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Sybil Exposed:  The Extraordinary Story behind the Famous Multiple Personality Case

7/30/2014

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Sybil Exposed: The Extraordinary Story Behind the Famous Multiple Personality Case
Author:  Debbie Nathan
ISBN:  978-1-4391-6827-1

APA Style Citation 
Nathan, D. (2011).  Sybil Exposed: The Extraordinary Story Behind the Famous Multiple Personality Case.  New York, Simon and Schuster.

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Book Description
In 1953 at the APA convention, the story of Eve Black was revealed in what would eventually become the film, The Three Faces of Eve.  The film drew public attention to multiple personality disorder.  At the same time, WWII veterans who recently arrived home after witnessing unspeakable horrors sometimes dissociated in an attempt to forget the carnage they had observed.  These events would shape the lives of the women who would later play a role in the most noted story about dissociation.  In Sybil Exposed, author Debbie Nathan tells the story of three women who worked together to create, treat, and write the infamous book about the woman known as Sybil that changed the course of psychology and became “THE” case study upon which thousands of others were based.  Sybil sold almost seven million copies and brought multiple personality disorder (MPD) to the common vocabulary of Americans. Roughly 200 cases of MPD had been diagnosed during the two centuries prior to the publication of Sybil, yet in the four years after the release of the book an additional 25,000 cases were identified, and as many as seven million have been documented through the present.  Nathan interviewed those who knew the three women and poured over papers and tapes of therapy sessions to uncover the truth behind the myth.

Shirley Mason (Sybil) was raised in rural Minnesota in a strict Seventh Day Adventist household.  Shirley loved art and after giving up her dreams of becoming a doctor, she studied to become an art teacher.  In college she became interested in Freud and read about his famous work with the patient Anna O. and other hysterical women.  It was not until she met Dr. Cornelia Wilbur, however that there was any indication that she suffered from multiple personality disorder, even according to those who knew her quite well.  After beginning treatment, Dr. Wilbur provided Shirley with literature regarding dissociation and multiple personality disorder prior to the official diagnosis being issued. 

Dr. Wilbur attended the University of Michigan and it was there she found her calling.  She connected well with girls who suffered from “hysteria” (somatic disorders); she empathized with them and became very motherly, which alone helped some of them recover.  It was at the University of Michigan that she was also introduced to using barbiturates and specifically Pentothal popularly known as “truth serum” to treat patients.  A professor at the University of Michigan medical school was treating women with Multiple Personality Disorder, whom he introduced to Dr. Wilbur.  She was intrigued and began reading about the disorder.

Flora Schreiber who would eventually write the book Sybil was a journalist who wanted to create a name for herself as a serious journalist.  She had previously written articles about schizophrenic women and other stories about mental illness for popular magazines, which were part fiction and part fact.   Dr. Wilber introduced Flora to Shirley and thus the three set about to write a book about this strange disorder. 

When Dr. Wilbur and Shirley Mason first met, there was no doubt that Shirley could benefit from psychological treatment.  She was painfully shy, often sick, suffered from anxiety and insomnia, and occasionally talked in a strange fashion.  Perhaps the most inhibiting symptom was Shirley’s blackouts, in which she would become comatose and suddenly go limp, later forgetting what happened when she blacked out.  In Sybil Exposed, Nathan proposes that many of Shirley’s symptoms may have actually been the result of pernicious anemia (inability to breakdown B12 in the body) rather than multiple personality disorder, which Dr. Wilbur could easily have found if she had examined Shirley’s childhood health records.

The traumas described in the book Sybil did not come out right away; it was only after many sessions with Pethonal in which Dr. Wilbur made suggestions regarding possible childhood abuse (similar to the cases she had seen and read about while at the University of Michigan) that this came up in therapy. Dr. Wilbur also prescribed numerous medications for Shirley including sleeping pills, Seconal for anxiety, and Demerol (an opiate) for menstrual pains. Connie also used the same mothering technique that had benefitted her patients in the early years of her practice; she would often come to Shirley’s apartment and climb into bed with her after administering the Penthonal to discuss early traumas.  When Shirley expressed an interest in going to medical school, Connie volunteered to pay for tuition as well as room and board.  After the publication of Sybil, Shirley essentially lived at Connie’s despite having a home of her own a few blocks away.  While the stringent ethical guidelines for relationships between psychologists and their patients did not exist at the time, this was without question overstepping boundaries that should reasonably exist between patient and therapist. 

Shirley did attend her therapy sessions dressed differently and speaking differently on some occasions.  Dr. Wilbur reported meeting 16 very different personalities during therapy, but many of the claims in the book cannot be substantiated.  During a Penthonal session, Shirley described travelling to Philadelphia and waking to find herself in childlike pajamas, which she had purchased in her fugue state.  Later, she described her mother’s abuse including being locked in a wheat bin and a childhood friend who accidentally killed himself when playing with a gun.  None of these claims could be substantiated by Flora Schreiber as she completed her research for the book Sybil.  In fact, Shirley’s home never had a wheat bin; her friend did not die as a child, but rather when Sybil was 17, and the store where she claimed to have purchased the childlike pajamas in Philadelphia never sold pajamas of any sort.  Despite knowing this, Flora published the book and Shirley and Dr. Wilbur stood by their statements when questioned about the inconsistencies.  No one from Shirley’s hometown, a small tightly knit community where most certainly everyone knew one another’s business ever reported any abuse.  In addition, Shirley’s beloved grandmother who lived at the house and a housekeeper claimed never to have known about any abuse.  While some claimed Shirley’s mother was a bit eccentric, there was no evidence that she was a paranoid schizophrenic as Dr. Wilbur had suggested.

Each woman had different reasons for wanting the book Sybil to be published.  Shirley was painfully poor; she was unable to work for a good deal of her adult life and after meeting Dr. Wilbur was almost certainly suffering from drug addiction as well as her other ailments.  She also owed Dr. Wilbur over $300,000 in bills for psychoanalysis.  Dr. Wilbur wanted to become a world famous psychologist and seemed to be willing to do nearly anything (including lying) to insure that this happened.  Flora Schreiber wanted to become a respected journalist and had already accepted and spent the advance she had been paid to write the book before discovering the inconsistencies in the “story”.  Before writing the book, Flora received Dr. Wilbur’s reassurance that this story would, “have a happy ending” because people would not buy a book with out a happy ending.  Dr. Wilbur promised Flora that Shirley would be cured by 1965 and as if on cue, on September 2, 1965 Shirley was declared, “cured” after eleven years of treatment even though by many accounts her condition had not significantly changed.  The three women created Sybil, Inc. and agreed to split the earnings equally.  The book led to a television series and eventually dolls and board games were added to the Sybil promotions.

Flora and Dr. Wilbur both craved the spotlight and often tried to undermine one another as they engaged in the media blitz following the publication of Sybil.  Shirley, on the other hand, essentially became a recluse.  Although a pseudonym had been used for the book (purportedly to protect Shirley, but perhaps also to be sure that no one could track down the legitimacy of the claims made in the book) Shirley cut ties with people from her hometown and college friends with whom she had kept up a written correspondence for years. Because the details in the book were changed only slightly and those who had known Shirley or did a bit of investigating deduced that Shirley was Sybil. Shirley also stopped communicating with her stepmother to whom she had been very close.

Shirley had written Dr. Wilbur a note in 1958 proclaiming that she was not a multiple, but Dr. Wilbur interpreted this as an expression of fear about moving forward with therapy and uncovering more horrific experiences.  A week later, Shirley recanted the confession.  Flora Schreiber knowingly falsified information to make the story more engaging for readers.  When she found Shirley’s 16 personalities to be lacking in depth, she asked Dr. Wilbur for details about the physical characteristics and personalities of multiples that had not come up in therapy.  For example, the alternate personality Peggy was described as “calm”, but Flora thought this would bore readers and so she decided to make her and the other alternates ‘more interesting’. Even Shirley’s diary appears to have been forged, she claimed it was written primarily in 1941 in ballpoint pen; ballpoint pens were not created until 1944.

Nathan explains that the impetus for writing Sybil Exposed was to tell the real story of Shirley Mason and to try to prevent misleading facts from playing a role in the future diagnosis of patients.  While debunking the story of Sybil, it does not prove that dissociative disorders do not exist.  It does call into question the hundreds of thousands of diagnoses that were made in the years after Sybil was published. Nathan is highly critical of the validity of repressed memories, especially those revealed in a drug induced state.

In 1983 the International Society for the Study of Multiple Personality and Dissociation (ISSMP&D) held its first conference and Dr. Wilbur was one of the main speakers. Today, many psychologists question the validity of multiple personality disorder, which was first included in the DSM in 1980.  In the DSM-IV published in 1994, the name was changed to dissociative Identity disorder (DID) in order to make it sound less alluring to the public, because it might be over diagnosed in individuals who are highly suggestible.  In the latest rendition, DSM-5, the diagnosis is still included, however, debate continues regarding the validity of DID and other dissociative conditions. 

All three women involved in the creation of the Sybil story are now dead. In 1988, investigators publically determined Sybil’s’ identity and claims in the book were questioned however, there was no longer anyone alive to deny the truth.  The reprint of Sybil in 2009 included a three-page caution to readers about the truthfulness of the story, but the book is still assigned in many classes and has new readers each year. While Sybil Exposed cannot change the label for the many individuals who may have been misdiagnosed because of Sybil, at least truth has finally been “exposed”. 

Other Related Resources
Book Website
The website for Debbie Nathan’s book Sybil Exposed which includes photos of the women involved in the story, video clips, and a timeline of the events.
http://pages.simonandschuster.com/sybilexposed/

NPR Interview with author Debbie Nathan
http://www.npr.org/2011/10/20/141514464/real-sybil-admits-multiple-personalities-were-fake

A college friend remembers Shirley Mason
The audio-slide show in this video was created by the Author of the book Sybil Exposed, Debbie Nathan and includes audio of her interview with Jean Lane who knew Shirley Mason (Sybil) during college. 
https://www.youtube.com/watch?v=P4S50E4uqTE

Psychological Figures and Concepts
Jean-Martin Charcot
Walter Freeman
Sigmund Freud
Kitty Genovese
Multiple Personality Disorder/Dissociative Identity Disorder
“Mersmerization”
Psychoanalytic Treatment
Hypnosis
Psychiatry
“Hysteria”
Neuroticism
Psychoticism
Id/Ego/Superego
Dissociation
Oedipus Complex
Free Association
Schizophrenia
Insulin Shock Therapy
Electroconvulsive Shock Therapy
Barbiturates
Lobotomies
Repressed memories
Transference/Countertransference
Panic Attacks
Projection
Resistance
Age Regression Therapy

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Eat, Move, Sleep:  How Small Choices Lead to Big Changes

7/7/2014

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Eat, Move, Sleep: How Small Choices lead to Big Changes
Author(s): Tom Rath
ISBN:  9781939714008

APA Style Citation
Rath, T.  (2013). Eat, Move, Sleep: How Small Choices lead to Big Changes.  Missionday

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Book Description

Eat, Move, Sleep is a book for anyone who would like to live a healthier life.  Each chapter is organized into simple sections with a single recommendation for improving one’s diet, activity and rest to conclude each chapter. Regardless of one’s current level of activity and sleep or eating habits, Rath’s ideas can be easily implemented.  There are simple recommendations for each category such as eating more green vegetables like broccoli, sleeping without lights or electronic devices, getting a pedometer or a fit bit (  a wireless electronic device that tracks activity and sleep patterns by computing statistics in real-time such as steps taken, distance covered, calories burned, stairs climbed and active minutes), and trying to be even a little bit more active each day . There are also many apps that will measure steps per day, etc. some of which are free.  Rath describes his own reasons for living a healthy lifestyle; he is prone to small cancerous tumors, which clean living can reduce.  He explains that his desire to live healthier is also about being around for his wife and children for many years. Rath clearly states that he is not a doctor or an expert on nutrition but has gathered research over the past twenty years on how to live a healthier life; it is this research on which the book is based. Rath places an emphasis on the preventable aspects of diseases such as cancer, diabetes, heart disease, and lung disease, which kill 9 of 10 people.  Implementing even some of the recommendations in the book can make these less likely to happen to you.  A mistake individuals often make is to work on only one of these three modalities (Eat, Sleep or Move) in isolation, Rath poses that it is healthier and actually easier to work on all three at the same time.

Eat

2/3rds of all Americans are overweight or obese; we all need to focus on eating better if this statistic is ever going to change. The quality of what one eats is far more important than the quantity, which is unfortunately what many diets emphasize.  Rath recommends trying to find foods with less fat, sugar and carbohydrates that what you are currently eating. Avoid foods with a ratio higher than five to one carbohydrates to protein and look for foods that have a ratio of one gram of carbohydrates for every gram of protein. 

Try to leave fruits and vegetables in places where you can easily see and access them and place junk food in places that are less accessible.  On average, Americans eat 150 pounds of sugar per year; there are obviously some opportunities to reduce this intake.  Sugar has been called, “candy for cancer cells” and it has been estimated that sugar kills more people each year than cocaine, heroin or any other controlled substance. Sugar is addictive and activates rewards centers of the brain, as we consume more and more sugar, we increase our tolerance and need more sugar to activate those same pleasure areas in the brain.  Recommendations for sugar intake are not more than 6 teaspoons per day for women and 9 for men. 

A great shortcut for eating better is green means “go”, which reminds us that foods like broccoli, bok choy, and celery have a positive impact on health, also red or blue foods like strawberries, blueberries and peppers are good choices.  Rath discusses that each meal can be viewed as either a benefit or a loss.  While coffee is a “net gain”, loading it with cream and sugar makes it a “net loss”; the next time you drink a cup of coffee, try it without any or at least with less cream and sugar.  

Do not be fooled by organic or “whole grain” products which are frequently not any healthier than their “normal” counterparts.  Dried fruits contain little nutritional value and often times more sugar than a candy bar.  Using smaller serving plates will cause people to eat less and using plates which contrast the color of the food also cause people to eat less in a single sitting (30% less).

Planning ahead is also an important fact related to remaining healthy. Rath suggests carrying an apple or a bag of nuts for situations in which one is traveling, driving or in other cases in which health food options may be limited.  Begin by eating the healthiest food on your plate; this will generally lead to eating more of that food and less of the other “less healthy” foods.  Drinking a large glass of water before a meal helps to suppress appetite and cause one to eat less at mealtimes. 

Move

Most people spend more time sitting than sleeping in a given day. Inactivity kills more people than smoking, so any method to be more active will be a net gain.  After 2 hours of sitting, good cholesterol drops by 20 percent so even standing at one’s desk is better than sitting.  Try taking a meeting or a phone call while walking.  Rath wrote this book while slowly walking on a treadmill (1.5 miles per hour) and easily met his goal of 10,000 steps per day (the average American takes only about 5,117 steps per day) while working, leaving him more time to spend with his family at the end of the day. 

Take the stairs instead of the elevator and find small opportunities to build in activity that does not necessarily take time out of what you are doing in your day.  Being active can cause up to a 40 percent reduction in the genetic predisposition for obesity, we do not have to be victims of our genes, Rath is a prime example of this.

The book suggests using a fit bit or one of many free phone apps as an easy way to track activity in a given day and set goals to gradually increase activity. Remaining active throughout the day seems to be more significant than a single workout within a sedentary lifestyle in terms of overall health benefits.  Exercising early in the day has been shown to boost mood throughout the day and doing so before breakfast may also help burn additional fat. 

Moving more seems to increase creativity and building breaks into one’s study time or daily workday seem to help increase brain growth and efficiency.  In a study of over 12,000 adults over the age of 25, each hour of television viewing decreased the viewer’s lifespan by 22 minutes.  Walking, stretching, or exercising while watching television can completely negate these negative effects.  In addition to improving health, physical activity wards off depression and prevents some cognitive disorders such as Alzheimer’s disease. 

Sleep

According to a study from Harvard Medical School, lack of sleep costs the American economy $63 billion per year.  Those driving with a night of sleep loss are the equivalent to a blood alcohol level of 0.19 (more than twice the legal limit) in terms of their ability to react. K. Anders Ericsson, who found that those who performed at the highest level needed 10,000 hours of practice (also see review for The Talent Code), also found that those who performed at the highest level slept for an average of 8 hours and 36 minutes a night (most Americans get just under 7 hours). 

Getting less than 6 hours of sleep a night is a key factor related to burnout on the job.  Losing 90 minutes of sleep reduces daytime alertness by 1/3rd; making it imperative that one has a good night’s sleep.  According to a fourteen day study, those who get better sleep have stronger immune systems and are less likely to get colds or other ailments.  Individuals with lower sleep efficiency were 5.5 times more likely to develop a cold.  Getting a better night sleep will also help cement the items which were learned that day, this is especially effective when the good sleep occurs on a regular schedule. 

In order to get more effective sleep, Rath recommends keeping all types of artificial light out of the bedroom including televisions, cell phones, lamps, iPads, etc., and avoiding exposure to bright light just before bedtime because this decreases the beneficial aspects of melatonin. 

Vigorous workouts shortly before bed are also shown to significantly improve sleep quality.  Maintaining a consistent sleep schedule even on holidays and weekends helps improve the quality of sleep and this is especially important for children and teens.  If you sleep more, you generally remember more and eat less, thus getting more sleep helps in many areas of one’s life. 

Summary
All of these recommendations can help individuals to live a healthier life and all of them can be implemented regardless of one’s current activity level or level of health or age.  Rath’s recommendations are simple approaches to extending and improving life.  This is a book for everyone regardless of his or her interest in Health Psychology, and we can all benefit from the recommendations he makes by adopting even a handful of his useful life changing ideas.  These recommendations need not radically change your daily life, but small changes over an extended period can lead to major life improvements.


Other Related Resources

Eat, Move, Sleep Book Website:  Through this website, you can create a personalized plan (see open your class with this tomorrow activity), link to hundreds of articles which the book references, and download the 30 day challenge.

http://www.eatmovesleep.org
Tom Rath’s website

http://www.tomrath.org/eat-move-sleep/

Facebook page
https://www.facebook.com/eatmovesleep

Office Hours with Daniel Pink:  Podcast with Tom Rath
The following link is Pink’s interview with the author of Eat, Move, Sleep – Tom Rath.
http://www.danpink.com/office-hours/tom-rath/

Forbes interview with Tom Rath on how small changes make all the difference in your life: Focuses on improving one’s work.
http://www.forbes.com/sites/danschawbel/2013/10/08/tom-rath-how-small-changes-make-all-the-difference-in-your-life/

 
Psychological Figures and Concepts
K. Anders Ericsson (10,000 hours)
BMI
Circadian rhythms
Health Psychology
Insulin
Melatonin
Sleep apnea

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    Authors

    Laura Brandt, Nancy Fenton, and Jessica Flitter are AP Psychology instructors. Nancy Fenton teaches at  Adlai E. Stevenson High School in Lincolnshire, Illinois, Laura Brandt teaches at Libertyville High School in Libertyville Illinois and Jessica Flitter teachers at West Bend East High School in West Bend, Wisconsin.
    If you are interested in reviewing a book for the blog or have comments or questions, please e-mail us at either [email protected] or [email protected] or [email protected].

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