70 pages • 2 hours read
Daniel KeyesA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Content Warning: This section contains detailed accounts of crime, including sexual assault; refers to attempted death by suicide; and discusses trauma and abuse as well as institutionalization and mental health treatment.
Author Daniel Keyes explains that the book is a factual account (through 1981) of the life of William Stanley “Billy” Milligan, the first person in US history found not guilty of a major crime by reason of insanity due to a diagnosis of “multiple personality disorder,” now known as dissociative identity disorder (DID). Keyes collected information from Milligan primarily by interacting with the “fused Billy,” an amalgamation of the several alters Milligan displayed, though he interacted with several of Billy’s alternate identities (alters) as well. In addition, Keyes spoke with 62 people who knew and engaged with Milligan at different points in his life. Most people who interacted with Milligan came to accept his diagnosis, while some remained skeptical and considered him a fraud. Keyes interacted with people in both camps, but over the course of the two years he worked with Milligan on the book, his own skepticism turned to belief.
Keyes lists the 24 different alters that Milligan displayed. Only the first 10 were known to the attorneys, medical professionals, and media at the time of Milligan’s trial. These 10 included the “original” core identity (also referred to as the “unfused Billy” or “Billy-U”) as well as a rational and intelligent Englishman named Arthur Smith; a strong, sometimes violent Yugoslavian named Ragen Vadascovinich; two young men named Allen and Tommy; several children, including David, Danny, Christene, and Christopher; and Adalana, a lonely girl who identified as lesbian. Arthur suppressed 13 other identities that he classified as “undesirables”; these alters revealed themselves for the first time to Dr. David Caul at the Athens facility. The final, 24th alter, was “The Teacher,” an amalgamation of the other 23 alters who asserted that he was “Billy all in one piece.”
In October 1977, three women were abducted, raped, and robbed within a two-week period on the Ohio State University campus. Based on fingerprint evidence, the police arrived at ex-convict William Stanley “Billy” Milligan’s latest known address and apprehended a young man who matched the description. He claimed that he wasn’t Milligan and had no idea what Milligan had done. Upon searching the apartment, the police found the victims’ credit cards as well as guns and beautiful paintings signed “Milligan,” but the man still denied that he was Milligan and was alarmed to hear that he had hurt three women. He was arrested and taken to Franklin County Jail.
The court assigned Gary Schweickart, from the public defender’s office, to Milligan’s case. When Schweickart met with the accused, however, the latter fearfully claimed that he didn’t remember anything and asked to plead not guilty, as he thought he may be “crazy.” Schweikart enlisted Judy Stevenson to work with him. After one of the victims identified Milligan from a lineup, he was indicted on multiple counts of kidnapping, aggravated robbery, and rape.
In his cell, Milligan attempted death by suicide by smashing his head into the cell wall. Consequently, Schweikart and Stevenson decided to have a psychologist assess him. They noticed his strange, changeable demeanor and sensed that something was not quite right. After a visit from Stevenson, during which Milligan was despondent when he sensed that she believed he was guilty, he despaired at having harmed so many people despite not wanting to. He attempted death by suicide again, and Schweikart and Stevenson obtained a full psychological evaluation. The report diagnosed his condition as acute “schizophrenia,” and Milligan asserted that he heard voices telling him to do things. The examiner recommended hospitalization for further examination and treatment, asserting that Milligan was “not capable […] of counseling in his own behalf” (22).
When Schweikart and Stevenson presented the report to Judge Jay C. Flowers, he ordered Southwest Community Mental Health Center’s forensic psychiatry unit to examine Milligan. He was moved to a single cell and placed in a straitjacket to prevent further suicide attempts. The officers in charge were amazed to discover that he had slipped out of the straitjacket and was using it as a pillow.
Dorothy Turner from Southwest Community Mental Health Center conducted the first interview with Milligan on January 31, 1978. To her amazement, Milligan claimed that his name was “David,” not Billy, and that and he was eight years old. David asserted that Billy was asleep inside and that “Arthur” kept Billy asleep, because if he woke up, he’d kill himself. Terrified, David begged Turner not to tell anyone else the secret he let slip, or Arthur would not let David take the “spot” (hold consciousness) anymore. He said he’d emerged to talk to Turner only because someone got hurt in jail and he was required to take the spot and feel the pain because he was the “keeper of the pain” (26).
The next day, when Turner met with Milligan, she spoke to “Christopher,” a 13-year-old boy with a cockney accent, who claimed that the others were angry with David for revealing the secret. On her third visit, Turner encountered 16-year-old “Tommy,” who was arrogant and sullen and refused to talk to Turner because she was a stranger, as he didn’t remember meeting her before.
Wanting to keep her promise to David, Turner asked Stevenson simply to read the book Sybil. Once Stevenson did so, she recalled Milligan’s changeable temperament and demeanor and realized that Turner believed Milligan had DID, or “multiple personality disorder,” as it was known in the 1970s. On her next visit, Turner tried to convince David to let Stevenson in on the secret, but David slipped away to reveal the disdainful Arthur, who spoke British-accented English. Turner and Arthur argued for a while, as Turner insisted that Milligan’s attorneys must know the truth, until Arthur disappeared and “Allen” appeared.
Allen revealed that he was the one who had largely been interacting with the lawyers, though sometimes Tommy appeared too. Allen explained that Tommy was the one who could escape out of straitjackets, but Allen did most of the talking because he was more pleasant and charming. However, Schweikart had also met “Danny,” whom the police arrested when they came to Milligan’s house; Danny was only 14 and was scared and confused.
Arthur reappeared and, after persistent effort by Turner, finally gave his permission to let Stevenson in on the secret if the others agreed. Turner spent hours arguing with the different alters, eventually convincing them all. When Stevenson next met Milligan, she interacted with Danny and Allen, whose vastly different demeanors surprised her. Allen explained again that Billy was “asleep” and didn’t know that the others existed; all he knew was that he had “los[t] time”: He experienced amnesia about periods in his life, of which he had no idea how he arrived in a certain place and what had elapsed between his last memory and the present.
When Schweikart was let in on the secret, he was initially skeptical but as amazed as the others when he interacted with Milligan and saw the dramatic differences in demeanor among David, Danny, Tommy, and Arthur. When Schweikart questioned Arthur about Milligan’s parole violation (possessing a gun), Arthur explained that only “Ragen” was permitted to do so, as he was the “keeper of rage” (38). However, Arthur explained that while Ragen committed the robberies, it was only because he was worried about unpaid bills; Arthur categorically and emphatically denied that Ragen raped any of the women.
Ragen finally appeared, and Milligan’s attorneys and Turner were all shocked at his thick Slavic accent. Ragen explained that his role was the protector. He was the one who took over Billy’s consciousness when he first tried to die by suicide by jumping from the school’s roof at age 16; Billy has been asleep for seven years. Depending on the circumstances, Ragen and Arthur controlled the dominant personality: Ragen took over in dangerous situations, such as prison, and Arthur took over when logic was required.
Professionals from Southwest managed to get Dr. Cornelia Wilbur, who had treated Sybil, a woman with 16 alters, to examine Milligan. The attorneys again wrangled permission from Arthur and the others to let another person in on the secret. Then, they arranged for a small group, including a prosecutor, to observe the session between Dr. Wilbur and Milligan. In addition, Schweikart and Stevenson interviewed Milligan’s mother, siblings, and teachers. None of them could confirm Milligan’s claims that his stepfather, Chalmer Milligan, had abused him, but Milligan’s mother, Dorothy, had herself been abused by Chalmer. Furthermore, everyone attested to Milligan’s strange behavior and trancelike states even as a child.
Schweikart and Stevenson discussed the case and marveled at how they believed Ragen about not committing the rapes, especially because he admitted to the robberies. They remembered one of the victims stating that Milligan stopped the sex after a couple of minutes, muttering to himself to get it together. None of the alters remembered what happened between arriving at the university campus and regaining consciousness in downtown Columbus with money in their pockets, indicating that someone else was stealing time.
The lawyers debated the efficacy of using an insanity defense for “multiple personality disorder” given that the illness was classified as neurosis, not psychosis. In addition, they looked for an alternative to Lima State Hospital (where Milligan would be sent for treatment before trial if found mentally ill), as Lima had a horrific reputation. Schweikart remembered that Harding Hospital, an expensive private facility, also fell within the court’s jurisdiction and that even prosecutors held Dr. George Harding Jr.’s opinion in high regard. Schweikart contacted Dr. Harding and convinced him to attend the session with Dr. Wilbur, though Dr. Harding expressed apprehension about the validity of “multiple personality” syndrome.
During the session, Dr. Wilbur interacted with Danny, Allen, Arthur, and Ragen. Even prosecutor Bernard Yavitch was astonished by the differences among the alters. Dr. Wilbur convinced Ragen to wake Billy up, and when Billy finally appeared, he was panicked to see where he was and began sobbing. Billy explained that he thought he was dead; the last thing he remembered was going up to his school’s roof to jump. Dr. Wilbur reassured him and told him he could rest, and Billy disappeared as Tommy reappeared. Following the session, even Yavitch admitted that Milligan didn’t look like he was faking. Dr. Harding penned his opinion to Judge Flowers that Milligan was not competent to stand trial and agreed to arrange treatment for him.
Schweikart and Stevenson broke the news to Tommy about going to Harding instead of Lima; they made him promise that neither he nor the other alters would attempt to break out of Harding. A few days before he was to be transferred, Turner called Stevenson with news of another alter: “Adalana,” a 19-year-old lesbian, who tearfully admitted to committing the rapes because she was “was desperate to be held and caressed and loved” (60).
In the Preface, Keyes explains the book’s nonfiction nature and notes the importance of Milligan’s story legally and medically: He was the first person declared not guilty by reason of insanity whose diagnosis was “multiple personality disorder,” now known as DID. Keyes also notes the extent of research he conducted for the book in addition to his interactions with Milligan himself: He interviewed more than 60 people in different camps of belief about Milligan’s illness. Keyes admits that his own skepticism turned to belief while he worked on the book. This aspect of the Preface, where it touches on the idea of belief in the illness, is important because it feeds into one of the book’s main themes: The Complexities and Controversies Surrounding Dissociative Identity Disorder. Milligan’s illness is foundational to the book, as evident in the book’s title itself and in the short note after the Preface, which lists the 24 different alters he displayed. Some of these appear in the first part of the book, while the second part touches on each of the alters’ emergences, their reasons for existence, and why some of them were eventually banished.
Even before specifically revealing Milligan’s illness, the book hints at his changeability through his initial interactions with the police and with his lawyers. At the time of his arrest, Milligan denied that he was “Billy,” and at times his expression blanked or changed, displaying a different demeanor entirely. In addition, he professed amnesia about anything related to the rapes and robberies, and upon learning of his supposed crimes, he was distraught and said he was “insane.” During a subsequent psychological evaluation ordered by the judge, Turner met some of Milligan’s alters for the first time and learned of their different functions: For instance, David was responsible for bearing pain, and Ragen functioned as the protector. Both Arthur, another of the alters, and Billy himself (when Dr. Wilbur finally reached the core identity) confirmed Milligan’s amnesia: Arthur asserted that Billy had been “asleep” for many years for his own self-preservation, and Billy in turn recalled his last memory: attempting to jump from the school’s roof at 16. The text further emphasizes the probability of Milligan’s illness being DID through the different alters’ reports of the abuse Milligan endured at a young age at the hands of his stepfather, Chalmer; this aligns with one of the proposed causes of DID, trauma early in childhood. However, it took time for Milligan’s attorneys and doctors to get to the bottom of the rapes, especially because Ragen denied his involvement in them, while admitting to the robberies. Eventually, Adalana stepped forward, confessing to the rapes and attributing them to a longing for closeness and love.
This is where Milligan’s case became complicated. Although the host identity, Billy, had no memory of the rapes, alters remembered the other crimes and even understood the moral implications. For instance, Arthur asserted that only Ragen was allowed to carry weapons, indicating an understanding of how dangerous they can be. Furthermore, Ragen admitted to the robberies but not the rapes, indicating his reluctance to commit the latter kind of violation. A second central theme that arises from these layered identities is Understanding the Self, Identity, and Social Responsibility. Clear differences existed in the thoughts, values, feelings, and abilities of Milligan’s various alters. Ragen, for instance, prioritized self-preservation over all else; Milligan, on the other hand, grew despondent at the thought that he might have committed crimes, especially when he realized that Stevenson thought he was guilty. Arthur, intelligent and insightful, was willing to cooperate with the attorneys and mental health professionals for Milligan’s sake, while Tommy displayed more antisocial tendencies and a lack of concern. All of these alters also expressed unique senses of self, as is consistent with DID as an illness; at this point, they viewed themselves as separate from Billy. This invariably points to legal repercussions, as it leads to questions about how much accountability Milligan could be accorded for his crimes. Milligan’s case was so unique and complex that not only was one of the prosecutors, Bernard Yavitch, invited to the session between Dr. Wilbur and Milligan, but Yavitch also left the session convinced of Milligan’s illness.
The fact that Ragen and Adalana admitted to separate crimes but Billy had no memory of them raises a question as to who ought to be held accountable for what. This question points to a third central theme in the book, especially in the context of criminal responsibility: The Intersection of Psychology, Media, and the Law. Milligan was undoubtedly mentally unwell; however, the case was not as simple as that, as his attorneys and the prosecution both knew. For instance, at the time, DID was understood as neurosis, making it a difficult diagnosis on which to win an insanity plea. Furthermore, the lack of information about “multiple personality disorder” at the time is also worrisome, as not many institutions within the court’s jurisdiction had the right setup or expertise to treat the condition. In fact, one of the major preoccupations for Milligan’s attorney was finding an alternative to the reputedly horrific Lima State Prison where Milligan could receive the necessary treatment before trial. All of these nuances in Milligan’s case further underscore the complex relationship between psychology and law.
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