I was 10, in the summer of 1974, when I first read Sybil, utterly fascinated and horrified. (My mother told me to skip the abuse sections, but of course I didn’t.) I re-read it many times over in years to come, and anything else I could find about multiple-personality disorder. As nearly everyone did, I accepted uncritically Flora Rheta Schreiber’s account of Sybil’s illness and recovery under Dr. Cornelia Wilbur. The story made beautifully dramatic sense: A severely abused child who is also intelligent, sensitive, and creative could unconsciously save herself from being destroyed by trauma. She could split herself into separate personalities with separate memories and life experiences, each personality having a role in remembering certain events, expressing forbidden feelings, and otherwise protecting the core self. Through emotional confrontations with the repressed past, and with the help of a caring therapist, the patient could integrate into one whole, healthy person.
Except that’s not what happened, as journalist Debbie Nathan explains in Sybil Exposed. The exposé here is not really of Sybil herself (real name: Shirley Mason), but of “Sybil” the created product. (There was even talk, after the book’s success, of a Sybil board game, T-shirt, dolls.) Nathan lays bare how, in their different ways, Wilbur, Schreiber, and Mason each needed and contributed to the MPD narrative. Both Wilbur and Schreiber had reputations to make. Wilbur had been wanting an MPD patient; it was a rare diagnosis, a fascinating one, and she felt she could help. Schreiber was tired of writing fluff pieces for women’s magazines and needed a juicy yet serious subject. Mason desperately wanted love and attention, and her diagnosis guaranteed lots of that. Especially when Wilbur started shooting her up with truth serum in hours-long sessions several times a week, demanding to know who had hurt Shirley.
Besides the Pentothal, other drugs Wilbur prescribed include Seconal, Demerol, Dexamyl, Miltown, Edrisal, and Thorazine. She also made house calls, sometimes to inject Pentothal, sometimes with a portable electroshock box:
Connie would carry her apparatus to Shirley’s apartment and climb in bed with her. She would clamp the paddles to Shirley’s temples, twirl the dials, press the buttons. Shirley’s body would arch and crash with convulsions . . . . Connie was relentless, administering Pentothal round the clock.
Of course, we know now that “truth serum” is more likely to produce rambling flights of fancy, but Wilbur was convinced that every word was gospel. When Mason finally wrote a long letter to her doctor saying she had been lying because she’d been distraught and didn’t even know how she came up with these terrible accusations about her mother, Wilbur called it a defensive maneuver. Wilbur cued her intelligent, suggestible, and needy young patient until she got what she wanted, and rewarded her with hugs, gifts, and money, sometimes paying her rent, getting her jobs, sometimes living with her, going on vacations with her, and other shocking boundary violations that would never be accepted today.
Nathan makes depressingly clear that poor Shirley Mason was made far worse by Wilbur’s treatment. She did need help. Since childhood, she’d been troubled, unhappy, and anxious. Artistically gifted, she was burdened by her parents’ extremely strict Seventh-Day Adventist beliefs, which forbade imaginative play, fictional stories, and art done in non-realistic colors. A lonely only child, she invented imaginary playmates; this too was a sin, but she couldn’t stop herself from escaping into pretend adventures with Vicky and Sam. Sometimes she became so involved she couldn’t remember what was real and what was fantasy. By the time she started seeing Wilbur regularly, Mason had had a lifetime of dreaming up other selves and imagining heroic adventures.
Schreiber never mentions this in the book. Nor does she mention that no one in Mason’s tiny hometown, where everyone knows everyone, could corroborate the savage abuse described in Sybil. Yes, Mattie (“Hattie” in the book) was a bit nervous and strange, and when depressed would ignore her daughter. But no one had a story about her wandering around the neighborhood defecating on people’s lawns. Not a single rumor about the teenage lesbian orgy in the woods Sybil supposedly witnessed. Dodge Center doesn’t even have woods. Although the TV movie claims that doctor’s records validate scars from sexual abuse, no such records were found.
Near the end of the book, we learn that Wilbur mentions in passing that one reason Mason was always so tired is that she had pernicious anemia. The symptoms? Exactly those Mason went into treatment for, including depression, anxiety, headaches, mood swings, hallucinations, and confusion about identity. If she’d just taken some vitamin B12, instead of having MPD iatrogenically produced through powerful, addictive drugs and a dangerously enmeshed psychiatrist, she could most likely have lived a much happier, healthier, more independent life. Schreiber and Wilbur made their careers on her. Mason died nearly penniless. If she’d been willing to sell her paintings as Sybil, she’d have had plenty to live on. But she refused.
As for why, besides inherent fascination, Sybil became a huge bestseller and introduced a new psychiatric diagnosis, Nathan says it’s about female identity after the sexual revolution and how the book was published during a time in history when women were experiencing fragmented selves, needing to integrate their roles as wife, mother, professional, and so on. Maybe; Mason wouldn't be the first woman to be wrongly diagnosed because a woman's symptoms must indicate hysteria. I don’t think you have to look that far, though. The idea that the one who is supposed to love you best is actually a frightening monster out to get you has its own inherent fascination—one that doesn’t need a push from historical currents. After all, I had no role confusion at age 10, and I was agog. It’s ironic that the story of monster disguised as helper winds up being true after all, although the monster is named Doctor, not Mother.
Does Nathan's research dispute the DID (formerly MPD) diagnosis guidelines in the DSM, or just Shirley Mason's diagnosis? (I have a friend diagnosed with DID and I have had encounters with her alters, so I feel like I can speak to the reality of its existence, if not in this particular patient.)
ReplyDeleteNathan's account is pretty clear that while Shirley Mason might have been dissociative, in her case, her so-called MPD was caused by Dr. Cornelia Wilbur's abusive treatment. (Dissociative, in that she frequently fantasized deeply, sometimes confused those fantasies with reality, and also had a physical disease that can cause identity confusion.) Nathan also talks about the explosion in MPD diagnoses following Sybil and related books, and touches on the increasing implausibility: stories of Satanic ritual abuse cults murdering hundreds of people but never leaving a sign; alters that are angels, aliens, animals, trees. She also discusses what conditions helped create this explosion, like the growing awareness of battered children, something that touches on deep fears. She criticizes current organizations/doctors promoting MPD/DID, not least because it used to generate endless billing hours. But she never says that the condition doesn't or can't exist, and notes that a few hundred cases were known before The Three Faces of Eve or Sybil became best sellers.
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