Americans are most likely familiar with it from popular culture: It is central to the 1957 film “The Three Faces of Eve” and to the 1973 blockbuster book “Sybil,” about a woman with 16 personalities. There is now a growing D.I.D. community on TikTok.
In a 2011 book, “Sybil Exposed,” the writer Debbie Nathan reported that the personalities were pressured into existence by the therapist, who was invested in the idea of having a patient with the condition so she could speak about it at professional meetings. She cites a letter in which the real “Sybil” wrote that she was “essentially lying” — only to later recant.
“In my view, it’s a metaphor rather than a true condition,” said Dr. Allen J. Frances, chairman emeritus of the Department of Psychiatry at Duke University School of Medicine. “It’s a way of expressing distress in people who have an internal conflict.”
In 1994, while leading a task force that revised the Diagnostic and Statistical Manual of Mental Disorders — often called “psychiatry’s Bible” — Dr. Frances sought to eliminate “multiple personality disorder” from the manual. Instead, the task force changed the name. Dr. Frances said diagnoses often surge when the disorder turns up in popular culture.
Dr. Appelbaum, who is also a past president of the American Psychiatric Association, said there was a consensus in the field that D.I.D. is “a real phenomenon, a real disorder.”
Admissions of mental illness were once a barrier to a career in politics. In 1972, Thomas Eagleton was forced to drop off the Democratic presidential ticket as George McGovern’s running mate after disclosures that he had been hospitalized for depression and treated with electroshock therapy. But those stigmas are easing, and some mental health experts give Mr. Walker credit for raising awareness.
As he campaigns, Mr. Walker has cast himself as a “champion for mental health,” and hits back at critics by saying they are perpetrating a stigma. At Friday night’s debate, he railed against “people like Senator Warnock that demonize mental health.” (Mr. Warnock has introduced a series of bills to expand mental health services.)
Then, Mr. Walker turned to the camera, as if to deliver a public service announcement, and declared, “I want to tell everyone out there, you can get help.”
