JAK came for the first exploration dialogue in November 2010, which was followed by further consultations. These conversations with JAK were used for exact case history investigation and diagnosis. No projective tests or neorological and somatic
examinations have been undertaken.
At the beginning of the second sitting with JAK, it was noticed that his habitus, his mimic and gesture and his verbal expressions were quite altered. Upon enquiry, he admitted that he came from Korea. He spoke with an accent and his verbal expressions were not so fluent as in the first sitting. He had during the second sitting , altered preferences and behaviour, although the same age and the same gender as the personality of the first sitting. Strikingly, he also narrated a totally different life history.
In the third sitting, he narrated again another different story of origin, named different preferences and displayed a totally different attitude. His mimic and gestures were absolutely different and he spoke with a different accent. His speech was very stagnant. This time he declared he came from Lithuania.
In the following sessions with JAK, these three appearances repeated themselves.
Till then atleast three states of personality could be differentiated. But it cannot be ruled out that Jak can manifest more partial identities.
All the personalities had a relatively long term cognition pattern in relation to their thoughts about the environment and about themselves and a corresponding mannerism. Their identities, their lifestories, their introductions and accordingly their extraversions and and their association with emotions differentiate the three split personalities clearly from each other.
All the three personalities can be allocated different characteristic properties. For example, one personality exhibits a very critical voice, challenges and scrutinizes everything and his actions as well as his personal works fold in a stark test of reality.
Another identifiable condition in JAK deals with intution and spontaenity and it seems that he plans his actions only for a relatively short time span where his goals are clearly identified.
This JAK admits that he has only the next 2-3 months in focus. A well defined childhood does not allow this partial identity to be investigated. The future also seems unclear. To it can be added another identity, that can express itself fluently, is verbally strong and also ‚headstrong’ that can think and act.
Through the clear identification of these three partial identities or personalities, that repeatedly takes control over the behaviour of Jak leads itself to a suspicious diagnosis: dissociative split personality.
The term dissociate means to seperate or to disintigrate. Dissociation decribes here the process, in which a part of the experiences with regards to content tears apart from one another when the person suffers from an excess of fear, pain or grief.
Characteristically , a deep trauma suffered in early childhood forms the basis of or as the case may be the posible trigger for the beginning of the sickness. In JAK this trauma has not been spotted till date. Although in one of the split personalities, it is highly remarkable , that it can not recall its experiences before puberty. This could be a clue to the cause of dissociation, but it remains speculative.
The moment of early traumatization in the childhood accounts for the beginning of the splitting up of the different personalities. The person concerned developed a mechanism to escape the pain: he seperates the real events from his consciousness and try to think himself out of the situation. This process happens unconsciously and does not let it be controlled. In order to overcome the repeated traumatization, the person splits himself in two or more identities: each identity overtakes particular funtions in the respective situations and can surface in a similar situation . A system of split personalities developes where each has its defined function.
The different persons can serve the purpose of adjusting itself to contrasting environmental and survival conditions. Often the split personalities with distinct functions can be categorised as someone who guards, someone who governs and someone who carries out the casual day-to-day tasks. The dissociative person can enjoy things that are tabooed or repressed. They can in relation to origin, age, gender, sexual orientation etc exhibit totally opposite characteristics as that of the original personality.
How the system of split personalities functions in JAK is not clear. Also a clear prime personality could also not be identified. In their appearance together, it reminds one of the till date explored system of the Freudian model with Id,Ego, Superego in which JAK’s intuitive, unconscious and spontaneous parts are meant. Also head-heart-stomach and control-voice could be a plausible model. Every model appears till now too simple and carries the cultural differences as well as the mutualities and the expression through art .....
It is noteworthy, that till now no comorbidities like depression, fear, coersion or self-destructive behaviour could be diagonized. Also the dissociation does not lead back to alchohol or drug consumption.
It could not be adequately ascertained whether JAK is constrained in his daily life and in his work due to his dissociative split personality. Also not enough psychological strain has been detected for which a therapy would be required.
A possible therapy, so long that JAK would like to get engaged in, would be to the slowly familiarize all the split identities and get them to cooperate together. It appears partly that the split identities already know each other and also seem to cooperate with one another,although time wise there appears to be a split in the personalities , without the existence of mutual exchange.
Aim of the therapy
Amalgamation and integration of all the identities.