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A DSM IV-TR Axis 1 Diagnosis of the Tyler Durden Character in the Movie Fight Club

December 15, 2006 by
Timothy Sexton  
Timothy Sexton
Timothy Sexton
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I Am Tyler Durden's Psychiatrist

WARNING: THIS ARTICLE DISCUSSES THE PLOT TWIST THAT IS REVEALED NEAR THE END OF THE MOVIE FIGHT CLUB. I DON'T WANT TO BE ACCUSED OF BEING A ROSIE O'DONNELL, SO IF YOU HAVEN'T SEEN IT AND DON'T WANT TO KNOW THE END, PLEASE DO NOT CONTINUE READING FROM THIS POINT.


Fight Club tells the story of the coming to radical consciousness of one character, Jack, after he meets another character, Tyler Durden. Tyler's influence on Jack is such that Jack comes to reject the consumer-driven behavior of contemporary modern society, and together they and others form Project Mayhem, a group of societal terrorists bent on bringing about world revolution. Only near the end is it revealed that Jack and Tyler are not two separate individuals, but rather the same person, a person clearly suffering from Dissociative Identity Disorder.

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You also forgot to mention that Jack suffers from severe insomnia and the fact that the mutilated corpses he sees on a constant basis due to his employment might cause a bit of PTSD. Does the job stress, jet lag etc. cause the insomnia or is the visions of dead people in automobile accidents causing the PTSD? Does the PTSD cause his insomnia which in turn is causing his paranoid delusions? Jack/Tyler could be Bipolar II, because Jack is depressed and Tyler is manic, both with psyhotic features. Until we find out that Jack and Tyler are one in the same, they should be treated as two seperate entities with two separate sets of psychiatric diagnostic disorders ranging from Borderline personality and anti-social personality. Don't forget the sleep disorder and PTSD/Anxiety features. Great movie, seen it at least fifty times. Think I'll watch it now while taking notes for a more proper DSM-IV-TR diagnosis. Good job dude. I'm two years too late.
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