Facts about DID according to the DSM
Diagnostic criteria for 300.14 Dissociative Identity Disorder
A. The presence of two or more distinct identities or personality states (each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self).
B. At least two of these identities or personality states recurrently take control of the personâs behavior.
C. Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.
D. The disturbance is not due to the direct physiological effects of a substance(e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.
So, some people have some very decided ideas on what this all means, and refuse to consider that anything other then their point of view is right. Well, hereâs an overview of what these criteria all means. Please note, this will use the technical terms, which some systems find offensive or triggering. Also, it is specifically related to DID, not other forms of plurality.
A. Instead of having one identity/personality, as most people do, a person with DID has two or more.
B. Some (or all) of these identities/personalities can, and do, take control of the one body they have.
C. Sometimes you could ask a person with DID some of their personal information, and they wouldnât be able to tell you (cos it might not be the main/fronting personality).
D. Pretty straightforward - itâs not an imaginary friend or related to drugs, alcohol, or other things that can cause transient or similar symptoms.
So, where in the criteria does it say that the personalities are unaware of each other exactly? Where does the criteria say that they are completely unable to communicate with each other, ever? Where does the criteria say that itâs impossible to have a personality from a different time, different country, or different world? The brain is a rather amazing thing, and is capable of some seemingly impossible feats.
Now, lets look at the proposed criteria too, while weâre here:
A. Disruption of identity characterized by two or more distinct personality states or an experience of possession. This involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual.
B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting.
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The disturbance is not a normal part of a broadly accepted cultural or religious practice. (Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.)
E. The symptoms are not attributable to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or another medical condition (e.g., complex partial seizures).
These all build on the DSM IV criteria. So, lets start with the first.
A. Instead of having one personality, as most people do, a person with DID has at least 2. There are differences between them, including behaviour. When going to a psychologist or psychiatrist, these changes might be reported by family or friends,or by the person with DID.(So, people with DID are aware of differences in their behaviours, cognitive functioning, memory, perception, consciousness, etc.)
B. A person with DID has gaps in their memory, not always related to personal information, and not related to the ordinary forgetting that happens to almost everyone.
C. DID causes problems in âimportant areas of functioningâ. Whether thatâs work, school, friends, family, or personal isnât important - the fact is that there will be times that DID will make it hard for the person to function properly in one or more important areas of their life.
D. Itâs not related to a cultural or religious practice, and isnât imaginary friends.
E. Itâs not related to drugs, alcohol or anything that can cause transient or similar symptoms.
So please, go ahead and tell me again that itâs impossible for a person with DID to be completely unaware of the other personalities, to be unable to communicate with them, and so on, when the criteria doesnât cover that. If a person meets these criteria, they have DID, regardless of how much communication and awareness they have, and regardless of what kinds of personalities they have.