Abstract:
David Caul’s special interest in iatrogenesis became the opportunity to explore how treatment modalities may impact on the iatrogenic creation of alter personalities in patients who already have multiple personality disorder (MPD). This paper reviews basic transferences and countertransferences that can be monitored in the treatment of MPD which can, if unchecked, lead to the creation of new alters. It appears that these phenomena rather than treatment modalities per se provide the major impetus to iatrogenic increases in the complexity in MPD patients.