[Identity and dissociation in cyberspace. A case of dissociative identity disorder associated with internet role playing].
OBJECTIVE
By mediating dissociative experiences, the Internet can challenge the boundaries of people's sense of identity. To illustrate this hypothesis, a case of dissociative identity disorder (DID) is presented.


METHODS
A young unemployed woman created and frequently played several characters in an online game. For more than 2 years she spent up to 12 h a day in the Internet, assuming various personalities, which in return intruded upon her neglected real life.


RESULTS
During the course of an inpatient psychotherapeutic treatment, the clinical diagnosis of DID was confirmed by psychometric testing. After 12 weeks of psychotherapy, the patient had managed to identify her fragmented identities as character traits and integrated them into her core personality. She rearranged her real everyday life, found a new job, and reduced her online activities.


CONCLUSIONS
Even though the patient's psychopathology stems from a disposition in terms of a personality disorder with histrionic and narcissistic features, excessive internet role play obviously functioned as a trigger to develop DIS. Conclusively, cyberspace's anonymous interactivity may offer the possibility to explore one's identity while also putting at risk its coherence.
Te Wildt
B T
BT
Abteilung für Klinische Psychiatrie und Psychotherapie, Medizinische Hochschule Hannover. tewildt.bert@mh-hannover.de
Kowalewski
E
E
Meibeyer
F
F
Huber
T
T
D000328:Adult; D009105:Dissociative Identity Disorder / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D020407:Internet; D012381:Role Playing; D018910:Video Games / Q000009:adverse effects* / Q000523:psychology