Some Musings on Plurality and Mental Health
(had a conversation about this earlier today, but we've also been thinking about it generally for a while, so hey, why not, post time)
Something that frequently tends to get lost in the noise of discourse but is, imo, actually pretty relevant to system community spaces of all kinds, is the realization that many (I'd venture to say most) systems of any kind, origin, dx, whatever, often have concurrent struggles with mental health issues of one kind or another.
Not every system or every person who experiences multiplicity in a significant way has a Textbook Case dissociative disorder (or even a diagnosable dissociative disorder at all, depending on your framework for thinking about what does and does not fall under the scope of the label). But also, that doesn't necessarily mean they aren't dealing with significant mental health challenges:
- A lot of systems are queer in one way or another, and many have had to deal with the dangers and insecurity and heartbreak of being queer in our current society.
- A lot of systems are autistic/dyslexic/have ADHD/have other kinds of processing differences that have affected many years of their lives, especially if they went through any kind of education system that tried to force their brains into something different, told them they were broken, and facilitated social isolation in one way or another.
- A lot of systems, even those without dissociative disorders, have other mental health diagnoses. Depression, anxiety, personality disorders, schizophrenia and related disorders, etc.
- A lot of people overall have undergone traumatic experiences in their lives at some point (or multiple points), which we all know have significant aftereffects on mental and emotional health. Also, there's multiple global crises that have been going on for a while, of which the COVID pandemic is just one example, which means a lot of new and exacerbated mental (and physical!) health issues for a lot of people in the last few years.
So, what's the relevance of all this?
To us, it's yet another reminder that the idea of an easy division between "disordered system" and "non-disordered system" is frankly illusory. For anyone whose experiences of multiplicity/systemhood/plurality/etc are a significant part of their lives and functioning, that relevance will extend to their struggles with mental health, regardless of whether the mental health issues they're having fall under DID/OSDD or not.
Control over switching, new or worsened in-system conflicts, system members being differently impacted by traumatic experiences, degree of dissociative disconnect vs ease of internal communication and memory sharing, system members experiencing and presenting symptoms of mental health issue differently, dysphoria over external-body-vs-internal-self mismatches, increased dissociation overall as a collective coping mechanism.... all of this is stuff that lies at the intersection of any mental health issues and systemhood, potentially, not just "DID/OSDD + its associated classical presentations and etiology".
If a parogenic system fell into heavy depression over the quarantine, they might start experiencing more negative dissociative symptoms, and they'd also have to figure out how to navigate the mental health support system (such as it is) while plural.
If someone with PTSD from trauma in adulthood decides to look into daemonism for comfort, and finds themselves more and more feeling like a system, they may or may not qualify for DID but they will still be contending with healing-from-trauma-while-a-system.
If a system without memory barriers or other apparent issues gets long COVID and has their whole lives upended from new disability, their presentation may start looking more like a dissociative disorder.
None of these examples are necessarily exactly the same as having DID or OSDD (...depending on how you define the scope of those diagnostic labels, which is a complicated question all of its own), but they're within a spectrum of related experiences that involve both mental health disorder and plurality in an intertwined way.
Which, I guess, is a long way of saying:
There is no specific diagnostic category or label that someone has to fit in order to be suffering and need support--and that includes systems as well as singlets.