Recent studies show that nearly all individuals who develop multiple personality disorder (MPD) were abused as children. The majority of identified MPD patients are women in the age range associated with child-rearing responsibilities. A review of the parenting patterns of 75 mothers with MPD yielded findings suggesting that 38.7% were competent or exceptional mothers, 16% were grossly abusive to the extent of injuring, molesting, or placing their children at risk, and 45.3% were compromised or impaired as parents. The compromised/impaired mothers were a mixed group, including psychologically abusive individuals and those whose symptoms interfered with parenting despite their best efforts. Clinical illustrations are offered.