You are on page 1of 12

CHROI\lC CG\IMS

OF ALIEN ABDCCTION
A~1) SOME OTHER
TRAU\,gS AS SELF-
VICTnnZATIO:\
SY~DROMES

Jim Schnahel

Jim Schnabel is a science writer with an interest in dissocia- However, other observers (Evans, 1984; Ganaway, 1989~
tive phenomena. Noll, 1989; Powers, 1991) have noted that the phenomenology
of the syndrome bears a strong similarity to the experiences
For reprints writeJim Schnabel, 6000 Kennedy Drive, Chevy claimed by individuals who are prone to dissociation. Even
Chase, MD 20815, (301) 907-2662. Ring (1992) ,who does not contend that the etiology ofabduc-
tions is necessarily mundane, has noted from his own sur-
ABSTRACT veys that abductees tend to report a history of (mundane)
childhood abuse or trauma, and tend to score highly on
This paper discusses the case ofan alleged alien abduction victim measures of dissociative experiences.
who claimed a wide range of dissociation-related and traumatic The following is a report of a woman who has claimed
experiences, with a heavy thematic emphasis upon sexual abuse, frequent abductions and manipulations by aliens; frequent
extending back to a traumatic non-abuse incident in childhood, for rapes, abuse, and harassment by government agents and other
which she apparently was never amnesic. Certain aspects ofher his- men; and frequent mysterious ailments which have result-
tory seem consistent with dissociative disorders, organic mental dis- ed in inconclusive but expensive and intrusive hospital tests.
orders, and Munchausen 's syndrome. This case and the alien abduc- Her experiences are discussed in the context of a number
tion syndrome as well as some orallnarratives associated with multiple ofdissociative and other syndromes, including Miinchausen's
personality disorder and "Satanic ritual abuse, "do not derive exclu- syndrome, and a framework for understanding the connections
sively from severe exogenous trauma and may be viewed more use- between these syndromes is proposed.
ful~ as manifestations of manipulative self-victimization syn-
dromes. CASE REPORT

INTRODUCTION "Annette" (a pseudonym) is a woman in her late twen-


ties, intelligent, with a university degree, and quite person-
In recentyears, numerous individuals have claimed that able, although apparently prone to depression and despair
they have been, and periodically are, abducted and subjected as a result of her experiences. Her story was told to this
to medical examination and manipulation by extraterres- researcher with the understanding that it might be discussed
trials. The phenomenology of the syndrome is complex, and in a book being written about the history of UFO-abduction
has appeared to evolve continuously since abduction accounts research (Schnabel, 1994). This story - which I must
first began to appear widely in print in the mid 1960s. It cur- emphasize is largely unverified - is as follows:
rentlyinvolves claims offrequentamnesic fugues; unexplained Annette's mother developed measles when pregnant
scars; sudden memories (in adulthood) ofchildhood abduc- with her, and Annette was born with severe ear problems, a
tion; mysteriously-originating and mysteriously-disappearing heart murmur, and a cleft palate which subsequently was
pregnancies; mysteriously-originating and mysteriously-dis- reconstructed surgically. During her first year, she experi-
appearing neurological and reproductive monitoring devices enced two minor convulsive seizures, but none thereafter.
or "implants"; sudden awakening, paralysis, and a sense of When Annette was eight years old, a man in the neighbor-
presence in the early morning hours; poltergeist phenom- hood began to harass her family, and Annette's father bought
ena and other mysterious electrical disturbances; eating dis-. and loaded a gun for protection. Annette's father was killed,
orders and food allei:gies; and an anxiety syndrome which in Annette's presence, when he attempted to unload the
has been termed "post-abduction syndrome" by some abduc- gun and it discharged accidentally. Annette's mother then
tion researchers (Fuller, 1966; Keel, 1975; Hopkins, 1981; hastened her from the room, and Annette was not allowed
Evans, 1984; Hopkins, 1987; Strieber, 1987; Bullard, 1987; to attend the funeral.
Jacobs, 1992; Schnabel, 1994). Within a few months ofthe incident, Annette was abrupt-
The view of prominent abduction researchers in the lytold by her mother that it was time to attend summer camp.
U.S. is that this phenomenology indicates a covert alien pro- She was taken into the backyard ofthe house, where a coarse-
gram in which, among other things, human sperm and ova featured young man of about 16 took her hand and some-
are collected for the creation of human-alien hybrids how conveyed her to a remote cabin where he repeatedly
(Hopkins, 1987;Jacobs, 1992). raped her over a period of three days. The man's name was

51

.b-- -----l _
CHRO~IC CLlli\IS OF ALIEN ABDUCTION
-- - - --

"Luke n (a pseudonym). He told Annette thal in fact she had ferring to molest her psychologically instead. For example,
killed her father and that from now on, no one but he would he would arrive on her doorstep in the middle of the night
truly befriend her or fully undersland her. When Annette and pound on her door, apparen t1y to make her panic. Annette
returned from "camp," her mother said, "Oh, look at you, also occasionally was visited by her dead father, although
you've been sitting on some poison ivy! vVhat were you doing these visits seemed entirely benign. On at least one occa-
sitting on poison ivy without your underpants on?" sion, Annette noted that a pillow thrown at her dead father
Annette had had imaginary playmates and a vivid imag- went tluough him, indicating that he was only a ghost; her
ination, but she knew the difference between such fantasies other visitors were unfortunately more substantial.
and the reality of Luke, who continued periodically to visit Annette's strange experiences, and in particular her
her. Usually he lOok on a malevolent aspect, taunting her tendency to disappear suddenly, made relationships with
("You're going to like this") and sexually and physically abus- men difficult; in one case, she disappeared from a house
ing her, alth ough on occasion, he seemed reasonably placid. one night during a date wi th a potential boyfriend. She awoke
He once allowed Annette to pull hair from his chest to ver- in a remote part of the house in the morning, amnesic for
ify that he was reaL Luke also claimed to be a member of the period of her disappearance, and attempted to explain
Annette's family, and although he was never specific about that she didn't know what had happened. The young man.,
this claim, Annette's mother appeared to recognize him. who had slept alone for the night, called her a liar and angri-
'When at age nine Annette drew his picture in school and ly departed.
afterwards presented it to her mother, her mother burned One day in the late 1980s, at a bookstore on her uni-
the picture and told her never again to draw or to discuss versity campus, Anne tte saw a copy of'Whi tley Strieber's best-
the person whom Annette had depicted. selling book Communion, with the face of a gray alien on its
As a teenager, one of Annette's brothers once under- cover. The shock of recognition was so great that she sank
went a strange experience, changing his voice and person- to her knees and began sobbing uncontrollably. Later, she
ality briefly when confronted at home with the news of a read Communion and other books about aliens and abduc-
grandparent's dealh. He reported afterwards that he had tions, and contacted a prominent abduction researcher, ''Frank
seemed to float out of his body across the room, from which Taylor" (a pseudonym), who interviewed her abouther expe-
vanlage point he had observed his altered self. Annette also riences and began a series of regression hypnosis sessions
had an uncle who was widely known to be a psychic. that continues to this day. In each such session, Taylor would
Annette's odd experiences seemed to be far more numer- elicit memories ofone or more ofAnnette's numerous abduc-
ous than those ofanyofherrelatives. She had frequent episodes tion episodes, which apparently stretched back to her child-
of somnambulism. She had out-of-body experiences while hood, and continued with remarkable frequency in the pre-
in bed at night, and experienced occasional periods ofamne- sent, occurring every few days. At first, Annette withheld
sia, even in daytime, often awakening in a strange place, cov- from Taylor the information about Luke andJuan, fearing
ered with scars and bruises. In one incident, which alarmed that he would not believe her story if non-alien beings were
her family, she disappeared while snowmobiling in freezing involved. Taylor therefore interpreted Annette's odd expe-
weather and was discovered hours later, lying in the snow riences, fugues, and anxieties as relatively uncomplicated
beside her snowmobile, with her scarf folded neatly next to alien-abduction experiences. The fact that Annette often
her. Oddly, she was neither hypothermic nor injured in any awoke from her amnesic episodeswith bruises, scars, orother
other way. On other occasions when she suffered minor, signs of alien manipulation helped to convince him that her
prosaic injuries, she noted that she had a remarkable insen- experiences were real.
sitivity to pain. In the early 1990s, Annette told Taylor abou t Luke and
Annette also noted that machinery would sometimes Juan, but because they now often appeared in conjunction
malfunction around her. Electric wristwatches - even with with the aliens, it began to seem to her, and lO Taylor, that
new batteries - frequently ran slow or Slopped altogether. they might be "screen-memo:ry~aliens, or perhaps hybrids
Occasionally the telephone would ring but when she would or humans working with the aliens. Under hypnosis,Annette
pick it up, she would hear an ordinary dial tone, as if no one now decided that Luke's firsl appearance in her backyard
had called. had been in association with a luminous object, and that
'When Annette became sexually active, she noticed that J nan seemed anatomically non-human, with fingers that ended
her "first time" hadn't been at all painful. She mentioned it abruptly at his wrists.
casuaJly to her mother and her mother responded thatAnnette, Luke and Juan and the aliens seemed to appear most
when only a year old, had broken her hymen by sitting on frequently at night, during sleeping hours, and when Annette
a funnel; she had bled for a day or two and then she had was abducted, she frequently found herself in the company
been brought to the hospital. of other abductees, either in spaceships or in apparently
Annette's mother eventually remarried, and Annette earth-bound locations such as furnished offices and caves.
grew up amidst relative prosperity, although her relation- During waking hours, beginning approximately in early 1992,
shipwith her mother, who had always seemed to favor Annette's Annette began lO experience frequentseveral-hollr amnesic
younger sister, at times seemed strained. Annette continued episodes from which she would awaken, dishevelled, par-
to be visited by Luke, and now also by a Hispanic-looking tially un dressed, and occasionally with cuts and bruises. On
man narned 'Juan. ~ Juan seldom molested her sexually, pre- at least one occasion, the experience was followed (a) by a

52
D1SS0CIATlO\. \'01. \'11. \0. 1. ~Ial eh 199~
feeling of extreme thirst which was only quenched by a gal- doing this all her life, which was why she slipped into trances
lon or so ofwater, and (b) by inappropriate sensations, over so easily. The same, she told him, was true ofother abductees.
about 24 hours, ofambientwarmth or chill. Hypnotic regres- The therapist, however, continued to disbelieve her abduc-
sion with Taylor often revealed that on these occasionsAnnette tion accounts, andwould prescribe her onlyValium (diazepan)
had been abducted by men in dark suits and driven in a for her sleeplessness. Annette flushed the medication down
black limousine to a secluded place where she had been the toilet and terminated hervisits to the therapist. She began
gang-raped. This began to suggest to her and to Taylor a to see another therapist who believed in the reality of abduc-
government conspiracy related to the aliens' abduction pro- tions.
gram. At about this time, Annette missed her period and it
Occasionally, Annette's disappearances or abductions seemed as though she were pregnant. She believed the father
would occur during her visits to Frank Taylor's house. On to be an alien or a government rapist. Then one day she
at least one occasion, Taylor prevented her from leaving the began to bleed heavily, and eventually lost consciousness.
house in the middle of the night, and told her later that she When she awoke, covered in blood on the floor of her bath-
had been in a trance-like state, insisting that she had to go room, she noticed that she had passed what may have been
outside to meetsomeone. On another occasion, she was met a large blood clot or a dead fetus. She flushed it down the
by several men outside Taylor's house who gave her a bot- toilet and afterwards her periods resumed.
tle of wine to give to Taylor. On yet another occasion, after In the autumn of 1992, Annette began to have the feel-
an abduction experience at her home, she noticed alien ing that she could eat only certain foods. Under hypnosis
residue of some kind on her sheets. She sent the sheets to with Frank Taylor, she learned that the aliens had forbid-
Taylor, but they disappeared in the mail. Once, when attend- den her to eat anything besides eggs and vegetables. Annette
ing an abduction conference with Taylor, she rose in the began to experience abdominal pains. Whenever she attempt-
middle of the night and Taylor, who was sleeping nearby, ed to eat a proscribed food, she would break out in hives
attempted to prevent her from leaving the house. She and become nauseous.
<,;xplained that she was only going to the bathroom. Taylor One night in early 1993, Annette experienced a joint
returned to bed and in the morning Annette, who herself abduction with another abductee, "Beth," who had been
awoke fully clothed, reported that she had been abducted staying in her room at the time. Afterwards, Beth described
again. She wasn't sure why she had deceived Taylor during a human-looking entitywho had abused her during the abduc-
the night. tion; Annette recognized him as Luke. Beth, an accomplished
Annette usually could "feel" when an abduction was artist, drew Luke and gave the drawing to Frank Taylor, who
about to occur, sensing a certain pain above her right ear, displayed it at several abduction conferences where, to his
but even so, both the daytime and nighttime experiences surprise, a number of abductees came forward with claims
interfered with Annette's sleep patterns and with her work that they too had seen Luke during their abduction expe-
as a secretary in a large office. She seldom had a full nigh t' s riences.
sleep, and often went to bed only in the early hours of the Annette had a history of numerous hospital visits, for
morning. She frequently took sick leave, and her occasion- various ailments including heart problems, ear problems,
al disappearances during work hours brought her into con- and wrist problems, and in the late winter of 1993, having
flict with her employers. quit her job and having moved several hundred miles to a
Annette was seeing a professional therapist during this town near her parents where she lived in a single apartment,
time, and in the summer ofl992, after she experienced anoth- Annette consulted a gastroenterologist about her abdomi-
er abduction during a UFO abduction conference in the cen- nal pains. The gastroenterologist asked for a stool sample,
ter of a large east coast city, she complained to the therapist whichAnnette promptlydelivered andwhich contained blood.
that her repeated abduction experiences were making her Additional stool samples also contained blood. A number
suicidal. The therapist referred her to a neurologist, who ofinvasive examinations, including colonoscopy, gastroscopy,
arranged for a temporal lobe epilepsy test with nasal EEG and upper and lower barium radiography, were carried out
probes and a strobe light in her eyes. The strobe light quick- without finding a lesion which might be the source of the
ly put her into a pleasant trance within which she experi- blood. After further tests it was revealed that Annette had a
enced floating sensations, and from which the neurologist malfunctioning gall bladder. However, a residual uncertainty
and his staff had difficulty in retrieving her. There were no on the part of the consulted physicians led to further tests
EEG abnormalities and the neurologist subsequently diag- and an indefinite postponement ofany operation to remove
nosed her as having a susceptibility to "reflexive trance." Her her gall bladder. One series of tests suggested that Annette
therapist, after reading the neurologist's report, told her might have hypoparathyroidism. After further tests were con-
that the aliens and her other abductors were most likely the ducted by an endocrinologist, this condition was confirmed,
hallucinatory product of her trances, which her mind used the endocrinologist expressing surprise because the condi-
to avoid or to distract her from stressful situations. Annette tion was unusual in individuals who had not previously under-
disagreed, explaining to the therapist that the aliens, when gone thyroid surgery. Annette was given a course of calci-
they abducted her, often did the same thing that the neu- um injections and was later prescribed calcium pills and vitamin
rologist had done, putting her on a table and flashing lights D. Within a mon th her serum calcium level, which had been
in her eyes and forcing her into a trance, and they had been low at 6.9 [mg/dl], rose to about 7.2 [mg/dl]. The lower

53
D1SS0CIHIO\. Yol. \11. \0. 1. \laldllq9~
C] IRONIC CL-\lht'i OF ALIEN ABDUCTiON

limit of the normal range is 8.5 mg/dl (Alfrey et al., 1992). CASE DISCUSSION
However, she continued to experience gastrointestinal prob-
lems, and presented herselfto th e local hospital's emergency Dissociathm
room at least once in the month following the initiation of Itis difficult to know precisely howto interpretAnnette's
her calcium treatment. She began a course of "sulfa" for sus- story, since so little ofit has been confirmed by other sources.
pected colitis. She also experienced further dramatic abduc- .Also, this author is not a trained mental healtll profession-
tions and abuse. In one such episode, she was driving back al, and his observation of Annette was made in a non-clini-
from a visit to Frank Taylor when she felt ill and pulled her cal setting in which tilere was tolerant listening, but no ther-
car over to the side of the highway. She went into the woods apy was attempted.
to vomit, but was there accosted by Juan, who abused her It can be said, however, that although Annette's expe-
physically and sexually over a period of several hours, leav- riences are generally more complex and much more fre-
ing bruises and abrasions on her back, and rope-burns on quen t than tllOse of other abductees, they encompass most
her wrists, and smearing the blood of a mutilated cat upon ofthe standard abduction phenomenology. It should be noted
her face and breasts. She lost consciousness intermittently that abductions involving human orsemi-human en Ii ties occur
throughout this experience, but remembered the abuse and infrequently in the abduction literature but at presentwould
thatJuan told her that this was in retaliation for her having appear to be rapidly on the increase, following the sensa-
told Taylorabouta previous abduction she had experienced, tional case of another female abductee in Frank Taylor's cir-
involving drugged wine in a Manhattan restaurant, and a ele, Linda, who has claimed, with sometimes elaborate phys-
hazily-remembered cross-tOwn journey to a secret meeting ical "evidence," that she is the target of harassment by
with several military officials in a Hasidic Jewish neighbor- government agents with whom she, and a major political fig-
hood in Brooklyn. Juan .,.,earned her that he and the others ure whom they were guarding, were once abducted by aliens
could confrontand abuse heran}'\vhere, whenever they liked. (Schnabel, 1994).1
Annette believed him, later telling this author, "My life is Annette's history as reported, and to some extent as
over." Even so, Annette afterwards took a gun secretly from confirmed, seems to reflect a dissociative disorder. Some of
her parents' house, loaded it, and placed it beside her bed the more prominent features in this regard are her report,;
- to protect herself from Juan and the others. She wrote a of (a) chronic sexual abuse from childhood, (b) childhood
long letter, addressed to her persecutors, pleadingwith them imaginary plaYJnates, (c) frequen t somnambulism or fugue-
LO leave her alone. She also secretly took Valium from her like states with bruising or other injuries, and (d) an abnor-
parents' house, to help her sleep, although she discarded it mally high susceptibility to trance states (Coons, 1984; Bliss,
when the Valium seemed to produce vivid nightmares from 1986; Pu lOam, Guroff, Silberman, Barban, & Post, 1986; Ross,
which she found it difficult to escape into waking consciousness. 1989).
This was Annette's story. Most of it is obviously uncon- It could be argued that Annette's behavior during her
firmable, but in conversations with Frank Taylor, other amnesic fugues represents the behavior of an alter or semi-
abductees, one ofAnnette's former roommates, and Annette's alter who is not sufficiently distinct to meet the criteria for
parents, it was possible to obl..:-Un corroboration for the fol- MPD. Alternatively, it could be that Luke and Juan are for-
lowing: Annette had 'witnessed her father's death in a gun mer imaginary playmates who, like t.he more recently cre-
acciden t when she was eigh t years old. She claimed freg uent ated aliens, confront Annette within "internal landscapes"
abductions, and was a frequent visitor to Frank Taylor's house (Ross, 1989, p. 115) but do not take full executive control,
for hypnotic regression. Beth claimed that she had been and perhaps only manifest behaviorally as self-wounding
involved in a traumatic double-abduction involving Annette impulses. Both interpretations would seem consistent with
and Luke. Beth's drawing of Luke was recognized by other a diagnosis, according to DSM-JIJ-R criteria, of Dissociative
abductees at an abduction conference. Annette had been Disorder Not Otherwise Specified (American Psychiatric
seeing a therapist in the citywhere she had lived before mov- Association, 1987), although Coons (1992) notes thatin cases
ing closer to her parents. Annette had been seen on sever- of non-executive influence the other characters are usually
al occasions with inexplicable bruises or scars. Annette did not experienced as completely separate entities. It is possi-
present with a gastrointestinal problem the nature of which ble that Annette's fugues, bruises, and horror stories reflect
was elusive, and did undergo a battery of medical tests con- the fully executive actions of alters who woule emerge with
cerning a possible gastrointestinal and gall bladder prob- clinical investigation and would justify a diagnosiS of MPD.
lem. Anneue was diagnosed with hypoparathyroidism - Other features of Annette's history which are consis-
although a CT scan of her brain was negative for the calci- tent with a diai,,'TIosis of dissociative disorder or at least of
fication that sometimes accompan ies parathyroid disorders. dissociation-proneness include eating disorders, unexplained
This author is not aware of any direct disconfirmations or somatic symptoms, suicidal ideation, complex and chronic
contradictions by other individuals ofanyaspecls ofAnnette's (presumed) visual hallucinations, an occasional abnormal
story, although relatively few of her claims were checked. insensitivity to pain, insomnia and abnormal sleep patterns,
This author also had the impression that relations between paranormal-type experiences, an apparent history of disso-
Annette and her family were quite good, considering her ciative or paranormal-type experiences in near relatives, and
claims. a childhood experience ofsevere llon-abuse-related trauma
(the death of herfather) (Coons, 1984; Pettinati, Horne, &

54
lllSSOCI.mO:\. \'01. \'II. :\0. 1. ~[~Ich 1991
Staats, 1985; Putnam et al., 1986; Bernstein and Putnam, letter to her persecutors) , dependence and passivity, depres-
1986; Bliss, 1986; American Psychiatric Association, 1987; sion, and unusual somnambulatory-type behavior followed
Ross, 1989; Ross, Heber, Norton &Anderson, 1989; Demitrack, by full or partial amnesia (Dewhurst & Beard, 1970; Bear &
putnam, Brewerton, Brandt & Gold, 1990). Annette's mys- Fedio, 1977; Bear, 1979; Remillard et al., 1983; Persinger,
terious "pregnancy" is difficult to evaluate since it is unclear 1989; Trimble, 1991; Mikati & Holmes, 1993).
whether it ever occurred, but it may have represented a men- A number of authors have described patients with con-
strual problem or pseudocyesis-type episode which was then current MPD-type symptoms and temporal lobe epilepsy or
interpreted by Annette in accord with the standard abduc- other EEG abnormalities (Coons, Bowman, & Milstein, 1988;
tion motifofmissing alien-induced pregnancies. Pseudocyesis Benson, Miller, & Signer, 1986; Schenk & Bear, 1981;
does appear to have a relationship to dissociative potential Mesulam, 1981; Brende & Rinsley, 1981).Jacobs (1992), a
(Wilson & Barber, 1983). UFO abduction investigator, has noted that one of the
abductees he has worked with has temporal lobe epilepsy,
Organic Psychosis although he has argued that this was a coincidence. Persinger
Some of Annette's reported symptoms, of course, are (1989) has reported the termination of UFO abduction expe-
consistent with other disorders. The most obvious of these riences in one abductee with the anti-convulsant drug car-
disorders would seem to be the psychoses, and the corrob- bamazepine, and has argued that UFO abduction experi-
orated report thatAnnette had hypoparathyroidism suggests ences and other "visitor" experiences are mediated by
an organic psychosis. Hypoparathyroidism is one of several temporal lobe microseizures or electrical abnormalities
endocrine abnormalities which apparently result in the cal- which may not be detectable by ordinary EEG surveillance.
cification of brain areas, especially the basal ganglia; these Most MPD patients, however, not only appear to have
calcifications have been associated with a variety of neuro- normal EEGs, and are unresponsive to anti-convulsant med-
logical or psychiatric conditions including seizures, hallu- ication, but are otherwise clinically distinguishable from
cinations, and persecutory delusions (Tambyah, Ong, & Lee, patients with temporal lobe epilepsy (Devinsky, Putnam,
1993; Bilous et al., 1992; Fulop & Zeifer, 1991; Friedman, Grafman, Bromfield, & Theodore, 1989; Loewenstein &
Chiucchini, & Tucci, 1987; Cummings, Gosenfeld, Houlihan, Putnam, 1988; Ross et at, 1989; Ross, 1989). Annette, for
& McCaffrey, 1983; Francis & Freeman, 1984; Dimich, example, displays none ofthe religiosity, expansion ofaffect,
Bedrossian, & Wallach, 1967). In Annette's case, however, hypermoralism, or humorlessness that are commonly report-
there apparently was no finding of brain calcification, and ed in temporal lobe epileptics (Bear & Fedio, 1977). Ofcourse,
her pre-treatment serum calcium level was only moderate- the fact that she does not seem to display these factors could
ly low compared to the levels ofother reported hypoparathy- be due in part to the constraints posed by Frank Taylor's
roid patients (Dimich, et al., 1967). There was no unequiv- "nuts-and-bolts," anti-metaphysical view of the alien abduc-
ocal evidence in her self-reported history of the epileptoid tion phenomenon (Klass, 1989; Schnabel, 1994) . Moreover,
seizures, tetany, parkinsonism, dementia, or skeletal defects even Devinsky et al. (1989), who discount a primary role for
which are often found in adults with idiopathic hypoparathy- epilepsy in the etiology of MPD, argue that: "the high inci-
roidism (Tambyah et al., 1993; Fulop & Zeifer, 1991; dence of non-epileptiform abnormalities in our [MPD]
Friedman et al., 1987; Cummings et al., 1983, Dimich et al., patients suggests that a neurophysiologic abnormality may
1967). It also should be noted that in a review of267 patients contribute to the pathogenesis ofMPD."Alternatively, it could
with hypoparathyroidism, only 1.9% manifested clinical psy- be speculated that whatever causes MPD also contributes to
chosis (Denko & Kaelbling, 1962). the development of neurophysiological abnormalities
Eyen if hypoparathyroidism were not directly respon- (Putnam, 1984). The literature on shamanism (Eliade, 1989;
sible for Annette's hallucinatory experiences and delusions, Lewis, 1989; Kalweit, 1992) also indicates that epilepsy, or a
however, it may have represented a background source of disorder like it, is regarded in some cultures as a precursor
neurological or psychological stress. Lawlor (1988) has to chronic supernatural encounters. One of the abductees
described a patientwith acute organic anxiety syndrome which this author met through his research reported that she had
apparently resulted from surgery-related hypoparathyroidism a history of convulsions as a child, usually following illness,
and resolved with the return of the patient's serum calcium and usually signalling a sudden recovery ofher health, although
levels to normal. Lawlor has argued from a review of the lit- she no longer seemed to have these convulsions as an adult
erature that there is a frequent association between (Schnabel, 1994). This would be consistent with the hypoth-
hypoparathyroidism and anxiety states. esis, somewhat after the argument of Devinsky et al. (1989),
that neurological abnormalities may underlie or promote
Temporal Lobe Lability an overall psychological abilitywhich the individual can uncon-
Annette's history, despite the apparent negative TLE sciously or consciously learn to suppress or control. In this
test, also includes a number of features which one could regard it should be noted that reflexive epileptic seizures,
argue are indicative oftemporal lobe liability. These include like dissociative states, are often manifested during episodes
premonitory aura-type sensations, apparent hallucinations, of psychological stress (Zifkin & Andermann, 1993).
floating sensations, paranormal-type experiences, apparent
paranoid delusions, apparent "ictal" sexual sensations, ther-
moregulatoryabnormalities, possible mild hypergraphia (the

b-- ---'-__ -J__ ~~~ __55


CHRONIC CLAI~'{S OF AJ~.Ir~\T .ABDUCTION

MiincJuwsen's Syndrome rate pseudohistories, the use of different names, and claims
'Whether the causes of Annette's experiences are neu- of childhood abuse, neglect, or trauma. Good,vin has pro-
rological or psychosocial, or both, there are specific aspects posed on this basis that Mi:i.nchausen's syndrome be reclas-
of her reponed history which, although they cannot be con- sified as a dissociative disorder.
clusive, do suggest deliberate rather than unconscious deceit; Mi:i.nchausen's-type behavior has been reported in a
for example, the disappearing alien-stained sheets, the wine woman who claimed Satanic ritual abuse (Coons & Grier,
proffered by strange men, and the nocturnal deception of 1990). SaL:'U1ic abuse claims are similar to alien abduction
Frank Taylor - none of which was associated by Annette claims not only in their themes of "sudden remembering"
with amnesia. Indeed,Annette'sstory, with its central theme of childhood abuse or trauma, and in the dissociative his-
of frequent fantastic injury or mysterious illness requiring tories of their claiman ts, but also in their reported imagery
hospital investigation bears a strong resemblance to stories which typically features the claimant prone and naked, under-
told by individuals with Miinchausen's syndrome (Asher, going sexual or gynecological manipulation and later giv-
1951). In particular, Annette's presen tatio n with abdomi- ing birth to babies which are harvested by the ritualists or
nal trouble requiring extensive and invasive but inconclu- aliens (Ganaway, 1989; Schnabel, 1994). Post-traumatic
sive diagnostic techniques fits well within th eMiinchauseniall stress disorder, which is occasionally diagnosed in IvlPD patien l~
pattern. Of course, it is true that in routine medical prac- (Ross, 1989) and, less formally, in UFO abductees Uacobs,
tice stool blood occasionally has no obvious internal source, 1992), also has attracted Munchausenialls (Lynn & Belza,
but it is also true that the addition of blood to laboratory 1990).
samples is a classic Miinchausenian technique (Spiro, 1968; As for UFO abductions, some authors (Bullard, 1987;
Atkinson & Earll, 1974; Ifudu, Kolasinski, &Friedman, 1992). Klass, 1989; Jacobs, 1992) have noted cases in which alien
Miinchausen'ssyndrome occasionally has been suspected abduction claims appeared to have been presented with delib-
to have an organic etiology: there are repons of erate deception. Klass (1989, p. 174) reports the case of a
Mi:i.nchausenians with severe hypothyroidism (Brecker & young woman who, following her confession, argued that
Trepte, 1990), brain MRl abnormalities (Fenelon etal., 1991); the kind ofdeception that she had perpe trated was,videspread
histories of meningitis, neurosurgery, and head injury among other abductees: "the only way they can get any kind
(Barker, 1962); abnonnal EEGs (Barker, 1962; Ireland, of satisfaction is to fabricate some sort of story to get the
Sapira, & Templeton, 1967); and serious brain dysfunction focus of attention that they need."
based on other neuropsychological testing (Pankrantz, 1981;
Pankrantz & Lezak, 1987). Lawrie. Goodwin, & Masterson THE ISSUE OF ABUSE
(1993) describe a patient who exhibited a personality change
following a cholecystectomy, and within several years began Goodwin (1988) has attempted to forge an etiological
overdosing on co-proxamol, dramatizing her medical con- link between MPD-type disorders and Miinchausen's by sug-
dition and using a variety of aliases and addresses to obtain gesting that in some cases the self-mutilating behavior ofthe
the drug. Co-proxamol abuse in this patient was associated Miinchausen's patient may be explained as: (a) an attempt
with fugues and tonic-clonic seizures. Three months after to overcome the sense ofvictimization from childhood trau-
her use ofthe drugwas terminated by clinicians, SPECT imag- ma by re-assuming the victim's role but controlling it secret-
ing and neuropsychological testing revealed evidence ofseri- ly; (b) an attempt to deny traumatic memories by weaken-
ous brain dysfunction, including fronto-temporal lobe ing the cogni live-mnemonic divide between fan tasy and reality;
deficits, poor concentration and short-term memory, con- (c) an enactment of a conflict between wan ti lJ g childhood
structional apraxia, and an accounting of events whose "bla- abuse to be diagnosed and "wanting to maintain the lies and
tant" inconsistency seemed lost on the patient. Lawrie, the secrecy"; and/or (d) a straightforward compulsive re-
Goodwin, & Masterson suggest that during cholecystectomy enactment of childhood abuse. Toth and BaggaJey (1991)
the patient incurred a brain injury which led to an organic discuss t.he additional possibilities that Mi:i.nchausenian
anxiety syndrome, which in turn led the patient to alleviate behavior may occur in the MPD patient because: (e) it rep-
her anxiety through psychotropic drug abuse. resents a re-enactment of childhood abuse in a hospital sel-
Munchausen's also has been linked to the dissociative ting, this setting having been identified by the patient with
disorders. Goodwin (1988) and Toth and Baggaley (1991) child abuse because of an early hospitalization requiring
have noted cases in which Multiple Personality Disorder coex- aggressive and painful medical treatment; and/or (f) the
isted with Munchausen's-type behavior. In the cases report- patient has the hope of redeeming her tolerance of child-
ed by these authors, the suspicions of a coexistence of hood abuse through masochistic behavior. Note that in all
Miinchausen's and MPD was supported by a reported histo- of the above explanations it is assumed that the unifying fea-
ry of childhood abuse, neglect, or trauma plus an early his- ture of coexistent MPD and Mi:i.nchausen's is an actual his-
tory of receiving attention in a medical setting. Both such tory of childhood abuse or trau ma - wi th a strong empha-
conditions appear in Annette's self-reported history. sis on abuse.
Goodwin (1988) has noted that in general, there are Annette's narrative appears to include episodes ofabuse
numerous behavioral parallels between Munchausenians and which, as presently described, have fantastic overtones, sug-
patients with dissociative disorders, including compulsive gesting that they should not be taken literally. Indeed, their
self-injury, pseudoseizures, active imaginations with elabo- apparent commencement so soon after the sudden loss of

56
D1ssocr ITlO~. 1'01. \'II, \0. I. \larch 1991
her father suggests that they are more related to the latter thatAnnette's "alien-abduction" episodes represent instances
than to any actual ongoing exogenous trauma. Annette's of actual but prosaic sexual and physical abuse seems espe-
comments about other family members' dissociation-relat- cially remote considering their frequency, their locales, the
ed experiences, and her self-reported history of childhood competitive dynamic which seems to pertain among Frank
imaginary playmates, among other things, suggest that the Taylor's abductees, and the overall Miinchausenian pattern
trauma of her father's death occurred against a background of Annette's claims.
of relatively high psychological lability, and, perhaps aided
by Annette's perception that she was neglected by her moth- SELF-VICTIMIZATION SYNDROMES
er, triggered chronic dissociative episodes in a process sim-
ilar to that suggested in the usual etiological models of MPD An alternative hypothesis, which puts even less empha-
(KIuft, 1984a) - in the absence, however, of an actual his- sis on actual trauma, is that the major unifying feature of
tory of chronic sexual or physical abuse. some (not necessarily all) cases of MPD, of other dissocia-
This author has interviewed a number of other chron- tion-related syndromes, ofMiinchausen's syndrome and other
ic UFO abductees, none ofwhom reported a history of child- factitious disorders, and of other claims or fabrications of
hood abuse or trauma. Linda, the alleged government-har- trauma or injury, is the deep-seated need to assume the role
rassment victim referred to above, has reported that her of the victim. This hypothesis is similar to those which posit
childhood included neither abuse nor trauma (Hopkins, MPD as one of many socially-defined forms of manipulative
1993), but rather a variety of paranormal experiences - disease-simulation or role-playing, and also largely parallels
which, she says, her parents also endured. "They were never sociological/anthropological analyses ofspirit-possession syn-
believers in the unnatural," she has told an interviewer, "but dromes (Lewis, 1989).2
we had our home blessed by a priest on a regular basis. It In such cases, self-victimization would not be restrict-
didn't help" (Amendola, 1993, p. 4). ed to, but might be manifested more easily and with more
The role of abuse and trauma in the etiology of MPD equanimity by, those with a facility for dissociation, whether
and its variants has long been controversial. It has been sug- this facility arises from genetic or developmental factors, or
gested, for example, that MPD represents merely an acting- both. Dissociation-related or neurocognitive lability-related
out, consciously or unconsciously, of suppressed impulses experiences such as amnesic fugues, non-specific anxiety,
or fan tasies by attention-seeking individuals whose behavior eating disorders, pseudocyesis or other fantasies concern-
may be explained as much by their emotional lability and ing pregnancy, out-of-body experiences, bedroom paralysis
suggestibility as by exogenous stress (see Ellenberger, 1970; and a sense of "presence," and archetypal or culture-bound
McHugh, 1992). hallucinations (Hufford, 1975) would also serve as the basic
Modern authors who otherwise support the validity of features of certain self-victimization syndromes. In the case
MPD and other dissociative disorders as distinct and often of the UFO abduction syndrome, 3 such features would be
post-traumatic disease entities (e.g., Bliss, 1986; Young, made .meaningful with consciously- or unconsciously-gen-
1988; Ganaway, 1989; Powers, 1991) also have argued that erated abduction narratives, and might be supplemented,
the narratives ofthe dissociative disorder patient may include for example, with fabricated "alien" artifacts (Keel, 1975).
fantasy to an indeterminate degree. The work ofWilson and Once such a syndrome is defined and publicized, it
Barber (1983) and Lynn and Rhue (1988) suggests that at may quickly attract those prone to self-victimizationwho already
least some (although not necessarily all) highly-hypnotiz- suffer from such background symptoms. This would help to
able individuals - of which MPD patients would seem to explain why sensational reports ofdissociation-related expe-
comprise a subset-maybe prone to fantasy. Ganaway (1989) riences or conditions are often followed, as MPD, Satanic rit-
in particular has suggested that the themes of patient nar- ual abuse claims, and UFO abduction claims have been since
ratives may be determined less by straightforward factual the 1970s, by exponential increases in the number of cases
abuse and trauma than by certain othershapingfactors (Kluft's presented and diagnosed (Ross, 1989; Wright, 1993; Schnabel,
Factor 3 in the etiology of MPD [KIuft, 1984a]). These fac- 1994).
tors would include books, films, hypnotic trance logic, and At the same time, the mimicry which would facilitate
the need to please one's therapist. the adoption of the victim's role also would help to drive
Ganaway appears to believe that actual abuse and trau- the thematic evolution of the self-victimizer's chosen genre.
ma plays an important role in the etiology of MPD and its The theme of stolen fetuses only became prominent in the
variants. He suggests that UFO abduction claims (see also UFO abduction lore in the late 1980s, following a sensational
Powers (1991» and Satanic ritual abuse claims may repre- book on the subject (Hopkins, 1987); abductee themes which
sentvarian ts ofan unconscious, dissociation-mediated defen- have become prominent since then include the belief in a
sive system against (relatively prosaic) trauma and traumat- conspiracy between aliens and the U.S. government, claims
ic memories. This argument seems similar to Goodwin's that some abductees are themselves part-alien, and claims
hypothesis (b) noted above. It should be noted, however, that aliens frequently abduct abductees' (actual human) chil-
that Annette's apparently dissociative episodes do not obvi- dren (Jacobs, 1992; Hopkins, 1993; Schnabel, 1994; Mack,
ously represent an attempt to screen out or to deny the trau- 1994). The same mechanism might explain recent themat-
matic memory of her father's death, since she has seemed ic changes (Ganaway, 1989) and the ostensible postwar eti-
wiIIing to discuss this memory quite openly. The possibility ological revolution (Ross, 1989; see below) within the MPD

57
DISSOnmO\. rol. \lI. \0. 1. ~Iarch 199~
literature. false diagnosis or even induction of MPD in those who actu-
The hypothesis !.hatsome foons ofMPD represent mani~ ally have suffered child abuse.
ulative self-victimization, more or less in the sense described It may be that child abuse, whose prevalence and range
by Lewis (1989), is hinted at by Ross (1989), who approv- ofseverity today are perhaps not significantly different than
ingly recites Lewis's argument that spirit-possession syndromes they were before 1944, often plays a direct, traumatic role
and possession cultscan represent socially-acceptable expres- in the development of MPD. However, it may also be that a
sions of otherwise forbidden, subversive, and often frankly claim of child abuse, whether true or not, serves primarily
libidinal impulses: ''women living in cultures in which they not as the traumatic stimulus to defensive dissociation, but
are politically powerless can acquire power, influence, auton- as the medically-acceptable complaint through which, in part,
omy, and partial satisfaction of thwarted needs through pos- the role of MPD victim is adopted by a self-victimizing indi-
session ... Demon possession in western Europe made pos- vidual. 5i milarly, the fact that MPD victims who claim Satan ic
sible the ritualized expression of Dionysian impulses and ritual abuse may have an actual history of membership in
opinions that could not be stated directly... " (Ross, 1989, p. occult groups does not necessarily mean that occult abuse
21) .Thus, it appears to be accepted that possession can come has led to defensive dissociation; instead it may be that dis-
about via relatively mild stresses, and can serve merely as an sociation-proneness manifests first and leads to exotic spir-
alternative form of expression or manipulation. As for the itual beliefs and group memberships (Persinger, 1990;
connection between possession and MPD, Ross is unequiv- Persinger & Makarec, 1993).
ocal: MPD, he says, is "a secular version of demon posses- Lewis's analysis (1989) depends heavily upon sociological
sion" (1989, p. 19). Similarly, Goodwin (1988), after the his- arguments concerning the status and the resultant strate-
torian Judith Brown (1986), has retrospectively diagnosed gies ofwomen and other apparently peripheral members of
MPD in a 17th century "possessed" Italian nun, who report- certain societies- arguments which may not apply in mod-
edly faked stigmata and a variety ofother ailments and asceti- ern western cultures where MPD is believed to be epidemic.
cisms, and manifested a system of male alters who appar- However, a femin ist analysis (cited in Ross, 1989) argues that
ently enabled her to express both her lesbianism and her modern western women suffer under oppressive conditions
somewhat grandiose mystical ambitions. which seem effectively the same as those claimed for Lewis's
Ross (1989) accounts for the apparent etiological dis- possession-prone subcultures ofthe Third World. Moreover,
crepancy between these old forms of MPD and the late twen- it may be that not only current sociological factors but also
tieth century forms with the following hypothesis: "Since evolved neurocognitive and behavioral differences between
1944 MPD has evolved into a syndrome with a post-traumatic men and women help to explain why women seem over-rep-
etiology, whereas before it tended to have less severe exter- resented among possession victims, spiritual mediums, and
nal precipitants; our society has gotten sicker, and the abuse "channders," individuals with somatization disorders, UFO
of children more bizarre; earlier clinicians missed the abuse abductees, Satanic ritual abuse claimants, and MPD patients.
history in many MPD patients, which was not as severe, on In any case, the concept of a spectrum of more or less adap-
average, as that experienced by contemporary patients. The tive, empowering self-victimization syndromes need not be
incidence of MPD, then, is an indicator of the amount of gender-specific; in theory, self-victimization in various forms
child abuse occurring in Western society" 0989, p. 42). can be adopted by anyone to whom other roles or behaviors
It would seem that such hypotheses are about all that are less attractive, for sociological, psychological, neuro-
separate modern MPD, etiologically, from possession syn- physiological, and/or circumstantial reasons.
dromes like those described by Lewis (1989). There is, of These reasons may combine and evolve in an individ-
course, a body of literature noting corroboration of child ual case to ensure the periodic or chronic manifestation of
abuse in some MPD cases (Goodwi n, 1982; Kluft, 1983; KI uft, self-victimization in one or more forms, perhaps in an oppor-
1984a; Kluft, 1984b; Bowman, Blix & Coons, 1985; Coons & tunistic or even a reflexive and relatively uncontrolled man-
Milstein, 1986;Bliss, I 986, Hornstein &Putnam, J 992); how- ner involving a mixture ofself-victi mization mo tiEs. The high
ever, this body ofliterature accounts for relatively few cases incidence of somatic symptoms reported by MPD patients
(Frankel, 1993), and ~corroborations"ofabuse bysocial work- would conceivably be one example. As another example,
ers are often highly controversial (Schnabel, J 993). Social Wright (1993) has noted that the principal complainant in
workers are typically empowered to make judgments about the Ingram ritual-abuse case, who fabri cated letters from her
whether abuse is occurring in the absence of evidence suf- allegedly abusive father, also had a history of making unsub-
ficient for a criminal conviction (SL:'lte of Maryland, 1993). stantiated and vaguely-directed charges of prosaic sexual
Innocent parents may even be induced to "confess" inces- assault. Keel (1975) has noted more exotic examples includ-
tuous abuse if (a) they face pressure to plea-bargain for a ing an alien contactee/abductee who reportedly gave off
relatively mild pun ishment orface expensive trials and lengthy sulphurous smells (a relatively common feature of demon-
jail terms, and/or (b) they, like their children, have disso- ic possession cases [Oesterreich, 1974]), and other con-
ciative tendencies and high suggestibility which cause them tactees/abductees who reportedly enjoined Keel to prevent
to believe falsely, and perhaps even elaborate upon, what them from contractually assigning !.heir souls to the aliens.
they are accused of (Wright, 1993; see also Robbins, 1959; The apparent eat's blood ritual hinted at by Annette in her
Douglas, 1970). The beliefthat MPD is a subtle disorder requir- narrative also suggests an intrusion of Satanic/witchcraft
ing intensive questioninf{ by therapists may also lead to a themes.

58
DlSSOWTIOX. ,"01. \'II. ~'(I.l. ~l,ll'ch 1994
Lewis (1989) has argued that in some cases of posses- ization syndromes. The fact that self-victimization itself may
sian, "initiation into the ranks of the chronically possessed be therapeutic for the patien t implies that therapy may often
is in the nature ofa cure" (p. 61). In other words, the role be prolonged or interminable.
of victim may represent a substantial and therapeutic ele- This hypothesis may be incorrect; however, it involves
vation over other available roles. This might help to explain reasonably specific predictions and implications, explains
why MPD is so often complicated by an apparent resistance the rapid expansion ofMPDand its variants in recent years,
to therapy by the patient (Ross, 1989; Ganaway, 1989). and does not require an etiological divide between these
Lewis also has noted that what he terms "the ranks of syndromes and their pre-modern and non-western forms.
the chronically possessed" often amoun t to possession cults, The consequences of failing to recognize such self-vic-
within which the victim may encounter a range of new and timization syndromes where they exist could be significant,
attractive social opportunities which perhaps further reduce since the above hypothesis predicts the elaboration of nar-
the chances of a return to her pre-victim role. Possession ratives and fabricated evidence in some cases as a conse-
cults typically feature a group of chronic possession victims quence ofpatient-patientand patient-therapistrelationships.
and a shaman, the possessees often competing for the lat- Aside from the possible psychological harm done to the patient,
ter's attention (Lewis, personal communication, 1993). The there may be false narratives and other fabricated evidence
same structure seems to exist for many modern medical con- directed against other, innocent people. Even in alien
ditions and traumas, in the form ofvictim "support groups" abduction claims, where the accused are beyond the reach
which are attended by a therapist or therapists. In the alien ofsocial workers or prosecutors, there is now a trend accord-
abduction syndrome, support groups typically are dominated ing to which the scarred or otherwise marked children of
by young women and focus upon a therapist who is an older alien abductees are presented to abduction researchers as
male. In this respect the alien abduction syndrome seems evidence for the reality ofabductions (Mack, 1994; Schnabel,
similar to many of the European convent possession epi- 1994); such practices have obvious similarity to Miinchausen's
demics of the 16th and 17th centuries, where confessors and syndrome by proxy (Meadow, 1977), a vicarious self-victim-
exorcists played a role similar to that of modern therapists ization syndrome which is frequently lethal.
(Ross, 1989), and often seemed, merely through their pres-
ence as males, to stimulate competitive self-victimization (typ-
icallywith obvious sexual overtones) among possessed nuns. NOTES
One notable feature of possessee competition, incidentally,
was the occasional tendency for a possessee to manifest an 1Another researcher familiar with the Linda case, a prac-
increasingly large and complex system of demonic posses- ticing psychologist (Donald Johnson, personal communi-
sors (Robbins, 1959), in a manner reminiscent of today's cation, 1993), told this author that Linda had turned in an
expansion of alien abductee narratives to include govern- MMPI profile similar to those ofpsychics and MPD patients.
ment agents and alien-human hybrids. A similar dynamic
might explain the proliferation of alters which sometimes 2ParapsychologistWilliam Roll's analysis ofsome "poltergeist"
occurs in MPD patients, for example as an apparent resis- cases as an attention-seeking response to stress (1977; per-
tance to therapy (Ross, 1989) or following exposure to other sonal communication, 1993) would seem to fit this general
MPD patients (Schnabel, 1993). picture, too.

CONCLUSION 3rt may be that not all UFO abductions are psychogenic in
the classic sense; some, especially pre-1980 cases, have been
It is hypothesized that some cases of "UFO abduction," reported in association with separately-witnessed outdoor
of other dissociation-related syndromes including MPD, of UFO encounters and have been interpreted as the result of
factitious disorders, and of other self-reported illnesses or seizures or trances induced by exogenous electromagnetic
traumas may be more usefully viewed as self-victimization geo-atmospheric phenomena, combined with neurophysi-
syndromes. According to this hypothesis, these syndromes ological and psychosocialfactors (Persinger, 1989; Devereux,
may be triggered by various social, psychological, neuro- 1989). However, it is noteworthy that such encounters are
physiological, and circumstantial factors or stressors which often followed by reports of more or less chronic encoun-
need not always include severe exogenous trauma or abuse. ters which are not necessarily associated with actual exoge-
These syndromes maybe enacted unconsciously or consciously, nous phenomena (Keel, 1975; Eliade, 1989), suggesting that
and may involve not only false narratives but also the fabri- a self-victimization - or even, "shamanic" ~ reflex may be
cation of evidence. The dynamics of patient support groups triggered by an initial crisis of this kind. •
and ofthe patient-therapistrelationship may encourage com-
petitive self-victimizationwith increasinglydramatic and bizarre
narratives and fabricated evidence. Two or more distinct
manifestations of self-victimization may exist in the same
individual, and it may be that individuals who present with
a recently developed self-victimization syndrome have a his-
tory of presenting with other, more established self-victim-

- - 59
D15.'OrL\TIO:\. ,"oJ. "U. :\0. I. ~Iar,h 1m
REFERENCES Bullard, E. (1987). UFO abductions: The measure of a mystery.
Alexandria: Fund for UFO Research.
Alfrey, E.,Perloff, L.,Asplund, M., Dafoe, D., Grossman, R., Bromberg,
J., Holland, T., Naji, A., & Barker, C. (1992). Normocalcemia thir- Coons, P. (1984) The differential diagnosis of multiple persollal-
teen years after successful parathyroid allografting in a recipient ity: A comprehensive review. Ps)'chiatric Clinics ofNorth America, 7 (1),
of a renal transplant. Surgery, 1] I, 234-236. 51-67.

Amendola, S. (1993). «Linda Cortile:" An interview. MUFON-NYC Coons, P. (1992). Dissociative disorder not otherwise specified: A
Newswller, 1 (4), 3-8. clinical investigation of 50 cases with suggestion for typology and
treatment. DISSOCIATION, 5(4),187-195.
American Psychiatric Association (1987). Diagnostic and Statistical
Manual ojMental Disarders III - Revised. Washington, DC: Author. Coons, P., & Grier, F. (1990). Factitious Disorder (Munchausen-
type) involving alleg-ations of ritual satanic abuse: A case report.
Asher, R. (1951) Miinchausen's Syndrome. Lancet (10 Feb), 339- DISSOCIATION, 3, 177-78.
341.
Coons, P., Bowman, E., & Milstein, V, (1988). Multiple personali-
Atkinson, R., & Earll ,J. (1974). Miinchausen' sSyndrome \vith Renal ty disorder: A clinical investigation of 50 cases. joumal of Nervous
Stones. journal ofthe American Medical Association, 230, 89. and Mental Disease, 176,519·27.

Barker,]. (1962). Thesyndrome oEhospital addiction (Munchausen's Coons, P" & Milstein, V. (1988). Psychosexual disturbances in mul-
syndrome) - A report on the investigation of seven cases. journal tiple personality: Characteristics, etiology, and treatment. joumal
of Mental Sciences, 108, 167-182. of Clinical Psychiatry, 47,106-110.

Bear, D. (1979), Temporal lobe epilepsy: A syndrome of sensory- Cummings,j., GosenfeJd, L., Houlihan,j., & McCaffrey, T. (1983).
limbic hyperconneetionism. Conex, 15,357-384. Neuropsychiatric disturbances associated with idiopathic calcifi-
cation of the basal ganglia. Biological Psychiatry, 18 (5), 591-601.
Bear, D., & Fedio, P. (1977) Quantitative analysis ofinterictal behav-
ior in temporal lobe epilepsy. Archives ofNeurology, 34, 454-467. Demitrack, M., Putnam, F., Brewerton, T., Brandt, H., & Gold, P.
(1990). Relation of eli nica! variables to dissociative phenomena in
Benson, D., MiJler, B., & Signer, S. (1986). Dual personality asso· eating disorders. AmericanJoumal ofPsychiatry, 147 (9), 1184-1188.
ciated with epilepsy. Archives of Neurology, 43, 471-474.
Denko, j., & Kaelbling, R. (1962). The psychiatric aspects of
Bernstein, E., & Putnam, F. (1986). Development, reliability, and hypoparathyroidism. A eta Ps)'chiatrica Scandinavia, 164 (suppl), 1-
validi ty of a dissociation scale, joumal of Nerv()~ and Mental Disease, 70,
174(12). 727-735.
Devereux, P. (1989). Earth lightsrevelation. London: Blandford.
Bilous, R., Murty, G., Parkinson, D., Thakker, R., Coulthard, M.,
Burn, J., Mathias, D., & Kendall-Taylor, P. (1992). Brief report: Devinski, 0" Putnam, F., Grafman,j., Bromfield, E., & Theodore,
Autosomal dominant familial hypoparathyroidism, sensorineural W, (1989). Dissociative states and epilepsy. Neurology, 39, 835·840.
deafness, and renal dysplasia. Newt:ngin:n,dj(JU''IUllofMedicine, 327(15),
1069-1074. Dewhurst, K., & Beard, A. (1970). Sudden religious conversions in
tempora!lobe epilepsy. Brilishjournal of Prychialry, ] 17, 497-507.
Bliss, E. (1986). MUUiplejJersonalit)', allieddisurders, andh)'fltWsis. Oxford:
Oxford University Press. Dimich, A., Bedrossian, P., & Wallach, S. (1967). Hypoparathyroidism:
Clinical observations in 34 patients. Archives of Internal Medicine,
Bowman, E., Blix, S., Coons, P. (1985). Multiple personality in ado- 120,449-458.
lescence: Relationship to incestuous experiences. journal of the
American Academy of Child Psychiatry, 24, 109-114. Douglas, M. (1970). (Ed.). T"Iitchcrafl confessions and accusations.
London: Tavistock.
Brecker, S., & Trepte, N. (1990). Myxodematous Munchausen?
Lancel, 355, 231. Ellenberger, H. (1970). The discovery of the unconscious. New York:
Basic Books.
Brende,j., & Rinsley, D. (1981). Acase of multiple personality with
psychological automatisms. joumal of the American Aco.demy of Evans, H. (1984). VISions, apparitions, andalien visitors. Wellingborough:
Psychoanalysis, 9, 129-151. The Aquarian Press.

Brown ,J. (1986). Immodest acts: Th.e life ofa lesbian nun in Renaissance
Italy. Oxford: Oxford University Press.

60
[I I::,'OClltI JO\, \ III \ U. \11 1.11mb I~ I
Fenelon, G., Mahieux, F., Roullet, E., & Guillard, A. (1991). Jacobs, D. (1992). Secret life. New York: Simon & Schuster.
Munchausen'ssyndrome and abnormalities on magnetic resonance
imaging of the brain. British Medical Journa~ 302: 996-997. Keel,]. (1975). The Mothman pruphecies. New York: Saturday Review
Press.
Flint,]., & Goldstein, L. (1992). Familial calcification of basal gan-
glia: A case reportand review ofthe literature. Psychological Medicine, KIass, P. (1989). UFO abductions: A dangerous game (revised edition).
22,581-595. Buffalo: Prometheus.

Francis, A., & Freeman, H. (1984). Psychiatric abnormality and KIuft, R. (1984a). Treatment of multiple personality disorder: A
brain calcification overfour generations.journalofNervous andMental study of 33 cases. Psychiatric Clinics ofNorth America, 7(1),9-29.
Disease, 173(3),166-170.
KIuft,R (1984b). Multiple personality in childhood. Psychiatric Clinics
Frankel, F. (1993). Adult reconstruction of childhood events in ofNorth America, 7(1),121-134.
the multiple personality literature. American Journal of Psychiatry,
150(6),954-958. Lawlor, B. (1988) . Hypocalcemia, hypoparathyroidism, and organ-
ic anxiety syndrome. Journal ofClinical Psychiatry, 49(8),317-318.
Friedman, ]., Chiucchini, 1., & Tucci,]. (1987). Idiopathic
hypoparathyroidism with extensive brain calcification and persis- Lawrie, S., Goodwin, G., & Masterson, S. (1993). Munchausen's
tent neurologic dysfunction. Neurology, 37, 307-309. syndrome and organic brain disorder. BritishJournal ofPsychiatry,
162,545-549.
Fuller,]. (1966). The forgotten journey. New York: Dial Press.
Lewis, 1.M. (1989). Ecstatic religion (second edition). London:
Fulop, M., & Zeifer, B. (1991). Case report: Extensive brain calci- Routledge.
fication in hypoparathyroidism. The AmericanJournal ofthe Medical
Sciences, 302 (5), 292-295. Loewenstein, R., & Putnam, F. (1988). A comparison study of dis-
sociative symptoms in patients with complex partial seizures, mul-
Ganaway, G. (1989). Historical truth versus narrative truth: Clarifying tiple personality disorder, and post-traumatic stress disorder.
the role of exogenous trauma in the etiology of MPD and its vari- DISSOCIATION, 1(4), 17-23.
ants. DISSOCIATION, 2, 205-220.
Lynn, E]., & Belza, M. (1990). Factitious post-traumatic stress dis-
Goodwin,]. (1982). Sexualabuse: Incest victims andtheirfamilies. Boston: order: The veteran who never got to Vietnam. Hospital Community
Wright. Psychiatry, 35, 697-701.

Goodwin,]. (1985). Credibility problems in multiple personality Lynn, S., & Rhue,]. (1988). Fantasy proneness: Hypnosis, devel-
disorder patients and abused children. In RP. KIuft (Ed.) , Childhood opmental antecedents, and psychopathology. AmericanPsychologist,
antecedents ofmultiplepersonality disorder. Washington, DC: American 43,35-44.
Psychiatric Press.
Mack,J. (1991). Abduction: Human encounters with aliens. New York:
Goodwin, J. (1988). Munchausen's syndrome as a dissociative dis- Schribners.
order. DISSOCIATION, 1 (1), 54-60.
McHugh, P. (1992). Psychiatric misadventures. TheAmericanScholar,
Hopkins, B. (1981). Missing time. New York: Marck. 61 (4),497-510.

Hopkins, B. (1987). Intruders. New York: Random House. Meadow, R. (1977). Munchausen syndrome by proxy - the hin-
terlands of child abuse. Lancet, 2, 343-345.
Hornstein, N., & Putnam, F. (1992). Clinical phenomenology of
child and adolescent dissociative disorders. Journal of the American Mesulam, M. (1981). Dissociative states with abnormal temporal
Academy of Child and Adolescent Psychiatry, 31, 1077-1085. lobe EEG. Archives ofNeurology, 38, 176-181.

Hufford, D. (1975). The terror that comes in the night. Philadelphia: Mikati, M., & Holmes, G. (1993). Temporal lobe epilepsy. In Wyllie,
University of Pennsylvania Press. E. (Ed.), The treatment ofepilepsy, pp. 513-524. Philadelphia: Lea &
Febiger.
Ifudu, 0., Kolasinski, S.L., & Friedman, E.A. (1992). Brief report:
Kidney-related Mlinchausen's syndrome. New England Journal of Noll, R (1989). Satanism, UFO abductions, historians, and clini-
Medicine, 327, 388-389. cians: Those who do not remember the past. DISSOCIATION, 2,
251-253.
Ireland, P., Sapira,J., & Templeton, B. (1967). Munchausen's syn-
drome. AlI"tericanJournal ofMedicine, 43, 579-592. Oesterreich, T. (1974). Possessi~: Demoniacal and other. Secaucus:
Citadel Press.

------ 61
DISSOW.T10\. roJ. nl. \0. I. ~Iarch 1994
I

CHRON~C CLAJI\'1S OFA.lJEN ABDUCTION I


I

Pankran tz, L. (1981). Areview ofthe M(lllchausen syndrome. Cliniwl Ross, c., Heber, S., Anderson, G., Norton, G., Anderson, B., del
PI),chology Review, 1,65-78. Campo, M., & Pillay, N. (1989). Differentiating multiple person-
ality disorder and complex and partial seizures. General Hospilltl
Pan kran tz, L., & Lezak, M. (1987). Cerebral dysfun etion in the Psychiatry, 11, 54-58.
Miinchausen syndrome. HillsideJoumal ofClinical Psychiatry, 9, 195-
206. Schenk, L., & Bear, D. (1981). Multiple personality and related dis-
sociative phenomena in patientswith temporal lobe epilepsy. American
Persinger, M. (1989). Predicting the details of visitor experiences Journal ofPsychiatty, 138, 1311-1316.
and the personality of experients: The lemporal lobe factor.
Perceptual and Motor Skills, 68, 55-65. Schnabel, J. (1993). The sixty-five faces of Donna. The Independent
on Sunday Review, (24· October), 10-15.
Persinger, M. (1990). Elevated, specific temporal lobe signs in a
population engaged in psychic srudies. Perceptual and Motor Skills, Schnabel,j. (1994). Dark white: Aliens, abductions, and the UFO obses-
71,817-818. sion London: Hamish Hamilton.

Persinger, M. (1993). Vectorial cerebral hemisphericity as differ- Spiegel, D., Hunt, T., & Dondershine, H. (1991). Dissociation and
ential sources for the sensed presence, mystical experiences, and hypnotizability in post-traumatic stress disorder. AmericanJGumal
re ligious conversions. Perceptual and Mot(ff Skilll, 76, 915-930. of~,sychial7)" 145,301-305.

Persinger, M., & Makarec, K. (1993). Complex partial epileptic Spiro, H. (1968). Chronic factitious illness. ArchivesofGeneralPsychia1ry,
signs as a continuum from normals to epileptics: Normative data 18, 569-579.
and clinical populations. Joumal of Clinical Ps)'chiatry, 49, 33-43.
Slale of Maryland (1993). Code ofMaryland Regulations 07.02.07.08.
Pettinati, H., Home, R., &Staats,j. (1985). Hypnotizabililyin patients
wilh anorexia nervosa and bulimia. Arvhiccs ofGeneral Psychiatry', 42, Strieber, W. (1987). Communion: A true !ilory. New York: Morrow.
1014-1016.
Tambyah, P., Ong, B., Lee, K (1993). Reversible parkinsonism and
Powers, S. (1991). Fantasy proneness, amnesia, and the UFO abduc- asymptomatic hypocalcemia wilh basal ganglia calcification from
tion phenomenon. DISSOCIATION, 4(1), 46-54. hypoparathyroidism 26 years after thyroid surgery. The American
Journal of Medicine, 94, 444-445.
Putnam, F. (1984). The scientific investigalion of multiple per-
sonality disorder. In Quen, j. (Ed.), Split minds, split lJrains. Ne\\l Toth, E., & Baggaley, A. (] 99 I). Coexistence of Miinchausen's syn-
York: NYU Press. drome and multiple personality disorder: Detailed repon of a case
and theoretical discussion. Psychiatry, 54, 176-183.
Putnam, F., Gurofl:;j., Silberman, E., Barban, L., & Post, R. (1986).
The clinical phenomenology ofmultiple personality disorder: Review Trimble, M. (1991). The p.sychoses ofepileps),- New York: Raven.
of 100 recen t cases. Journal of Clinical Ps)'chiatry, 47 (6), 285-293.
Wilson, S., & Barber, T.X. (1983). The fantasy-prone personality:
Remillard, G., Andermann, F., Testa, G., Gloor, P., Aube, M., Martin, Implications for underslanding imagery, hypnosis, and parapsy-
j., Feindel, W., Guberman, A, & Simpson, C. (1983). Sexual ictal chological phenomena. In Sheikh, AA (Ed.), Imagery: Current 1M
manifestations predominate in women with temporal lobe epilep- 01)', rr.search, and application (pp. 340-390). New York: Wiley.
sy: A finding suggesting sexual dimorphism in the human brain.
Neurology, 33, 323-330. Wright, L. (1993). Remembering Satan. The New Y(ffker, (May 17-
24).
Ring, K. (1992). The omega project. New York: Morrow.
Young, W. (1988). Observations on fantasy in the formation ofnlUl-
Robbins, R. (1959). The encyclopedia ofwitchcrafl and demonology. New tiple personality disorder. DISSOCIATION, 1(3), 113-20.
York: Crown.
Zifkin, B., & Andermann, F. (1993). Epilepsy with reflex seizures.
Roll, W. (1977). Poltergeists. In P.B. Welman (Ed.), Handbook of In Wyllie, E. (Ed.), The treatment of epilepsy: Principles and practices.
paraps),chology (pp. 382 - 413). New York: Van Nostrand Reinhold. Philadelphia: Lea & Febiger, pp. 614-623.

Ross, C. (1989). Multiple personality disorder: Diagnosis, clinical fea-


tures, and treatment. New York: VI/iley.

Ross, C., Heber, S., Norton, G., & Anderson, G. (1989). Somatic
symptoms in multiple personality disorder. Psydwsom4tics, 30, 154-
160.

. 62

You might also like