I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk."

"Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist.
"Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself."

Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him.

"Bob, I'm afraid our time's up," Smith said in a matter-of-fact style.

"Time's up?" I exclaimed. "I just got here."

"No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?"

"I remember everything. I was just telling you that these sessions don't seem to be working for me."

Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?"

"No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..."

"No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you."

"You're kidding?"

"No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then."

Robert

This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood.

Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it?

To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem."

The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

Robert B. Oxnam

Tags: psychology mental-health therapy alcoholic alcoholism mental-illness multiple-personalities psychiatrist survivor dissociative-identity-disorder split-personality mpd alters multiple-personality



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The open road. Seemingly my only friend for years upon end since leaving war. The road embraced me, let me breathe, and more importantly, did not judge me.

M.B. Dallocchio

Tags: travel on-the-road therapy ptsd the-desert-warrior



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There's not a drug on earth can make life meaningful

Sarah Kane

Tags: life death psychology drugs meaning nihilism therapy asylum



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She thought she brought a gift of compassion for those exhausted souls who had not received a chest portion from the people who raised them. If compassion and therapy did not work, she could always send her patients to the local pharmacy for drugs.

Pat Conroy

Tags: psychiatry therapy counseling



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It is not unreasonable to want repentance from a wrongdoer before forgiving that wrongdoer, since, in the absence of repentance, hasty forgiveness may harm both the forgiver and the wrongdoer. The forgiver may be harmed by a failure to show self-respect. The wrongdoer may be harmed by being deprived of an important incentive - the desire to be forgiven - that could move him toward repentance and moral rebirth.

Jeffrie G. Murphy

Tags: revenge self-respect forgiveness repentance therapy getting-even forgiveness-therapy wrongdoer



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I discovered there was an endless source of robust enjoyment in trifling with psychiatrists.

Vladimir Nabokov

Tags: psychology therapy enjoyment



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We can order him to make appointments and talk to someone, but we can't force him to actually do the work. You've got to be willing to work on your issues. You've got to be willing to face hard truths and fight to get better. that takes courage and force of will. (Anita)

Laurell K. Hamilton

Tags: wisdom self-help therapy



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I am not depressed; my life is just shit. As a consequence of my not being depressed, I am not like them. You need to know this from the very off. You need to know I, Arch Fry, will not allow myself to be neatly pigeonholed, erroneously labelled or closed off in some tidy little box - one to be shelved away and conveniently forgotten about.
No, I am not depressed: NOT. DEPRESSED.
You see, I’m just not stuck in some deep unassailable chasm like all the rest, like all these other poor fuckers who’ve so readily accepted that noose of a word.

Tom Conrad

Tags: rape depression therapy cancer depressed spilt-milk



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There were nights when I left the sessions physically and emotionally drained after hearing the anguish pour out like blood from a gaping wound. Don’t let anyone ever tell you different – psychotherapy is one of the most taxing endeavors known to mankind; I’ve done all sorts of work, from picking carrots in the scorching sun to sitting on national committees in paneled board rooms, and there’s nothing that compares to confronting human misery hour after hour and bearing the responsibility for easing that misery using only one’s mind and mouth. At its best it’s tremendously uplifting as you watch the patient open up, breathe, let go of the pain. At its worst is like surfing in a cesspool struggling for balance while being slapped with wave after putrid wave.

Jonathan Kellerman

Tags: psychotherapy therapy



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The purported insight achieved by the patient is not the product of a process of veridical self-discovery, but rather reflects the patient’s conversion to the therapist’s interpretation.

Adolf Grünbaum

Tags: self-discovery insight freud psychoanalysis therapy sigmund-freud patient



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