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70 pages 2 hours read

Daniel Keyes

The Minds of Billy Milligan

Nonfiction | Biography | Adult | Published in 1981

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Book 1, Chapters 3-6Chapter Summaries & Analyses

Book 1, Chapter 3 Summary

Milligan was moved to Harding Hospital, and Arthur informed the others that the hospital was a safe place. Since it would take logic to assist the physicians in therapy, he would be in control there. The hospital staff was divided in their opinion on Milligan; some thought he was faking, and others accepted the diagnosis. Turner worked closely with Milligan, conducting psychological tests. Different alters presented with different IQ scores, and their personality differences were evident; however, the tests identified some commonalities among all the alters tested, including “evidence of a feminine identity and of a strong superego, which anger threatened to override” (70).

Dr. Harding began therapeutic work with Milligan. He initially disregarded Dr. Wilbur’s advice and began by insisting on being the only one to acknowledge and address the different alters and on doing so solely during therapy sessions. Over time, this angered some of the alters, including Allen and Tommy, who asserted that Dr. Harding wasn’t treating them the way he was supposed to. Six weeks in, Dr. Harding, too, recognized that therapy was moving slowly; he still had not reached the core Billy. Deciding to videotape some of the sessions, he spoke to Adalana, and she tearfully expressed regret for getting the boys in trouble with the rapes. Eventually, Dr. Harding reached Billy; however, the surroundings and the presence of the video camera frightened Billy, and he vanished again.

Arthur, the only one that knew of Adalana’s existence besides Christene, revealed to Ragen what he learned about Adalana from the videotaped session. Ragen was furious, and when Arthur called Adalana forward to speak with Ragen, he raged at her. Adalana tearfully exclaimed that she wanted to be loved and cared for. Arthur classified Adalana as an “undesirable,” henceforth banishing her from ever emerging again.

Dr. Harding updated Dr. Wilbur on Milligan’s progress as well as the roadblocks he was facing. Dr. Wilbur emphasized the need to recognize and acknowledge the various alters; without this, they would feel unwanted, and it would hamper integration rather than help it. Dr. Harding finally decided to change his approach and informed the hospital staff of his intent.

In subsequent therapy sessions, Dr. Harding spoke to Billy again, who was confused about his presence in the hospital. He described his amnesia about things he supposedly did and how he heard voices with various accents inside his head, telling him to do things. Dr. Harding explained about the different alters that had emerged from Billy in a bid to protect him because of the deep hurt he had experienced during his life. Billy was amazed and frightened but hopeful when he learned that Dr. Harding could help him.

Dr. Harding introduced Billy to Arthur, and Arthur explained that Dr. Harding’s job was to “fuse” the different alters. This would involve meeting each of them, collecting memories from each of them to patch up the amnesia, and then integrating them to make Billy whole again. The alters were fused in pairs at first, such that those most similar to each other were paired, such as Tommy and Allen. Slowly, the different alters began to fuse together, and while Billy still blanked out occasionally, partial fusion of different alters began to hold for longer periods.

As Milligan moved close enough to fusion that he was able to stand trial, Dr. Harding grappled with the ethical, moral, and legal repercussions of Milligan’s being declared not guilty by reason of insanity because of a “multiple personality disorder” diagnosis. If this occurred, Milligan’s case would set legal precedent, and Dr. Harding felt a social responsibility to understand as much as he could about Milligan’s case and the illness itself. Eventually, Dr. Harding penned a report to Judge Flowers, detailing Chalmer’s “sadistic and sexual abuse” (95) of Milligan when he was eight or nine years old, which apparently triggered the first major dissociation. While he was now competent to stand trial, he would require treatment for his illness after the trial. The news broke publicly, as the papers ran a story on Milligan’s diagnosis of “multiple personality disorder.”

Book 1, Chapter 4 Summary

The prosecution accepted Dr. Harding’s report as extremely thorough and detailed, and Judge Flowers ruled that Milligan was competent to stand trial. The trial was set for December 4, 1978, and Schweikart requested that Milligan be tried based on law that existed at the time of the crimes, thus placing the burden of proof on the prosecution to establish sanity. In addition, Schweikart intended to waive a jury trial and ask Judge Flowers to hear the case.

Milligan became increasingly despondent while in Franklin County Jail awaiting trial. Ragen emerged again, sensing danger, and the guards were alarmed. When Schweikart and Stevenson met with Milligan, Arthur emerged and explained that Billy was never completely fused; Arthur and Ragen always stood apart, and the latter became dominant once Milligan was back in jail. Arthur asserted that Billy was fused enough to stand trial but would defuse again if he wasn’t moved to a hospital before the trial. Upon an examination ordered by Judge Flowers, Milligan was immediately moved to Central Ohio Psychiatric Hospital.

Schweikart and Stevenson began looking for an alternative treatment location to Lima for Milligan following the trial, as they were confident he would be found not guilty. A new law coming into effect before the trial date required that individuals found not guilty by reason of insanity be treated as patients rather than criminals and sent to “the least restrictive environment consistent with safety to [themselves] and others” (103). This fell under the jurisdiction of the probate court.

On Dr. Wilbur’s recommendation, Stevenson contacted Dr. David Caul, the medical director at the Athens facility. Dr. Caul agreed to attend a pretrial meeting with Probate Judge Richard B. Metcalf. Dr. Caul was amazed to find that the prosecution and defense appeared to agree that Milligan had committed crimes and that he had “multiple personality disorder.” He was poised to become the first person declared not guilty by reason of insanity because of the illness. Dr. Caul agreed to take him in for treatment.

On December 4, the temporarily fused Billy was taken to court, where he was swarmed by reporters, and Schweikart came to his defense. In the courtroom, both the prosecution and defense agreed not to call witnesses or put Milligan on the stand; instead, the facts of the case were read into the record, as agreed upon by both sides. Judge Flowers declared Milligan not guilty by reason of insanity and handed over authority to the probate court. Judge Metcalf reviewed the recommendations of all the psychiatrists who had examined Milligan and ordered that he be placed in the Athens facility under Dr. Caul.

On the way to the facility, Billy wondered whether the place would be safe and remembered that because of his parole violation, he was headed back to prison once he was “cured.” The vehicle passed through Lancaster, where Billy had lived as a child, which triggered his memories, and Billy went to sleep again, while Danny, confused and frightened, emerged.

Book 1, Chapter 5 Summary

Dr. Caul received Danny at the Athens facility. When he later met Billy, the doctor reminded him that he was not a prisoner but a patient; his progress depended on whether he wanted to get better and was willing to work toward it. Later the same day, the papers ran a story on Milligan’s transfer to Athens. They also ran a sworn statement from Chalmer and his attorney, denying that he had abused Milligan and calling Milligan a “habitual liar.”

During the first therapy session, Dr. Caul spoke to Arthur, who explained the personalities and purposes of the other alters. Dr. Caul asked Arthur if there were more alters than the 10 that had been revealed, at which point Arthur disappeared and Billy reappeared. Billy’s last memory was of being taken away from the court in handcuffs; he didn’t remember things clearly, especially when Arthur and Ragen were missing. Dr. Caul encouraged Billy to listen to Arthur, whom Dr. Caul termed Billy’s “inner self helper” (120), an alter often found in those with “multiple personality disorder” who functions as the rational self, in control of emotions, and is thus helpful in therapy. The intelligent and moral Arthur, motivated to help Billy recover, fit the bill.

Billy was nervous about a visit from his mother, Dorothy, and his sister, Kathy; his last memories of them were from when he was 16, shortly before he tried to jump from the school’s roof. He was surprised to see how much they had both aged. Dorothy claimed that she always knew there were two of Billy: “[her] Billy and that other one” (122). She had tried to tell the doctors and lawyer who worked with Billy before he was placed at the Lebanon Correctional Institution that Billy needed help, but none of them would listen. She also asserted that she didn’t know about Chalmer’s abuse but would have stepped in if she had.

Billy spent his time at the Athens facility jogging, watching TV, going to therapy, and making art to sell. His life generated intense interest, and on Dr. Caul’s suggestion, he agreed to meet with a writer who would document his life story. Billy knew he could use the money, and he wanted to spread awareness about the effects of child abuse. On Dr. Caul’s suggestion, Billy, Arthur, and Ragen also met with local reporters; Dr. Caul thought it was important that Milligan establish a good relationship with the media to help the locals understand his illness and see that he was not violent or dangerous.

Arthur decided that Allen should be the one to meet with the writer first, and when Allen did, he was initially underwhelmed. He asked to read something the writer had written, and the writer gave him a novel that had been turned into a movie. After Arthur, Allen, and Billy took turns reading the book, they decided that the writer was the right person to write about them. Billy engaged a new lawyer to represent him on the book deal and handle the contract signing with the writer and a publisher. Billy finally met the writer himself, explaining that Allen was the one who met him the first time. Billy began opening up about creating the alters because of Chalmer’s abuse. The writer was amazed that Billy survived any of it, and Billy asserted that in retrospect his arrest was what rescued him.

Book 1, Chapter 6 Summary

The writer met Billy the day after Christmas, expecting him to be upset because he spent the holiday at the hospital after his request for a brief furlough to spend it with his family was denied. Billy revealed to the writer that he had been losing time again and hearing unfamiliar names, like “Kevin” and “Phillip” inside his head. The writer recalled that news articles on Milligan’s case had pointed out some discrepancies and wondered about the possibility of more, undiscovered alters.

Milligan arrived at Dr. Caul’s office, introducing himself as Phillip, and handed Dr. Caul a sheet of paper with a list of 24 names, the last of which was “The Teacher.” Dr. Caul videotaped the next session with Milligan. During this session, Ragen appeared and revealed the existence of the “undesirables.” Arthur had wanted to keep them secret but was losing dominance, and the undesirables had decided to reveal themselves to Dr. Caul.

In addition, Ragen explained that the different alters would be solidified into one, erasing the amnesia; what would emerge then was the Teacher, who was “Billy all in one piece” (138). Unbeknownst to Billy, he was a child prodigy when he was young; this enabled him to accumulate the different skills that his alters possessed. However, Billy was unaware of this, and Ragen asserted that if Billy learned that he wasn’t separate from the Teacher, it would “destroy” him.

During the next session, however, Ragen reported that he and Arthur had decided that it was necessary for Billy to learn about all his alters, including the truth about the Teacher. Accordingly, Dr. Caul showed Billy the videotape of the previous session, and Billy was shaken to see the different alters emerge and to learn that he was the one with “the intelligence, the artistic talent, the strength, the escape-artist abilities” (140).

After the session ended, Billy contemplated what it would be like for all 24 alters to fuse, and he felt all of them emerge and interlock. He suddenly understood that he had not completely fused before because he was unaware of all the alters; now, all his memories come flooding back. When Dr. Caul next met with Milligan, he realized that he was speaking to the Teacher. The Teacher asserted that he remembered everything that ever happened to Milligan, and Dr. Caul welcomed the Teacher’s arrival, asserting they had much to learn.

Book 1, Chapter 3-6 Analysis

When Milligan was moved to Harding Hospital, he began receiving treatment under Dr. Harding. Milligan’s experiences at the hospital highlight The Complexities and Controversies Surrounding Dissociative Identity Disorder as a theme: Despite Dr. Harding’s expert opinion on Milligan’s situation, some of the hospital staff doubted the veracity of Milligan’s assertions and the validity of the illness itself. Additionally, Dr. Harding himself initially used a different approach to treat Milligan, against Dr. Wilbur’s advice. This indicates the absence of a clear protocol in treating the illness, pointing to the lack of information about it at the time.

Even when Dr. Harding changed track and began treating Milligan as per Dr. Wilbur’s recommendations, he obtained only partial fusion of Milligan’s alters. Additionally, Milligan instantly defused when passing through Lancaster triggered traumatic memories to resurface. This indicates that Milligan’s treatment was not quickly or easily attainable. Eventually, the text reveals that the fusion was left incomplete because of the existence of additional, previously undiscovered alters. However, Ragen remained skeptical about whether it would be truly helpful for Billy to learn about the existence of those alters, specifically the Teacher, who was “Billy all in one piece,” i.e., an amalgamation of all 24 alters.

The latter is an important development and poses a critical question aligning with the theme of Understanding the Self, Identity, and Social Responsibility: how one defines the self, especially in the context of a core identity and alters. When Billy eventually learned that the various alters were not separate from who he was, he was understandably shaken. It took him a while to process the fact that he was capable of the alters’ different skills and abilities. This indicates that until this point, Billy, viewed his alters’ identities as separate from his own; he truly viewed them as different “personalities” or “people” residing inside him. However, the Teacher’s existence pointed to the opposite conclusion, one that has impacted the understanding of DID over time: The alters were, in fact, all aspects or fragments of his core identity. This change in perception of the illness is even reflected in the change in nomenclature from “multiple personality disorder” to DID, underscoring another complexity of the illness.

However, yet another important aspect bears consideration, one that Dr. Harding, in particular, was keenly aware of: the social responsibility of the medical professional to better understand and treat the illness. This relates closely to the legal and ethical repercussions of Milligan’s case and the verdict of not guilty by reason of insanity, which ties into another theme: The Intersection of Psychology, Media, and Law. While penning his comprehensive report to the judge, Dr. Harding grappled with how his testimony would impact the verdict and thus how similar criminal behavior would be reviewed and tried in court. Milligan’s verdict of not guilty raises questions about the justice of entirely absolving Milligan of all responsibility for the crime. Framed the opposite way, it raises questions about the justice of attributing responsibility to an individual who lacks a cohesive sense of self and identity.

Dr. Harding’s report ultimately helped the defense obtain a not guilty verdict by reason of insanity because of yet another technicality in the laws surrounding such a plea. Just a few days before the trial, a law was passed that transferred the burden of proof to the defense to establish insanity, whereas the burden of proof previously rested with the prosecution to establish sanity. However, Milligan’s trial was conducted based on the laws that existed at the time of his crimes. Given that Yavitch (one of the prosecutors) was present at Dr. Wilbur’s session and the prosecution had accepted Dr. Harding’s report, the prosecutors were ultimately unable to prove Milligan’s sanity, allowing the defense to win. As per the recommendations of the various experts, the probate court sent Milligan to the Athens facility, where he began treatment under Dr. Caul.

Milligan’s case was a unique and complicated one, and the attention it garnered indicated that his story would not end in court. Even though the defense requested a waiver of a jury trial to have the case heard by the judge alone, intense interest and media scrutiny still surrounded Milligan’s case because of its unprecedented nature. Milligan was hounded by reporters as he arrived at the courthouse, foreshadowing the impact that the media would have on his later experiences and illustrating how media intersects with psychology and law. The interest in the case prompted Dr. Caul to suggest that Milligan share his story with the world. Thus, Milligan met the book’s author, Keyes (“the writer”) for the first time, and Keyes and Dr. Caul both eventually met “the Teacher.” An amalgamation of all Milligan’s alters, the Teacher began to fill in the gaps in Milligan’s memories of his life so far.

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