#did research

[otaku-kin]

Tf you mean google.

[mettleplex]

The article below is aimed at clinicians to explain how and why to be prepared for a distinction, in-office, between cultural Plurality and dissociative patients.

The online community: DID and plurality

Summary and contextualisation by me :P

Keywords

Cultural competency, Online Support groups, Dissociative identity disorder, Plurality, Plurals, Social media, Differential Diagnosis, Peer support

"In the online community, there appear to be three main groups: people with traumagenic, traditional, clinical DID or partial DID or OSDD; people with false positive, malingering, factitious, or imitating DID, or sociogenic¹ DID; and people who identify as Plural, though they neither suffer from DID nor are distressed by plurality, but who find it helpful to refer to themselves as "Plurals". The bulk of research is for the first group,... only just now being published on the latter two groups. However, all three groups should still receive appropriate clinical treatment according to current research and guidelines specific to their presentation."

On Plural culture:

"These online support groups, discussion threads, resources, and shared experiences have evolved over the years into a more organized state both linguistically and politically, making Plurality its own culture"

"Regardless of years of experience, knowledge of models, and technique, it is difficult for the clinician to ethically treat a patient from a culture of which the clinician is unaware or denies."

The APA's (2017) Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults specifically states that attention to cultural context is a required component of trauma-informed mental health care."

(this refers to how Plurals may enter therapy for related or unrelated issues, so Plural culture must be understood by the clinician.)

"This [Plural] group tends to have a very developed sense of political identity as Plurals and they present very differently in session than those with dissociative disorders."

"Traditional, traumagenic cases of DID have been well-documented and well-researched, with recommendations for treatment that include a phase-based and psychodynamic treatment model according to current guidelines."

On sociogeny:

"Cases of sociogenic plurality* are only just now being discussed in literature. They are distinct from traumagenic cases, and current guidelines do not apply for those reasons."

1: From WikiPedia:

Sociogeny or sociogenesis is the development of a social phenomenon.

*: from the article's 'citation excerpt' where it's stated that, due to data being collected in 2016, this paper doesn't account for the 2020 SysTok boom...

"What Christensen (2022) describes as: the sociogenic phenomenon of online presentations of people self-identifying as having dissociative identity disorder (and/or as plural) whose presentation and history may be inconsistent with a traditional, traumagenic dissociative identity disorder diagnoses."

About clinical perspectives:

"While many patients may have little to no interaction with the online Plural community, an increasing number of them will, due to younger generations' organic fluency in the online world. Lacking awareness of the development of the online community as culture for trauma survivors, and Plurals specifically, at this point could be considered maleficence, while educating oneself on the dynamic of the online community becomes simple beneficence."

"Within this framework, the Plural community called for collaboration with the clinical community to prevent and reduce ruptures in the therapeutic alliance, to co-lead solutions, and to accept lived experience as the best understanding of barriers to treatment. They also formally requested to be included in the revising of treatment guidelines, as well as giving fair compensation and credit for their participation in research."

About DID and ongoing developments in the clinical field:

"...miscommunication when people are using the same words for different things, This is still being reviewed, with Steele (2021) returning to more ego state language, and van der Hart (2021) shifting to degrees of dissociation and reporting that: "dissociative parts of the personality may comprise any number of psychobiological states, which implies that labeling them ego-states or self-states is giving them a too low degree of reality.""

From Google, psychobiology is:

The branch of psychology that interprets psychological phenomena in terms of adaptation to biological, environmental etc. factors

What's fMRI?

"the research confirming DID as a trauma-based disorder is doing just that: confirming traumagenic DID, the disorder, not Plurality, the identity. Reinders (2020) research demonstrating diagnostic capability with fMRI* differentiates already between DID and personality disorders, as well as DID and malingering, as do the common assessments available for dissociative disorders."

Developed: early 1990s

functional magnetic resonance imaging (fMRI) is a type of noninvasive brain imaging technology that takes images of your brain’s activity while it’s performing a particular function.

An fMRI can reveal what part of the brain is active, during tasks like: lifting your arm or even just thinking about something.

An fMRI can “see” thoughts and feelings, essentially creating a functional map on top of the brain images.

Clinicians may be overly concerned about the instances of such cases, with Plurals under-concerned about such cases. The balance is found in considering what a person has endured already, to need to go to such lengths in order to receive the support they need? Even clinically, if support is what a client needs, that is a simple treatment in response.

"There are some Plurals who may be malingering or fictitious and not have DID or a cultural expression of plurality, but only faking DID to receive support.

Other cases may involve a rich inner fantasy life that is not the same as experiencing plurality, but the person may not have other ways to express it or other people who understand that experience, and so resonate with the Plural community."

Some finishing quotes from the article:

"The role of the therapist in this enterprise is to guide the client through the process of thinking something through to a conclusion, while leaving the outcome or actual conclusion in the hands of the client" (Gold, 2009)."

"To accept is not to be passively resigned or hopeless, but to be actively involved in understanding things as they are, rather than as one wishes or demands they should be (Follette et al., 2009, p. 272). Understanding things as they are will be a big part of future research in the field of trauma and dissociation."

Thanks for reading!

[scarredstar18]

Star is d☆ing DID research, and they were l☆☆king at P-DID, but they arent 99% ☆f the time.

If y☆u may be s☆ kind, pls tell star what specifics they sh☆uld research

[thehybridsystem]

WHAT DO I DOOO.. I fit all of the symptoms for DID, I constantly feel like multiple people are in me. Yet I don’t wanna self diagnose because what if I’m wrong and I become an endo accidentally :(

Ik you kinda have the same boat as me except your more positive about it so do u have any tips??

-Angel (🎀📓, 🍋🦷)

if I'm being honest I wouldn't focus on the label DID, just the symptoms, a lot of times focus on the alters and label more than the majority of symptoms

i would look into how people manage and cope with memory loss, flashbacks, derealization. I wouldn't go on the Internet for advice about alters (or anything at all, genuinely.)

although I will say just treat your alters with respect and ASK THEM their boundaries, for instance some of our fictives feel more comfortable being treated as source and others hate it, don't force anything

when doing research do NOT trust ANY social media, I cannot stress this enough. ill link a few resources of trust worthy places to go to, my general rule of thumb is to not trust .com sites and only .edu, .gov, and sometimes .org,

also always look into whos telling you this information, my process is

go to an . edu, .org, .gov site

find a document on what im researching

read through it

look into the Dr(s) who wrote is and what they practice to make sure there reliable

as for finding alters just journal (or what i did) just sit down, relax, and just ask if there's anyone else in there

when trying to do any sort of trauma work or figure out why alters are the way they are do NOT do it alone. be in therapy with a PROFESSIONAL!!!

i understand therapy isn't accessible but speaking from experience it is harmful to do trauma work on your own.

these are the main sources I use

https://www.researchgate.net/

https://www.nlm.nih.gov/

[sysmedsaresexist]

Further Reading 📚

Dissociation and Dissociative Disorders Reconsidered

(PDF, careful if on phone)

Beyond Sociocognitive and Trauma Models Toward a Transtheoretical Framework

Lynn, S. J., Polizzi, C., Merckelbach, H., Chiu, C.-D., Maxwell, R., van Heugten, D., & Lilienfeld, S. O. (2022).

This is a long one, but a VERY interesting read. I'm a big fan of the biopsychosocial perspective, and this is another one that combines a number of factors in the development of DID, including ones I've never considered before. It's a really good read if you've got time!

Abstract

For more than 30 years, the posttraumatic model (PTM) and the sociocognitive model (SCM) of dissociation have vied for attention and empirical support. We contend that neither perspective provides a satisfactory account and that dissociation and dissociative disorders (e.g., depersonalization/derealization disorder, dissociative identity disorder) can be understood as failures of normally adaptive systems and functions. We argue for a more encompassing transdiagnostic and transtheoretical perspective that considers potentially interactive variables including sleep disturbances; impaired self-regulation and inhibition of negative cognitions and affects; hyperassociation and set shifts; and deficits in reality testing, source attributions, and metacognition.

[silentium-symphony]

HI OMG IM SO SORRY FOR GOING MIA TBH I DIDNT REALIZE HOW MUCH TIME HAD PASSED UNTIL LIKE 2 DAYS AGO WHEN I WENT "wait.... when was the last time I logged on..........???"

but hello! I'm alive (and still unemployed) :D had been so wrapped up in the job hunt and other things in my life, that tumblr just kinda..... disappeared from my head lol?? sm has happened! I wish I can tell you all everything, but basically, after struggling to find a job for MONTHS I'm thinking abt going back to school for a surg tech certification ..???? but we'll see lol. so have been looking into the logistics of that and ofc trying to find jobs and also traveling a fair amount w my bf :D

but regarding the future of this blog, now that I've remembered that tumblr exists lmfao I'll be popping on more regularly (and hopefully posting more stuff lol. I still have some things in the works!) sorry for making yall wait so long, and thank you once again for your patience :)

[demonicseries]

Hamlet is based on WHAT

[traumaanddissociation]

Actors role playing DID can be identified from differences in brain activation patterns, compared to people with DID - and brain activation patterns depend on whether an trauma holder alter / EP is in charge or a Apparently Normal Part / host - supporting the Theory of Structural Dissociation of the Personality (TSDP).

Multiple brain scan studies support structural dissociation, brain activation differences between alters, brain activation differences between people with DID and healthy controls or trained actors pretending to have DID.

Regions of the brain activated are those known to be associated with self-referencing and sensorimotor actions, but not the regions linked to imagination

Schlumpf YR, Reinders AATS, Nijenhuis ERS, Luechinger R, van Osch MJP, Jäncke L (2014) Dissociative Part-Dependent Resting-State Activity in Dissociative Identity Disorder: A Controlled fMRI Perfusion Study. PLoS ONE 9(6): e98795.

Background In accordance with the Theory of Structural Dissociation of the Personality (TSDP), studies of dissociative identity disorder (DI

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791283/