About dissociation in childhood, from Treating Adult Survivors of Childhood Emotional Abuse and Neglect (pp. 148-150)
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About dissociation in childhood, from Treating Adult Survivors of Childhood Emotional Abuse and Neglect (pp. 148-150)
There's been a lot of harmful invalidation and misinformation floating around trauma spaces lately about the cause of complex dissociative disorders like DID. Please, let's put to rest the trauma olympics and claiming that certain childhood traumas are more "valid" than others. The childhood trauma that causes someone's DID does not need to be sexual or physical abuse, or even abuse at all.
From Understanding and Treating Dissociative Identity Disorder: A Relational Approach, by Elizabeth Howell (pages xvii - xviii):
"DID is usually the outcome of chronic and severe childhood trauma, which can include physical and sexual abuse, extreme and recurrent terror, repeated medical trauma, and extreme neglect. Pathological dissociation generally results from being psychically overwhelmed by trauma. . . . However, the traumatic experiences that may result in dissociative disorders do not always stem from sexual, physical, or emotional abuse. Disorganized attachment which often underlies the dissociative structure of dissociative disorders . . . may result from overwhelming experiences in the infant's interpersonal environment that are not caused by parental maltreatment. Parental illness, depression, or problematic attachment styles may be psychically overwhelming and lead to disorganized attachment. In addition, medical trauma may be dissociogenic. For example, some dissociative patients have reported histories of chronic medical problems and hospitalizations that involved severe pain and unavoidable separations from well-meaning parents. Medical trauma may involve both the chronic and severe pain of certain diseases and conditions as well as painful procedures intended to remediate these medical conditions. Some dissociative adult patients have reported the trauma of being left alone to suffer their pain as children in the hospital. Such children may be additionally confused by the fact that their parents are either hurting them, as part of necessary medical interventions or allowing others to hurt them . . ."
You can find a free download of this book and others [here]. I highly recommend reading it, it's one of my favorite books on DID. If you're able to, please consider purchasing a copy of it to support the author too!
Anyways, if you're reading this and you've been harmed by the recent influx of trauma invalidation, please know that I'm here for you. I believe you. Your trauma is REAL and it was ENOUGH to cause your disorder. You were a child and no child deserves to go through trauma. No one.
I've seen some misinformation about OSDD floating around lately so I think it's important to make a post about this:
Amnesia is not a requirement for OSDD.
According to the DSM-5-TR, page 348, OSDD can include "identity disturbance associated with less-than-marked discontinuities in sense of self and agency, or alterations of identity or episodes of possession in an individual who reports no dissociative amnesia."
OSDD is not any one single experience. It's a diagnosis given to people who clearly have a dissociative disorder but do not quite fit fully into any specific dissociative disorder (like DID). This is a vast spectrum of experiences we're talking about. So, some people diagnosed with OSDD absolutely do experience amnesia, but not everyone.
I'm going to leave this post off with a licensed DID specialist talking about the difference between DID and OSDD. Please give it a watch!
"We intentionally did not include anyone . . . from the subreddits devoted to exposing 'munchies'- a term they use to describe individuals with Munchausen-by-Internet who feign mental illness and medical illness for often complex psychological reasons. Part of that decision was because a lot of the posts on these forums contain misinformation as well. For example, someone on a forum wanted to expose a fake DID poster by citing that DID cannot happen before age 30. This is not accurate. Furthermore, these subreddits drive further traffic to the accounts they are exposing which is counterproductive given the motivation beyond many of these accounts is to get attention, any type of attention, and also to get revenue from viewers and clicks. Jessica has instead suggested that if we come across accounts that appear to be spreading mental health misinformation, we should first approach with constructive criticism and compassion. Some individuals will not be open to this but others may be. At the very least, leaving comments that are constructive may help others who come across the account. She also emphasizes that the inner experiences of individuals are opaque to outsiders, especially when it comes to mental illness, and trying to 'out the fakers' is fraught with problems and should be left to trained mental health professionals."
The Frontier Psychologists and Carlene Macmillan (2021) on the witch-hunting of people who fake disorders/illnesses. [Source]
I'm rereading one of Ellert Nijenhuis's books and on page 550 he discusses the fantasy model of dissociative identity disorder and the costs of ignoring DID as a valid, trauma-based disorder. I wanted to share some of these points because I think they are important to hear:
- Biopsychosocial studies show no evidence that DID results from suggestibility, fantasy proneness, or roleplaying.
- Evidence and research consistently and strongly supports that complex dissociative disorders like DID are caused by trauma and respond positively to phase-oriented treatment.
- People with DID are not highly fantasy prone: they are more likely to avoid trauma memories rather than fantasize about them.
- Ignoring the prevalence of childhood trauma and DID is resulting in huge moral and economic costs.
Hey there,are there resources on the difference between OSDD-1B (or other types of osdd) and DID? I've known that i'm a system for years but now im questioning again which disorder i have lol.
Hi, anon! Here's some resources that I've found useful for this topic. I hope they help you with your research.
What Are the Dissociative Disorders? by the ISSTD
DID or OSDD: Does it matter? by Carolyn Spring
Comparing OSDD-1 and DID by DID-research
The diagnostic difference between OSDD and Dissociative Identity Disorder, and prevalence figures by the CTAD Clinic
How do we understand OSDD...and have we got this right? by the CTAD Clinic
https://doi.org/10.1016/j.biopsych.2021.11.004
I highly recommend this brief reading on the neuroscience behind DID and why it took so long for scientists to accept that DID is caused by adverse childhood experiences. The answer is extremely sad and frustrating, but the future of DID research and treatment is looking bright!
A fantastic video from Dr. Mike Lloyd from the CTAD Clinic on how alters/parts in DID/OSDD develop from complex trauma. He uses cups and water to help make this complicated topic a lot easier to understand!