Multiple Personality as a Failure

Mark Brown                  of Autobiographical Memory

 

 

Case studies of multiple personality attract the attention of philosophers in part because they purport to describe real cases of personal division, deltas in the stream of consciousness that can be studied empirically, without trotting out yet again hemispheric brain transplants and similar science fiction thought experiments. Daniel Dennett locates multiple personality within a narrative theory of the self, suggesting that in such cases the center of narrative gravity fractures, resulting in an unstable struggle for control by rival narrative centers, rather like shifting coalitions jockeying for power in a contentious, multiparty parliament;[1] Stephen Braude argues at length that a broadly Kantian transcendental unity of apperception necessarily undergirds the public faces of multiplicity;[2] Jennifer Radden deploys a wide range of dissociative disorders to illuminate self-deception, akrasia and other forms of motivated irrationality;[3] for Susan Hurley, multiple personality constitutes evidence for intransitive, partial unity of consciousness;[4] and the centerpiece of Carol Rovane’s ambitious fusion of Kantian and Lockean theories of personal identity is the rational reconstruction of group persons and multiple personality disorder.[5]


Each of these philosophers in their own way adopts a realist interpretation of the language of multiplicity. In this essay, I suggest an alternative interpretation of multiple personality as a breakdown in an intricately structured autobiographical memory system. Autobiographical memory enables most people to juggle effortlessly an array of autobiographical memory schemata, deploying first one than another as the occasion arises, but in some cases, most dramatically in multiple personality, the schemata become strangely out of joint, leading to disordered awareness within and erratic behavior without. This interpretation of the language of multiplicity offers a more economical description of the clinical data, avoids the reification of alters and their activities, remains effectively neutral with respect to the underlying philosophical issues, and is at least as plausible as the alternatives. My argument for this conclusion falls into four stages. I first describe the features of multiple personality that generate philosophical perplexity; next, I survey the evidence from the cognitive sciences relevant to this kind of failure in autobiographical memory. I then apply the results to the language of multiplicity. I conclude with a critical look at Carol Rovane’s robustly realist interpretation of the language of multiplicity in her recent book, The Bounds of Agency.

 

                                                    I

 

The fictionalized bestseller Sybil and its companion teledrama brought to the attention of thousands of troubled people a language of multiplicity that makes sense of their lives.[6] In post-Sybil America, recurrent bouts of amnesia, disorientation and failed personal relationships can lead to therapeutic recovery of memories of severe physical, emotional and sexual abuse in early childhood. The patient comes to understand that some people, especially children victimized by trusted caregivers, are capable of mentally “leaving” the scene of traumatic events, “handing off” the experience to other inner selves called “alters” who come to have their own names, personal history and sense of self and who subsequently vie for control of the common body. The losers retreat into the audience of the theater of consciousness where they “listen in” and try to influence behind the scenes the mental life of the “regnant self,” all the while awaiting their chance to initiate a “switch,” “come out” and pursue a private and often contrary agenda.


People diagnosed with multiple personality exhibit two features of particular interest to the philosopher of mind: First, they display substantially less psychological connectedness than other people, and second, they claim co-conscious introspective access to a single mind. Psychological connectedness of alternate personalities holds within normal range, but the multiple herself is prone to rapid and dramatic transitions in posture, vocal pattern and affective and emotional saliency. Switching normally results in contrasting perceived social roles, changes in age and gender identity and corresponding shifts in assessed social status and appropriate forms of social interaction. Most alters are rather conventional personality types, stereotypically enacted and drawn from culturally available prototypes. Recognizable personalities recur, who name themselves as separate persons and claim self-referential ownership of their actions, experiences and memories. Certain stimuli elicit specific personality profiles: A multiple might switch to a child alter at the toy store in the mall and shift to an aggressive alter when mugged in the parking lot.

Co-consciousness challenges most directly the foundation of the traditional concept of a person. If different persons can share a single consciousness then the Lockean equation between sameness of consciousness and personal identity collapses. Behavior patterns alone cannot establish so strong a conclusion if, as many philosophers believe, dispositional properties are adjectival on individuals.[7] Only if there is reason to think that alters sustain a stream of psychological connectedness independently of executive control of the body can the language of multiplicity be uncontroversially interpreted as more than a metaphorical description of rather strange behavior. Many alters do claim simultaneous awareness of the subjective states of the regnant alter, often in the form of an interior dialogue between observer and participant selves concerning outward behavior. Typically the lines of introspective access are asymmetrical. The presenting personality may need to be introduced to the many selves she hosted over the years; other alters may be privy to the thoughts of some but not all of their confederates; and sometimes one alter plays the role of author omniscient, holding back herself but keeping track of everyone else. Some alters even claim a life history all their own, complete with details of illicit love affairs and grand accomplishments plainly at odds with the objective biography of the multiple.

 

                                                             II

 


Autobiographical memory is the cognitive system through which persons gain access to their pasts and construct a sense of who they are.[8] Episodic memories of specific experiences are nested within a hierarchical structure that includes general event memory as point of entry and lifetime period memory at the most abstract level. Lifetime period memory is the person’s knowledge of her social and bodily identity together with a skeletal structure of memories of blocks of time and turning points in her past, and memories of settled intentions, plans and projects for the future. The key point regarding lifetime period memory for understanding multiple personality is that non-multiples cross index alternative overlapping sequences of lifetime periods. For example, I cross classify the eighties as the lifetime period when I was a graduate student, as the lifetime period when I lived with Nancy, and as the years of my father’s heart disease and death. I access different schemata for different recollective purposes, cross checking for accuracy and meaning.

Episodic memory of one’s personal past is dynamically constructed on line within this larger meaning-conferring structure. The retrospective reconstruction of the past comes to the forefront in times of crisis, when the events of a lifetime demand wholesale reinterpretation. A woman discovers the habitual philandering of her husband and what was once remembered as innocent banter between her mate and a female friend now is recalled as infidelity and betrayal; an adolescent learns of his parents long planned divorce and comes to remember family holidays, vacations and birthdays as forced exercises in pretended civility; a father struggling to come to terms with the tragic death of child remembers their last conversation quite differently before and after he hears the news.


The content of episodic memory also depends upon the format in which events are recalled. Most people can recall an experience either as an observer, from a third person point of view, looking down on one’s self as events unfold; or as a participant, from a field or first person point of view, seeing things as they looked when it happened.[9] Recent events tend to be recalled in a field format; more remote experiences in an observer format, although most people can shift back and forth effortlessly. How one formats episodic memories alters their emotional saliency and their retrieval pathways to other episodic memories. If, for example, you remember the last wedding you attended from a field perspective, you are more likely to feel empathy for the bride and groom and to recall perceptual details of the pew in which you sat. An observer formatted version would have a more objective, camcorder quality.

One of the most well established results in the science of memory is the Cue Specificity Principle: Some aspect of the state of mind of the person experiencing an event encodes an access pathway to the right engrams in long term memory.[10] Recollection occurs when a retrieval environment reinstates the encoding cue. The cue could be sensory or perceptual: a long forgotten face evokes fond recollections of an old friend; the smell of Grandma’s cookies releases a memory movie of childhood Thanksgivings; Proust’s taste of Madeleine calls forth rembrance of things past. Or the cue could be affective, or pharmacological, or semantic. People who are depressed remember sad times; alcoholics can’t remember where they put that bottle until they’ve had a drink or two; a memory may remain on the tip of the tongue until just the right word is spoken. All episodic memories are state dependent in the sense that something in the retrieval environment, either an external stimulus or an inner state, must activate the reconstruction of the engram. Shallowly encoded episodic memories may lay dormant for years awaiting just the right retrieval cue. Elaborative encoding, in contrast, lays down a broad range of access cues by which episodic memories can be recalled faithfully, clearly and reliably.


The phenomenological record stored in long term memory is fragmentary under the best of retrieval conditions. People extrapolate a plausible rendition of the experience from the accessible engrams, cross checked episodic memories, objective sources and the larger structure of autobiographical memory. People who have suffered frontal lobe and hippocampal trauma must cope with a radically incomplete phenomenological record. They tend to confabulate at all levels of autobiographical memory, to fill in the gaping holes in memory with imaginary details believed to be true. One patient relates on successive occasions barely recognizable accounts of the accident that caused his neurological trauma; another remembers general events inconsistently, first claiming to be an expert golfer, then disclaiming much experience with the game. A stroke victim recounts a family history out of kilter with reality, insisting in the presence of his wife of thirty years that he is a newly wed. When shown old wedding pictures, he says the groom is his brother who looks a lot like he did years ago; when presented with his grown children, he replies with a sly grin, that you don’t have to be married to have kids. There’s a thin line between extrapolation and confabulation, a line most us cross on occasion and but which for others becomes an habitual form of coping.[11]

General event memories are thematic composites of repeated activities or extended events indexed by lifetime periods. All those driveways shoveled merge into a mass of cold and white and aching backs; hundreds of hours of assembly line tedium collapse into an amorphous image of factory work space and unbearable boredom; countless failed attempts to explain the ontological argument congeal into a composite class picture of blank incomprehension. General event memory, like lifetime period memory, provides flexible access to personal memories by cross-classifying types of experience. Inferential access to general event memories of dinner dates under the headings, “having a bit too much to drink,” “making clever remarks” and “trouble with relationships” might lead to more adaptive behavior in the future. General event memories are usually more reliable than episodic memories, but still are susceptible to error due to state dependent retrieval, confabulation, self-serving reconstruction and selective amnesia.

 

                                                   III

 

The thesis of this essay is that one can avoid reification of alters if multiple personality is reinterpreted as a failure to integrate alternative autobiographical memory schemata. In the normal case, alternative autobiographical memory schemata cross classify a human life, and in so doing provide access to a variety of interpretative frameworks with their associated clusters of general event memory and episodic memory. Densely interconnected autobiographical schemata help people make sense of experience and respond appropriately to their social and natural environment. Multiples exhibit erratic and sometimes bizarre behavior because they cannot access reliably the intersecting autobiographical memory schemata which permit graceful transitions between social roles, behavioral repertoire and emotional dispositions.


The language of multiplicity should be understood as a therapeutic device, or as a literary or cinematic metaphor. “Switching” can be viewed as state dependent autobiographical memory. Given the right cues or stressors, a multiple gains access to one autobiographical memory schemata, and loses access to another. When a multiple dissociates, she does not literally “leave” the scene of the trauma, or “hand off” the experience to another substantial self. Multiples do not normally go limp or become catatonic in response to stress. They cope as best they can, but they shallowly encode both the episodic memory of abuse and the form of behavior that gets them through it. Repeated episodes of abuse are shallowly encoded as general event memories of social interactions believed to be adaptive. Perhaps a repertoire of flirtatious or jocular behaviors work well for repeated incidents of sexual abuse; angry and aggressive responses might deflect effectively physical abuse; introverted or passive behavior may be the best way a child can deal with the emotional double bind created by an abusive caregiver.

An alter “comes out” when the internal or external retrieval environment cues recollection of a set of general event memories and their associated behavioral repertoire. The multiple then reconstructs episodic memories in an emotionally acceptable form, confabulates the scaffolding of lifetime period memory necessary to make sense of her recollections, and updates the schemata as accessible experience accumulates. Multiples construct alternative autobiographical memory schemata just as normally integrated people do, but with little or no cross indexing or cross checking, they have no effective barrier to the proliferation of confabulated life stories.

“Alters” can be understood as shallowly encoded state dependent autobiographical memory schemata. The very act of naming alters encourages the multiple to reconstruct her autobiographical memory schemata as the life histories of distinct individuals. Skepticism is in order regarding the reality of alters because they can be treated as independent persons only after a conceptual framework is in place within which they can be recognized, but the language of multiplicity simply was not available in the childhoods of many of today’s multiples.[12] Of course objects can exist before they are recognized. Bacteria made people sick before there were microscopes or microbiology. If alters turn out to be the only plausible explanation for reports of co-consciousness, then cases of multiple personality begin to look like cases of multiple persons.


The public evidence in favor of co-consciousness takes two principal forms, neither of which provide much reason to reject of the unity of consciousness. Some multiples exhibit behavior which can be interpreted as “waverings” between two or more alters. Jennifer Radden reports a case of a multiple on a trip to the grocery store.[13] She fills her cart with sensible adult staples, suddenly stops, turns and adds several boxes of brightly colored children’s cereals. Her behavior could be understood as a co-conscious Child Alter begging for and getting her way, but the incident could be interpreted just as easily as a normal adult acting on a self-indulgent impulse. What is most surprising about this and other cases of purported wavering is how weakly they suggest co-consciousness. One would expect nearly constant battles for control among strong willed co-conscious alters, many of whom are supposed to despise one another.

The second form of public evidence for co-consciousness fares no better. Multiples sometimes claim to know of events that happened when another alter was in control of the body. While more common than wavering, this kind of evidence also is open to a rather obvious alternative explanation. A multiple might claim to have watched her Good Daughter Alter open Christmas presents, silently waiting for her chance to come out and throw that horrid dress in her mother’s face. Such claims to have co-consciously watched events unfold are memory reports, susceptible to all of the reconstructive influences of normal episodic memory and occurring within a confabulatory autobiographical memory system.

I am not suggesting that reports of co-consciousness be dismissed as entirely delusional. Multiples may be making introspective reports about a genuine phenomenon, just not the phenomenon of co-consciousness. Recall that episodic memories may be recollected in either an observer or a field format, and that how one remembers affects the emotional saliency of the memory and its retrieval pathway potential. A multiple who entertained simultaneous observer and field memories would have both a first person and a third person recollective experience of the same event. It would seem to her that she participated in an experience and observed the experience at the same time. She remembers opening the present and feeling gratitude, and she remembers seeing herself opening the present and feeling disgust, and since her memory schemata are disconnected, she experiences both simultaneously. With the helpful prompting of therapists, fellow multiples and multobiographers, she retroactively describes her recollective experience as co-consciousness.


We may conclude that neither of the philosophically interesting aspects of multiple personality warrants a realist interpretation of the language of multiplicity. The diminished psychological connectedness multiples display can be explained as state dependent autobiographical memory. Putative reports of co-consciousness can be understood as reports from a unified consciousness of the experience of simultaneously entertaining a subjective and an objective point of view. Multiple personality, it turns out, cannot bear the weight some philosophers put upon it.

 

                                                             IV

 

Carol Rovane’s revisionary metaphysics substitutes the rational unity of deliberation for the phenomenological unity of consciousness as both necessary and sufficient for personal identity. The deliberative standpoint imposes unity upon intentional episodes through a commitment to the use of practical reason to arrive at all things considered judgments about what it would be best to think and do. Certain overriding goals, what Rovane calls unifying projects, fix the contours of deliberation within a larger normative structure that confers meaning and coherence upon the whole. The rational unity of deliberation is thoroughgoingly normative in the sense that nothing in the contingent character of the human person imposes a metaphysical limit upon the scope of personhood. In contrast, the faculty of introspective awareness that circumscribes the limits of phenomenological unity may or may not be rooted in the psychological constitution of the human mind. This result implies two philosophical test implications for her theory of personal identity. Human beings who share a commitment to a collective unifying project, and adopt the deliberative stance on its behalf, constitute a group person whom other persons should regard as a person in its own right. Similarly, according to Rovane, unifying projects may lay claim to less than the resources of a single human life, both over time and at a time. In such a case, human sized rational deliberators would be obliged to recognize multiple persons within a single human being.

Rovane does not rest her case for multiple persons upon multobiographies, but she does cite Sybil as the empirical foundation for “two features of multiple personality disorder [which] suggest alters would be multiple persons within a single human being.”[14] The reality of “alter personalities who approximate, and may even meet, the condition of being multiple persons within a single human being” demonstrates for Rovane the logical possibility of multiple persons.[15]


First, Rovane tells us that multiples exhibit behavior that invites others to engage each alternate personality as if it were a separate person. Indeed, multiples may be so firmly convinced of the independent existence of their alternate personalities that effective therapy, not to mention good manners, mandates relating to each personality in a way approximating normal social interaction. This is true, but entirely consistent with an unspoken attitude of active disbelief in the reality of multiple persons. After all, people have personified just about everything. Some people treat their pets as if they were persons; other people earnestly believe the forces of nature are godlike persons and wholeheartedly embrace them as friends, allies and enemies. One contemporary philosopher even attempted to form an I-Thou relationship with a rock.[16] Moreover, people diagnosed with Multiple Personality Disorder exhibit symptoms of clinical disorientation, confusion, depression and amnesia that together imply that the fixation of belief in these subjects fails to reliably track reality. The outward behavior of a multiple, it would seem, provides no more reason to believe that she hosts separate persons than the outward behavior of a delusional personality warrants believing that he is Napoleon.

Second, the co-consciousness claimed by many multiples provides Rovane with a clear counterexample to the classical Lockean theory of the phenomenal unity of persons. If more than one person can enjoy introspective access to the contents of a single consciousness, then phenomenal unity cannot by itself constitute personal identity. These co-conscious agents acquire the status of being persons, according to Rovane, because each deliberates from the standpoint of a commitment to the overall rational unity demanded by a unifying project. The counterexample evaporates if the apparent co-consciousness of multiple personality arises from a failure by a single person to integrate his or her autobiographical schemata. Only if one takes the reports of multiples at face value does the empirical data imply co-consciousness. At this point Rovane shifts her attention to an idealized description of multiple persons who enjoy unobstructed access to one another’s mental states.


Imagine first three sisters who wish to use to the limited resources of their family to pursue separate life plans. They might arrive at a compromise solution in which each followed the activities of the others while they took turns using the car, the house and the family budget. The sisters would have much in common but no one would question their separate identities. Now imagine a single human being who wished to pursue simultaneously three independent careers, one as a teacher, another as a philosopher, and a third as a concert pianist. Assume that each fractional life plan has sufficient coherence to constitute a unifying project and that the human being is committed to achieving overall rational unity within each sphere of life. The teacher, the philosopher and the musician might negotiate a mutually satisfactory time sharing agreement in which each would be a co-conscious but silent and indifferent participant in the mental life favored by the others. If such an arrangement worked well, why question their separate identities?

The human being in Rovane’s imagined case suffers none of the amnesic barriers or other failures of autobiographical memory that generate serious pathology in real cases of multiple personality. Since they participate equally in a single phenomenal unity of consciousness, anything one experiences, all three experience. Rovane’s idealized multiple persons not only know what each other knows, they feel what each other feels. When the concert pianist gives a performance, the teacher and the philosopher are right up there on stage, taking their bows, conscious of every intention to strike a key, every expressive intonation, every creative interpretation of the score, every lapse in technique. Similarly, the pianist is fully aware of the teacher’s success or failure in the classroom, experiencing along with her both the satisfaction of conveying a difficult thought to a bright student and the embarrassment of a joke that falls flat. When the philosopher hits upon an unnoticed solution to the mind-body problem and publishes her results to rave reviews, the teacher and the musician feel the same rush of satisfaction and pride as the philosopher.

If they are to remain distinct persons in Rovane’s sense none of these shared experiences can enter into one another’s rational points of view. In the absence of amnesic barriers, multiple persons would need to act as border guards of their deliberative standpoints, ever vigilant lest some cognitive or affective leakage threaten their identity. The philosopher must not daydream about the musician’s upcoming date to perform Beethoven’s Appassionata at Carnegie Hall or allow the experience of the desire to practice the piano to influence her all things considered judgment to catch up on the latest philosophy journals. Similarly, the teacher cannot permit her experience of the philosopher’s intellectual excitement to influence her all things considered judgment about what to include in her afternoon lecture. Even though their awareness of one another’s thoughts is linked normally to their shared hedonic centers, they must somehow steeply discount the motivational impact of two thirds of their experience. Only in this way can they preserve the overall rational unity that for Rovane constitutes their personal identity.


I hope it is clear that the multiple persons Rovane imagines, if they manage to maintain their separate identities at all, are engaged in an inherently unstable and thoroughly pointless enterprise. Actual multiples are able to maintain the illusion of distinct identities only because their disordered awareness blocks simultaneous access to the unity of phenomenal consciousness. Rovane is thus faced with a dilemma: If multiple persons suffer the failures of autobiographical memory characteristic of real cases of multiple personality, then there is no compelling reason to postulate independently existing alters. The phenomena of multiplicity can be explained more economically, and with at least as much plausibility, as a failure of autobiographical memory. But if multiple persons enjoy full introspective access to the experiences of their alters, then their rational points of view will tend to merge as each takes into account the subjective experience of the others. Either way, multiple personality fails to challenge the presumption of the unity of consciousness at the foundation of the concept of a person.

The clinical goal of integration for human beings with Multiple Personality Disorder reinforces this conclusion. If, as Rovane claims, “Sybil’s alter personalities satisfied the ethical criterion of personhood,” then the ethical implications of a fusion of these persons within a single integrated human being must be faced.[17] Some therapists seem to embrace these implications. Irving Yalom writes that “therapeutic monogamy” required a “cannibalistic” attitude toward alters: “I chose to stand by Marge. I would sacrifice her rival to her, pluck her feathers, pull her asunder, and bit by bit, feed her to Marge.”[18] It is not clear that Yalom uses the language of multiplicity literally, but it is clear that Rovane and many other philosophers are committed to a realist interpretation. Why shouldn’t therapists view reintegration as many alters do, as equivalent to the death of a person? And, if they do, can they in good conscience participate in the moral equivalent of homicide?

Rovane claims that her view does not cast an ethical shadow over the clinical goal of integration of personalities. She suggests that alters may be convinced to share the goal of integration if they conclude from their own rational point of view that integration matters more than their own unifying projects. If so, it is not necessarily irrational for these alters to participate in the goal of integration. But what of the role of the therapist? If one of her other patients came to the conclusion that he should destroy himself because doing so served some higher purpose, should the therapist enable this choice? If one interprets the language of multiplicity literally, what is the difference?


Or suppose that one or more multiple persons refuse to go along with integration. Rovane suggests that “a familiar form of paternalism” would justify therapists “pursing the goal of reintegrating the personalities.”[19] It is not clear which form of paternalism Professor Rovane has in mind, and she does not pursue the point. Normally, paternalistic interventions justify overriding the express preference of a person because doing so would be in their own best interests. It is difficult to see how integration benefits a multiple person eliminated against his or her will. The only form of paternalism of this kind with which I am familiar is active involuntary euthanasia, and such a practice, though in some sense familiar, casts a long ethical shadow over the practice of medicine. I do not wish to interpret Professor Rovane uncharitably, but how else can we understand this paternalism? If there is no other interpretation, and if she insists upon a literal reading of the language of multiplicity, then her metaphysical thesis does undermine the clinical goal of integration. If, on the other hand, she interprets multiplicity metaphorically in the context of clinical practice, then she has abandoned the ontological thesis of multiple persons at the heart of her theory of personal identity. Either way, her revisionary metaphysic stands in need of revision.

As a philosopher, I do not presume to make judgments about sound clinical practice. I only note that the autobiographical memory interpretation of multiple personality is congruent with clinical practice as described by the standard textbook in the field, Frank Putnam’s Diagnosis and Treatment of Multiple Personality Disorder. Putnam writes that therapy should make available to “the entire system of personalities the knowledge and secrets held by specific alter personalities” so that the patient can achieve “a new and more integrated sense of personal identity.”[20] A multiple who in therapy came to elaboratively encode alternative autobiographical memory schemata, discarding confabulated memories along with associated inappropriate affect and behavior could be seen as making progress toward the goal of a single transparent self.



[1]D. Dennett and N. Humphrey, “Speaking for our selves,” in D. Dennett, Brainchildren (Cambridge, MA: MIT Press, 1998). Owen Flanagan develops an alternative narrative self account of multiple personality disorder in O. Flanagan, “Multiple identity, character transformation, and self-reclamation,” in G. Graham and Lynn Stephens, eds., Philosophical Psychopathology (Cambridge, MA: MIT Press, 1994).

[2]S. Braude, First Person Plural (London: Rowan & Littlefield, 1995), esp. pp. 170-180.

[3]J. Radden, Divided Minds and Successive Selves (Cambridge, MA: MIT Press, 1996), esp. pp. 37-59.

[4]S. Hurley, Perception and Action (Cambridge, MA: Harvard University Press, 1999), esp. pp. 121-129.

[5]C. Rovane, The Bounds of Agency (Princeton: Princeton University Press, 1998), esp. pp. 169-179.

[6]F. Schreiber, Sybil (New York: Warner Books, 1973).

[7]For a defense of the adjectival status of dispositional properties see, S. Shoemaker, “Introspection and the self,” in P. French et al., eds., Studies in the Philosophy of Mind, Midwest Studies in Philosophy 10 (Minneapolis: University of Minnesota Press, 1986).

[8]M. Conway, “A structural model of autobiographical memory,” in M. Conway et al., eds., Theoretical Perspectives on Autobiographical Memory (Dordrecht: Kluwer Academic Publishers, 1992).

[9]D. Schacter, Searching for Memory (New York: Basic Books, 1996), pp. 18-23.

[10]E. Tulving, Elements of Episodic Memory (Oxford: Clarendon Press,1983).

[11]A. Baddeley and B. Wilson, “Amnesia, autobiographical memory and confabulation,” in D. Rubin, ed., Autobiographical Memory (New York: Cambridge University Press,1986).

[12]I. Hacking, Rewriting the Soul (Princeton: Princeton University Press,1995).

[13]Radden, p. 244.

[14]Rovane, p. 170.

[15]Ibid., p. 179.

[16]K. Warren, “The power and the promise of ecological feminism,” Environmental Ethics 12 (Summer 1990).

[17]Rovane, p. 178.

[18]I. Yalom, Love’s Executioner, and other Tales of Psychotherapy (New York: Basic Books,1989).

[19]Rovane, p. 179.

[20]F. Putnam, Diagnosis and Treatment of Multiple Personality Disorder (New York: Guilford Press, 1989), pp. 115 and 316.