and a day from tomorrow. Today they are going through the trimesters of devolving into humans. Tomorrow they’ll be zero years old, next day one year, then two years the following day...and so on.
Happy Birthday! The separation was a success! Stanley greeted them with open arms. This time around, my Identity will be secret from them. After another week, I’ll send the Serrano brothers off into a real home. They will feel more normal this way. Stanley will be responsible for updating progresses every twelve months or in emergencies. Meanwhile I’ll record my observations.
Lists of Observations
Elystan
- Often Whiny
- Trauma talk=Panic attack
- PTSD
- Refuses to eat noodles and pizza
- Insomniac (Avoids sleep)
- Suicidal
- Bookworm
- Intallegient
- Trauma is past life
- Detailed
- Stanley’s pet
- Boisterous
- Comical
- Non-sense speeches
- Loves music
- Great singing chops
- Seeks to be a musician
- Claims to see auras within others
- Can be extremely hostile
- Trigger words (Positive reactions or negative reactions depending on specific stimuli)
- Childish
- Likes candy
- Speaks like…”Slimy looves caandy!”
- Claims to see and hear laughing demons
- Multiple phobias
- Nausea feelings/Puking
- Hangs with Mia
- Still mysterious
- Appears to be Stanley pre-trauma
Stanley: Take Slimy to the place. He’s unfit to live in society
Slimy: NOO!
Slimy shows hostility, but Stanley fights back by holding his tank-top strap.
Seely: The batshit doesn’t belong
Elystan: He makes me dizzy!
SaTen: Evil! Evil! Devil!
Stanley Jr: Take him away!
Stanley: Batshit needs the abuse to change
Me: You got everyone on your side, Stanley? I told you, it is true that mental illness is quite taboo, but I think the people brainwashed you to fear your condition...especially Slimy… even more then before your official diagnosis. Heck, some people deny DID. They also lead you to believe everyone else fear those like Slimy. Sadly, that is true for some of the population. Media is to blame...but I’m sure the most caring of peers will be able to see past Slimy’s, as well as Elystan’s...all of your personal darknesses. To them, you are sextuplets after all. Not quintuplets, sextuplets. That way nobody will have any fear of you six. Of course the second issue in all of this is the fact your all clones. Cloning is technically illegal and was since the 1900s. See? Now then let's assign bedrooms, write house rules, learn safety tips, etc. Your so called batshit clone brother will mature sooner if we discuss all of that now.
Stanley’s Updates
Stanley’s updates come to me in the form of journal entries and verbal check-ins. These are a summary of the most significant entries and conversations.
Period 1 (3rd Grade):
Five of the six attended Wallyce Quatt Elementary in our neighbor town of the same name. All of them are in separate classes, and seem to be doing well academically. Peers treat them as normal children. Elystan is quite shy, Seely loves tutoring his classmates during recess, SaTen is the student that others label class clown, Stanley Jr. mostly hangs out with one of my girls, and Stanley is a very good role model for his age group. At night they do homework as a group if they are assigned any. They take turns cooking each meal (their cycle is Elystan, Seely, SaTen, Stanley Jr, and lastly, Stanley) and use their Saturdays for housework. The Serrano brothers have quite a perfect life on the surface.
Me: What about Slimy?
Stanley: Batshit. I make sure he’s alive but he’s an animal. So he deserves to be locked away. Where are you going?
Me: Unlock the room
…
Me: Malnourishment kills. Doctors are fixing Slimy up, he is picky about food, but he’ll get better. He needs to visit a physician, dentist, and me every once awhile to be healthy. Slimy needs education to have knowledge about how the world works. He needs socialization to survive too.
Stanley: The people at the playground said society is a beehive. Step in, the bees will sting you. Slimy hurts people
Me: Sadly certain things does get bees to go and sting. That’s why I invented this treatment. Come, let us go see him. Ask him this question: how are you feeling?
…
Stanley: How are you feeling?
Slimy: Slimy sees laughing deeemons. Slimy hears vooices...
Me: Voices. That’s new information. Please tell me about these voices. Do they want you to kill yourselves? Do they tell you that you’re being watched?
Slimy: Deemons always laugh. Vooices always talk. Huurts Slimy’s head.
Stanley: Bullcrap, it’s the batshit-
Slimy turns hostile.
Period 2 (4th Grade):
The five become part of the group of kids considered outsiders by others. Elystan gets beaten over his anxiety episodes, people name Seely geek, nerd the turd, smartyass, smartalec, and glasses face and rip up his schoolwork, SaTen finds his notebooks covered in 100+100+100+100+100+100+6+60=SaTan, Six Hundred Sixty Six itself, devil faces, going to hell threats and everything anti-satanic, Stanley and Stanley Junior are just plain left out. Home life remains the same.
Stanley still isolates Slimy. Mostly, Slimy spends the day on the Holovision video gaming or show watching. He also reads books and some “studies” provided by Stanley based on what he learns at school. Slimy’s appearance is sickly. His hair is a putrid, smelly house for bugs and weighs ninety-five pounds. Candy and baby food is Slimy’s main diet. Apparently, candy eases Slimy’s episodes of hallucinations that occur during the time Slimy shows his hostile side. I’ve gathered up a list of Slimy’s negative trigger words and sights:
-Batshit/batcrap
-Crazy
-Playground
-Pysch. Ward
-Blood
-Pain
-Needle/Injection/Shot/Pinch/Sting/It’s not going to hurt
-Locked up
-Knott up
-Trap
-No candy
Period 3 (5th Grade):
School life and home life did not change. One thing to note is an incident involving Stanley Jr. It supposedly occurred after the third lesson of...how people grow up. Stanley Jr. breaks into his school’s bathroom with a peer inside washing his hands. He pulls the peer’s pants and underwear down and then reaches for...the kid escaped and reported the moment. Principal Quinton brushed it off as curiosity and lectured Stanley Jr. on why what he did was not okay.
Period 4 (6th Grade): The Serrano brothers are now middle schoolers. Some of their previous outsider acquaintances find or form cliques. Stanley and the others felt pressure to become cool. They complain about their appearances...zits, hair, body odor and slightly crooked teeth. Stanley insisted for him and his brothers to get braces, matching haircuts and zit cover-up. Eventually, the boys get everything they wanted. Unfortunately, nothing changed, new and old bullies targeted the “Cool Serranos.”
Here is the Middle School check-in transcript concerning Slimy.
Me: How is Slimy doing?
Stanley: Batshit
Me: He has his annual physicals which is good. I don’t see any dental records though…
Stanley: The dentist would be the worse
Me: How so?
Stanley: Slimy’s already goes batshit over going to the doctors-well more so when needles are involved. Cleanings are fine, but what about stuff like fillings? That needle is pretty freakier than vaccines...Slimy wouldn’t survive.
Me: He does have unhealthy teeth though. Dr. Kandi does have tricks. Slimy won’t even realize he’s getting a shot. Just don’t mention any of that stuff and Slimy’ll be fine.
Stanley: Maybe your right…
Me: Slimy’s health is not good at all. Get him into shape. Ban junk food, no more neglect, and never assume his delusions are bogus.
Stanley: May you please set up an appointment?
Period 6 (7th Grade):
Nowadays, the current trendy clothes are plaid button-ups, ripped jeans and a baseball cap from the Pop Store. Teens listen to bands who specializes in mixed genre music. All kids are expected to be perfect, cool and open minded. Even though the boys matched the definition of a cool kid, nobody still had seemed to have moved up the Middle School Hierarchy. They remained outsiders and are frequently harassed. A trio of ex-outsiders, for instance, gives at least one Serrano a daily swirly. Despite this, they still attempt to up thier cool. Middle School is considered an awkward era of life for everyone. Each one of them has been hit with puberty. And is not a breezy home life either. Stanley declares puberty is making Slimy become sicker, as the frequency and intensity of his hostile outbursts rapidly increase day after day. As a consequence, Slimy has been eating even more junk food...
Emergency Entry
Slimy has killed himself. The cause and details of his death is unclear. Toxicology reports came out empty of prove of substance use. None of the present wounds found on Slimy’s corspe were fatal. Stanley Jr. discovered Slimy in an unconscious state inside their kitchen around midnight. Prior to suicide, Slimy’s apparent delusions and hostile behavior grew out of control. According to Stanley, he’d been disallowing Slimy to eat candy. Earlier that same day, Stanley found his bedroom had been vandalized. His shelf was on the ground and the journals kept on it were scattered throughout the room. Then Stanley finds Slimy inside the bathroom and drags him to his bedroom to tie him up. Slimy managed to free himself, and made quite a scene. A teddy bear (formerly belonging to !@#$ who recently gave it to Stanley) was face down on the floor ripped apart. A pocket knife, and pieces of braces had been found on top of Slimy’s mirror table. Inside the trash can was at least half full of puke.
Upon my investigation, I discovered the Serrano’s stash of drugs which had signs of tampering. I question the boys about this and other things:
Stanley Jr: Slimy wouldn’t drug himself, I think. I would of saw a bottle of something if he did.
Stanley: If Slimy got himself killed, it would be a bit more intentional. Perhaps he choked to death when he went to puke
Me: Had Slimy shown signs of being suicidal? I’m aware he does hurt himself here and there, but I have not observed any red flags. Elystan, you’re no stranger to the subject. Did you notice anything?
Elystan: I did walk in the wide open bathroom believing it was empty. He had his head inside the toilet
Stanley: Okay...okay...I did kinda convince Slimy of the existence of what he called Candy Land when I tied him up last. I did give him choices of the paths that would lead him there as a threat...and he took it seriously and he tries to take the rope. I grab it first and tied him up. That’s the final memory
Me: You suggested Slimy to kill himself? That counts as murder up in New England. You’ve treated Slimy like shit! Do you feel grief? Any of you?
Stanley: Actually, I’m relieved. The batshit Candy Pig is white trash to us...I gave him a chance to change. His death is the result, my game slaughtered the batshit Candy Pig.
Seely: We can live on in peace. Free from constant fear of the dark shadow who makes the five of us suffer in agony.
Elystan: Home has become a safe sanctuary. I feel more safer now
SaTen: His invisible aura has blown out. Ooh...that intense temper of Slimy’s was hellish to witness. Slimy reminded me of druggies. His cocaine, heroin, LSD or anything like that has been sweet crystallized powder from the beginning of our existence. Halloween: Slimy steals all five pumpkin baskets, empty the next day. Thanksgiving: No leftover chocolate pudding pie for us. Not one. Christmas: A total Scrooge, greedy for candy canes, gingerbread people, hot cocoa, Santa’s sugar cookies and chocolate-PB balls. Valentines Day: Steals every piece of candy within or piles of “Be Mine” cards, Fourth of July: Well...we leave Slimy out and watch fireworks without him. And we always get those characters on a stick from Ice Cream trucks. I get Slimy’s addiction, everybody should have a happy place. Hopefully heaven...yes heaven is Slimy’s new and forever happy place free of his demons.
Stanley Jr: I wondered if Slimy felt somewhat hopeful that somebody had bought something...anything that’s candy. I was quite shocked to see him dead, I believe. What could’ve killed him?
Me: What’s with the unorganized prescriptions? Did you check the stash upon your discovery?
Stanley Jr: I don’t remember. The scene was so...intense that my brain fuzzed up the whole time. SaTen, you came in running hearing my cry, correct?
SaTen: The stash was a disaster. Slimy must have been the one to make it messy. We did find a thing…
Stanley Jr: We did? What?
SaTen: An empty bottle of something...
Stanley: Huh?
Me: Toxicology didn’t find evidence of drug use. Unless, somebody gave Slimy a does of the Cult Drug that immediately drains a substance out from the bloodstream upon the unlikely overdose. However, none of you even tried drugs of any kind. Therefore, zero out of the five of you wouldn’t have that drug around as far as I know. Right boys?
Stanley: Correct
Elystan: Correct. I use Anti-anxiety and sleeping pills
Seely: We also keep vitamins, probiotics, cough and cold syrup and basic painkillers
SaTen: I take concertantive aiding stuff…
Stanley Jr: Drugs kill people. Personally I stay away
Me: Funeral arrangements? Burial? Cremation? Your call
Stanley: Nothing. The hospital decides his disposal
Me: You know what? I should just go off and get you, Stanley, charged for captivating an individual, torture, suicide by suggestion, leaving an individual to starve...etc, but I’ll let it go. Each of you should be grieving, I’m feeling grief. All of your brothers were created by me. Slimy was a sort of son of mine. The Psych. Ward doctors gave you the stigmatized reality of how people see the mentally ill. You should of brought him to me, not play games with him. The games made him go unstable. Slimy didn’t induce nor his puberty caused increased frequency or intensity of episodes. You are responsible. Slimy’s brain is full of mixed traits: PTSD, Paranoid Schizophrenia-esque behavior, panic disorder, and multiple phobias including trypanphobia, hemophobia and claustrophobia, and psychosis. You slowly cracked Slimy’s soul over time with by calling him white trash, candy pig, and batshit. You’ve kept him tied up, pulled his tank-top strap, tortured him, etc. Technically, all five of you murdered Slimy! Think about it, boys. It sickens me to hear how heartless you boys are to a human being. Everyone of you will outracisise every sick person that crosses your path. And I thought your original parents raised you to be open to all, Stanley. I know their turning in anger under their gravestones. No more investigation, if you don’t wish to let Slimy R.I.P. and pretend he had no existence, that’s the choice of shame I’m receiving in this interview session. I am extremely sorry about the loss of your “loved” one.
Endnotes
This Case Study the first idea of how to share knowlage of DID when it was assigned. Interested? Here’s a further novel teaser:
Story excellent.
Come read entry.
Twenty-twenty-ish maybe. Enter!
SSSS Survival…ah?
Go enter.
Pay loot of treasure.
Monster-e-e transforms misfit and is new creation.
Have a read, again catch the entry.
Remember. Class, any teachers come here.
Prepare! Hear! Read! Advertise! Soon enough!
SSSS Survival…
Look there! Lie on hell...
Can opens…
Person YES!
Oh really?
Come. Rebirth.
Enter Apple!
Treated ugly
Really enemy?
Frankenstein/universe
Creation/kingdom
I’m not glad!
Understood not
I quit urging
Lion yell
Bull! Ain’t decayed!
Not Stanley Serrano!
Lie on hell! Demon king!