5/11/26 | Chilling with Rocket (he/they/xe) Comfort in plushies is important! They are a good coping mechanism for us, they are grounding, the friendship aspect, the creation and and daydreaming aspect, hobbies of collecting and their softness ans cuteness.. etc. they help with our anxiety, and daydreaming about them helps us cope with daily life, our plush paras!
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."
It happens to all of us at some point, and it sucks. here are some tips on how to deal with it from my experience.
There can be different or causes to it.
First, you have too many thoughts. Whether it's because you have a lot on your mind, because you're stressed, or whatever other reason, if your brain is too full, it can be hard to daydream.
Second possibility: your brain feels exhausted, empty. You're tired and it's hard to think, period.
Third, you're just out of ideas!
✦ If you can and like to meditate, meditation is one of the best ways to calm down your thoughts and give your brain some respite.
✦ Napping can help rest too! Depending on the person, this might not help if you're in the first case though - I know it doesn't for me for example.
✦ If you lack ideas, look up some prompts, or maybe get into a new series or book! You need to feed your creativity, along with letting it rest.
✦ Do something else! Go for a walk, do some coloring, try a new art form, change up your habits! This can both help you get inspired and rest your creative muscles.
✦ Chat with other daydreamers! Whether it's gushing or venting, not feeling alone is a great help in feeling better
Now, while those are great to help getting out of a slump, sometimes only time will truly get rid of the block.
In the meantime, there are ways you can stay connected to your paras and paracosms!
✦Make playlists your paras would listen to
✦Make moodboards
✦If you've written or drawn things related to your daydreamns, look at those
✦Make your paras a list of books they've read, would like to read, would dislike, etc! This can work with hobbies, movies, cartoons, food,…
✦Create a timetable of a typical work/school day of your para if it applies
✦Make jewelry for your paras; you can wear it to feel like they are with you or to think of them.
✦Make collages or art inspired by your paras, paracosms and daydreams! It can be super abstract!
✦Create outfit boards for your paras
✦Make memes about your paracosm
✦Try a meal or snack your paras would like!
✦Fill in personality quizzes as if you were your paras