A critical evaluation of cognitive inhibition in dissociative identity disorder as inferred by negative priming in the flanker task: Limitations and the episodic retrieval alternative

Abstract

Studies examining negative priming in dissociative identity disorder (DID) using the flanker task have reported emotional context effects. Significant negative priming is evident when individuals with DID are assessed in a context deemed emotionally neutral, while in contexts designed to elevate anxiety, DID samples display reduced negative priming. Limitations and considerations are discussed around statistical power, generalizability and reliability, and the use of diagnostic groups over specific clinical symptoms. The negative priming findings in this growing body of work have been interpreted with reference to the functioning of cognitive inhibitory mechanisms. Explored is how the episodic retrieval account of negative priming, with its reliance on memory mechanisms, could account for the DID findings. Encoding and retrieval possibilities are discussed and it is concluded that a failure to encode the prime trial distractor stimulus, in contexts of heightened anxiety, could explain the experimental findings from an episodic retrieval perspective.