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How do we understand OSDD...and have we got this right?
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- เผยแพร่เมื่อ 23 ม.ค. 2021
- In this video from The CTAD Clinic, Dr Mike Lloyd asks whether the current system of classifying severe dissociative disorders between Dissociative Identity Disorder (DID) and Other Specified Dissociative Disorder (OSDD) is the most helpful. The criteria for diagnosing OSDDis outlined.
Drawing on the published work of Ellert Nijenhuis and Paul Dell, Mike looks at how OSDD is conceptualised and what sets it apart from DID. Mike also discusses how Dell and Nijenhuis rethink the way that OSDD could be reclassified from the DSM-V system into something more useful therapeutically.
#OSDD #DID #otherspecifieddissociativedisorder #diagnosis
References:
Dell, P. F. (2009a) The long struggle to diagnose multiple personality disorder (MPD): Partial MPD. In P.F. Dell & J.A. O'Neil (Eds), Dissociation and the dissociative disorders: DSM-IV and beyond (pp403-428). New York: Routledge
Nijenhuis, E. (2015) The Trinity of Trauma: Ignorance, Fragility and Control. The Evolving Concept of Trauma / The Concept and Facts of Dissociation in Trauma. Vandenhoeck & Ruprecht
The ICD 11 which has yet been implemented in Europe uses the word 'Partial' DID instead of OSDD. I like the word 'partial' rather than 'minor' because 'minor' implies that the disorder is less significant or meaningful. Also the word 'severe' is not appropriate to describe DID in comparison to OSDD because people with OSDD have varying degrees of severity, that can significantly hamper their ability to function in comparison to more functional systems with DID. One disorder is not more severe than the other. They are all very severe since they are brought upon by severe trauma and just manifest in different ways. I just wanted to add that because people with OSDD are often less validated and feel that something must be wrong with them because their parts don't front etc.
Very true about not feeling validated because of how osdd functions is different. The severity is just degrees of dissociation. Osdd is more fractured, so more severe as far as memory issues go and I personally don't like any of these terms. They are all severe, and it does depend the person's circumstances. Someone with osdd who is stabilized could be far more functional than someone with d.i.d. who's defenses don't work for them anymore. These terms, in my experiences, all minimize everyone's trauma and all confuse the public on dissociative people's immense capabilities while focusing on the obvious weaknesses that trauma creates as if the body is not capable of healing. At the same time allowing the public to make dissociatives do things they shouldn't be doing because of actual limitations parts/the body has or insensitivity to trauma. I just wish it would stop being called a psychiatric disorder when it's just a traumatic condition. Thanks for validating with your words for those who are osdd.
Agreed!! Very well articulated!
Yes. Personally I find the ICD11 idea of DID/partial DID distinction very descriptive. And as far as severity goes... well... Naming a disorder is one thing but finding out how the person actually functions is another. Lots of high-functioning people with various mental issues are around... For some reason or other, DID/OSDD sufferers are often accused of faking, which exacerbates their denial issues. Kinda wondering why people suffering from psychosis, BPD or bipolar are hardly ever seen as malingering... Btw those are the diagnostic categories dissociative people tend to get before they are ddxed properly...
On the good side, both the diagnosis and the treatment of complex dissociative disorders are improving, so there's hope.
Can't tell about others but the more I learn about these things, the less knowledgeable I feel. It's a fascinating world...
@@89ksokd91 . Yes ! Superbly stated.
Firstly, the point about a Traumatized Condition, rather than a Psychiatric classification - is paramount:
Moving beyond stigmatizing social behaviours MUST BE an advocacy goal.
AND - society and medical/ therapeutic professionals must be in constant alert that classifications are suggestive rather than severe straitjackets. Straitjacketing themselves into clumsy classifications should be something that 'professionals' avoid 'like the plague'...
@@ninaromm5491 It's neurodivergent, an atypical brain that is adapting to severe traumatic situations and has created quite amazing abilities to help the body deal, I feel this should be respected and validated for DID and OSDD systems. The definition of disorder is apparently a 'disturbance in the normal functioning of the mind or body'. What I dislike is the term 'psychiatric' as if they are somehow deluded, when really dissociation is a systematic approach that is protective and helping the body cope. The person is perfectly sane, they have not lost their marbles, their brain is just absolutely amazing. Sometimes it could be be a disability, but in no way is it as if they are mentally ill. It's a cognitive ability to protect the system, which yes can be utilised in times of distress or anxiety etc. I think I am sensitive to the 'its all in your head', invalidating nature of doctors who lack respect or empathy for the experience of another individual outside of their own understanding. Just because someone may not understand, does not make our experience any less real x
I had no idea that the diagnostic criteria for DID and OSDD were different in Europe than in the US. That explains some of the confusion I've heard around how much amnesia needs to be present in DID in support groups for dissociative disorders.
I was surprised to be diagnosed with DID rather than OSDD or something else because my amnesia hadn't been severe in many years, and because externally, it wasn't very obvious when someone besides me was fronting. But *after* the diagnosis, it was like everyone was finally given the green light to stop pretending to be me and be themselves openly and the differences between us became much more obvious: different body language, different tone of voice, different hobbies, different clothing choices, different emotional baselines etc. So the fact that systems can be dedicated to hiding themselves seems like it also complicates this process of diagnosis if it's dependent on observable behaviors.
I hope it’s alright if I respond to this. I have not been diagnosed yet and I’m seeking one, but I’ve been eager for one because I have a feeling that my experience might be like this. My alters (or what I perceive to be my alters) have started to become more distinct after I admitted that I may have DID/OSDD. thank you for your input!
@@Lala-jl7mi Same here! I've been doing a lot of internal work trying to piece things together and I came across the term partial DID (I knew about DID but my experience didn't feel severe enough to fit that) and as soon as I opened up to that idea, all these different names started coming to me, and every one of them had distinct appearances, tastes, views, etc that were just so clear. This makes me feel so much better!
So relatable, the way my voice started changing from day to day after my system stopped trying so hard to impersonate the person everyone else thought we were was downright SPOOKY. I can't believe our coworkers haven't asked about it yet (but I'm not sure what I'd tell them if they did)
our family has definitely noticed the wardrobe change though
I honestly am afraid that when I do remember my trauma it will not be something quite as bad as I think. My parents always said I was too "sensitive "as a child and even act this way now. I do have dissociative amnesia(past trauma & a majority of childhood) but no loss of time currently as an adult. It is disheartening not knowing exactly what is wrong with yourself but knowing deep down that you've been done a great wrong somehow.
If there's one thing I learned from spending a year in a psychiatric outpatient unit being treated for OSDD and PTSD, it's that you can't 'grade' peoples' trauma on some sort of scale. What crushes Person A's soul will be something Person B can just shrug off - while at the same time a thing that brings Person B to their knees will barely register with Person A. It's not a points system - you don't have to 'score enough' to 'earn the right' to call yourself traumatized. 🙂And of course your parents are going to try to claim you are/were "too sensitive" - especially if they have some sort of connection to your trauma (i.e. they're responsible in some way, either through their actions OR their INactions.) That's their way of protecting themselves from any guilt they might be feeling; rather than admit your trauma might've been prevented had they done things differently, it's easier on their conscience if they can tell themselves you were just somehow 'less resilient' to dealing with bad stuff happening in your life. Feeling emotional pain and trauma is not 'wrong,' and just because others aren't comfortable with acknowledging your feelings doesn't give them the right to dismiss or minimise them.
This perspective makes things a lot simpler for people like myself, who fall between OSDD1 and DID
Same
oh thank god I'm not the only one. i feel like a cat wedged between the couch cushions trying to explain, and rewording the diagnoses or even considering DID a spectrum disorder would help. (spectrum from no amnesia and very similar parts with fluid switching to severe amnesia, vastly distinct parts, and disoriented switching)
Trauma disorders seem so poorly understood in general... I am here to learn more and I don't have these diagnoses but a lot of the trauma advice helps me and I think more people should know about these things. Here's to hoping our mental health system can grow and accommodate us better.
people seem to hate talking about trauma disorders because they hate acknowledging that child abuse exists and is even pretty common. more research on dissociative disorders like OSDD and DID will lead to more people realizing they're part of systems, and more awareness of child abuse and its sequelae in general.
when you realize the percentage of kids who are abused, and then you do a little math, it becomes very clear (and absolutely infuriating) why so many adults don't want to boost that awareness.
I would hate to get a diagnosis of "minor DID" just because my switches aren't as noticeable to others. ESPECIALLY because my system is very complex and in some cases more confusing than many of the overt systems I have had contact with. I personally would prefer to maybe have the diagnosis be "covert DID" or "overt DID"
I would also like to thank you for pointing out that amnesia is a spectrum. I think that is a very key thing to keep in mind.
Any labelling is going to be difficult, as it won’t suit all. “Covert” would not be a word that many would like, but it might suit you.
@@thectadclinic why is covert a contested word?
@@lensystem2399 I can't speak for other systems, but for me, (c)overtness just wouldn't help that much. At this point, I think the people I'm out to can actually tell who's fronting based on the sound of my footsteps, and those I'm not out to I have to say I'm genderfluid if we all want to use our voices while fronting: pretty overt if you ask me. On the other hand, even though we have noticeable event amnesia, we have no event amnesia, and can sometimes even continue a sentence through a switch without pausing: these things make it reasonably easy to mask and function, so I'd say pretty covert.
I mean, I'm not a fan of major/minor either, and though I have nothing to back up the feeling, I think I'd be surprised if psychology arrived at only two labels for dissociative disorders. There are a number of (objective and subjective) observables involved, and it's not clear (to me anyway) how they are all related, if indeed they are at all.
@@lensystem2399 I identify with OSDD but I do not identify with my experience as a system being covert. What I experience is displayed externally as well as internally, but fits more with the idea of minor or partial DID. I do think there a many factors that are on a spectrum, and each system is different :)
Thank you, I do like overt/covert as descriptors of what is observable (which is after all one of Dr LLoyd's points), recognising that what is and isn't observable may not be a good indication of the level of complexity of the system or the impact on daily functioning.
I can't help but wonder if OSDD systems are simply more communicative and functional systems than DID systems. After all, after therapy and communication in a DID system the amnesiac barriers fall and the blackouts are less and less common, substituted by more co-conciousness. That's what happened to us, we now have hardly any amnesiac barriers between ourselves.
At the end of the day if you think about other conditions, Autism for example, you do have more severe cases and less severe ones. Some autistic people can be independent and lead their own life, some require more care and assistance. Nonetheless they have the same diagnosis. Why can't it be the same with systems?
I agree with your point. As an autistic adult during autism acceptance month I do want to point out that the community wants to move past functioning/severity labels and replace with "high support needs" or "non speaking" and other more specific language to the individual. particularly because our needs or presentations are not static
The only problem with that idea is many with OSDD seem to have frustration because their parts are more nebulous and often nonverbal. So maybe it is "more functional" but isn't necessarily "more communicative."
But do you have distinct alters with their own personalities or does it seem like one being with many internal dialogues?
@@earthykat definitely distintive alters with their own personality
I would strongly caution against classifying OSDD as "less severe" or "more communicative or functional" DID. Many people think of OSDD this way, and it's actually really harmful: it is misleading and it contributes to the misunderstanding and difficulties that people with OSDD encounter in seeking resources and information. Whether you classify dissociation as a spectrum with both OSDD and DID is besides the point: at the end of the day, many people with OSDD experience far more dysfunction related to their dissociation than do DID systems. *****There are other ways to classify dysfunction or functionality than an OSDD/DID split.******
Yes there are differences in experience between DID and OSDD. There are also differences in experience between what is classified as OSDD-1a and 1b, and many people find themselves between categories.
For me, I know I am there all the time. I go from being in the world, to watching others interact with the world. In that sense, I have no amnesia, however, at my next appointment with my therapist, if she asks me what happened the previous appointment, I can't recall anything or I might recall one or two bits. If my therapist starts telling me what happened, it comes flooding back but it still feels like I was just watching, rather than being in the room. The other thing is that when I am in these other states, things that don't bother me in life, suddenly are causing me to cry. I come out of that state and I remember what happened, it feels like I was in a hypnotic trance, but suddenly don't feel any upset about was causing me to cry before in that other state. My therapist also says that I repeat myself over sessions, but each time I talk about an event, it's somewhat different. I add new detail, forget to mention other details, feel certain things that before I didn't feel, etc. It's all rather strange. She calls it DID, I disagree with her because I don't have blackouts. She thinks that DID doesn't require that level of amnesia, but that there are more than one well defined personalities. I have that...including one that thinks this is all nonsense, that there are no others and this is just imagination and suggestibility led on by therapists. It's exhausting and frustrating.
Absolutely! So frustrating!
it’s probably not suggestibility, DID and OSDD are more common than we realize. it’s natural to dissociate when fight and fight both fail you, and we’re not born with a fully developed unique personality. if you’re incessantly triggered and traumatized growing up, the different states inside you don’t integrate into one, they continue developing separately. and it’s true, you don’t have to have “blackout” amnesia to have DID, that may be a bit less common than we think.
@jowalter05 nobody can force yourselves to go, first off. Second, if parts don't need therapy, they don't need it. So they don't need to go. Your healing and survival journey is yours. A therapist or psych should only be there to be a guiding light and support anyway. Idk about all dissociative's experiences, but I have never found this to be the situation, but rather them trying to control or dictate that process, but I bet some decent ones are out there. It's a lot harder to find help than anyone is aware, and you are not alone in that regard. Respecting parts is the most important here. The pain this part/alter holds may be better soothed, dealt with or supported in some other way. I would listen to what that part feels it needs.
It's very common in any dissociative system to have parts who deny or disbelieve the reality of being split. It's normal and seems to take a bit for other parts to be on board first before the parts who disbelieve or are in denial come around. You are not the only one this is a common feature of a broken brain that had to survive. Maybe the parts who disbelieve were made to disbelieve by abusers or maybe is comes from having survived so long or stigmas from society..many reasons for this to be occuring. Just try and get to know your system with compassion. I know how hard and exhausting it is and I wish the rest of the good world would catch up with our reality and give us a break. Take care.
One can have two separate identities, and they can be coconscious or copresent and no severe amnesia presents itself. It is also possible to be unaware of how much memory loss is there because one is so used to not noticing it or it disappearing between shifts.
I really look forward to the research eventually demonstrating that dissociative disorders fall on a spectrum, as I believe they do. This is why I don’t use the DSM as Word of God. Some countries have different criteria as well
Very useful information. Minor DID Major DID. THAT is what describes how I experience my life. I often wondered about my diagnosis of OSDD1b (given in the US). The only thing that differentiates the accounts of those with DID and my own experience is 'blackouts', 'lost time', 'coming to' in places, and having no idea how one got there. 'Am I DID or OSDD?' is a question I often ask. Yes, of course, it doesn't really matter in the wide scheme of things; and yet it DOES. OSDD feels like a kind of no-man's-land, where you are neither one nor the other. It's difficult enough not knowing where we 'belong'. PLease keep doing these videos, you have no idea how much they help.
I have felt that a correct dx for our system would be DID w/out amnesia. Thank you for elucidating a case for that kind of change.
In the ICD-11 there will be a pDID (partial DID) category which is basically that I guess.
Absolutely, I hope we can have both systems making sense in the same way!
It would be interesting to see the shift from diagnostic categories to a spectrum type system. You can still use the labels and just have them at various points along the spectrum. Additionally I think this would have to be a multi-spectrum analysis. Essentially we're exchanging the individual criterias for a spectrum which allows for systems to have degrees of movement. I don't know, just a thought, something that's been kicking around in the back of my head.
I agree!! A spectrum type of system would be much more useful
I think my system is very much on a spectrum and even my therapist doesn't like to pin it down too much. And the spectrum changes too.
Much of this video makes sense and it explains really well why a spectrum diagnosis would make sense for DID and OSDD. Creating a hierarchy between DID and OSDD (with OSDD being "minor" DID) is problematic though. Some people with OSDD "switch" much more than some DID systems. Some people with OSDD have less communication or more memory issues than some DID systems. There are many ways to classify functionality and symptoms. Some people with OSDD rank much lower on "functionality" than some DID systems.... In general, I'd like to see symptoms being described rather than ranked, and I'd like to see more investment in tools to actually describe functionality or impairment in dissociative disorders. There are many dimensions to functionality or impairment in dissociative disorders that could be elucidated with some basic key informant interviews with clinicians, data to inform a measure should be collected from people with dissociative disorders, and there should be a mechanism for public comment (in research and the creation of tools or guidelines in general-- so in the creation of a "functionality measure" for dissociative disorders but also with the classification of dissociative disorders in general.) [[[[[Please excuse any typos or mis-spellings; I am working on a really small screen.]]]]]]
Very helpful, thank you. We’ve recently recognized each other, and we’ve struggling with a sense of validity even after therapy, because we don’t usually have amnesia between alters. There is amnesia for the past though and some other memory issues. This makes me feel like we’re more valid the way we are.
Thank you, Madeleine!
I think whenever we use terminology like “minor” and “major” we are going to inadvertently minimize the tremendous struggles of those in the “minor” category. Clinicians and those struggling are both likely to under”minor” as “not such a big deal.” Perhaps DID type 1 and DID type 2 could be a place to better differentiate without minimizing, invalidating or miscategorizing?
Also “other specified” by default means that you can look at it and describe it well e.g. just like DID but no amnesia etc vs unspecified which is not easily described and may be a mishmash of symptoms. And both categories seem to have their impact on the client minimized by many clinicians who lack thorough training in complex trauma and dissociation.
Just our two cents
I believe that the important phrase is opening up discussion between therapist and client.
In 1991 when I was diagnosed in USA and was even was part of studies by Frank Putnam for MPD as it was called then. I had definite classic Amnesia and distinct alters.
Now 2021 there is a blending (of course we hide all the time we are not introducing ourselves by name) and the memory is like trying to remember a dream.
Honestly, using minor and major like this actually helps me understand a lot better. I completely agree with the notion of making diagnosis terms more descriptive and less formulaic. It's far less confusing imo, and makes it easier to have a discussion about these things without having to know and/or explain a bunch of complicated terminology.
We have fully differentiated alters and we do have amnesia, but only concerning traumatic events. So, if someone in a system eats a bowl of rice, I (host) will probably remember, but if they're having a flashback, I won't. I got so confused by this that I just basically told my therapist that I have DID and if she thought I had OSDD1 she should keep that to herself, because for me it's basically the same, I don't see the difference AT ALL (other than severity) and it's complete bs that there's even a difference in diagnosis to begin with... I thought if a therapist would be so hung up on a diagnosis that he/she wouldn't agree with that, I wouldn't want to go there anyways.
Well if you were osdd there would be a shell and alters switching behind it, it's much different and does matter..but aside from that detail I agree with you completely. More power to yous.
@@89ksokd91 I meant OSDD-1b, where it's basically DID but without amnesia between the different parts. And we definitly have a bit amnesia, but we also have way less amnesia than any other DID-system we have met. The thing with DID is that the amnesia needs to be "clinically relevant" and I don't know what that even means. Also, in 2022 they'll completely change the diagnostic criteria here (not DSM), which will essentially get rid of OSDD1b and only leave 'DID' and 'partial DID' (which is what you described) and I don't feel like we would fit in either of those, really (because of the non-existant severity of our amnesia). So everything is just really confusing.
@@cirrusfloccus6080 I share your frustration, I (OSDD1b) see no difference between some of those who have DID and ourselves. I don't suddenly come to somewhere and don't know how I got there but I have amnesia a-plenty.
We also totally get this. Amnesia only really occurs when something traumatic happens so I feel like we're somewhere in between DID and OSDD-1B. Really makes me wish they'd just change the labels all together because the diagnostic criteria for DID feels... outdated to me? Like as more and more systems reveal themselves and don't fit the strict DID critera, I feel like the criteria itself is outdated and comes from a time in which people were still rather ableist about the disorder and thought it had to be Severe to count.
@@89ksokd91 please elaborate on this, it resonates with what im experiencing
This is a great idea in my, the host of our system that was diagnosed with DID here in the United States', opinion. The prospect of the old -NOS categories and the new OS- categories are often seen by fellow patients as saying, "you have some traits of this or that, but you don't actually have anything concrete we can diagnose you with." Essentially, it causes us and/or them to feel dismissed, that their potentially severely distress or dysfunction inducing - let alone potentially danger inducing - symptoms, that all parties involved in the diagnostic process (patient, psychologist, psychiatrist, family, friends, lover...) agrees exist, that what is present is simultaneously something significant yet nothing substantial. Even if 'minor' verses 'major' was in the title of the diagnosis of 'DID', it would still be a diagnosis of DID: a specified disorder.
This is similar to 'anorexia' verses 'atypical anorexia'. Both are diagnoses of anorexia; the latter is simply a less obvious display of the specified disorder than the other. Because of this, I think that 'typical' and 'atypical' might be even better than 'minor' and 'major' as preceding terms within a revamped distinguishing between DID and OSDD-1a/OSDD-1b. Something currently diagnosed as OSDD-1a could be 'Minor DID with parts not fully differentiated' for example. For OSDD-1b, this could be something like 'Minor DID without regular episodes of dissociative amnesia'.
- Samuel
God this makes so much more sense. I would love for the diagnostic criteria to change to this
Your videos always discuss such interesting and important topics. Thank you Dr. Mike! 💜
In all honesty, the medical community is not exactly good at coming up with proper labels for these things in general. ADHD is no longer called "brain damage" but calling "attention deficit" to a disorder that is about an issue regulating attention and not exactly in a deficit of attention, is not all that helpful either. They are also still leaving the emotional dysregulation part out of the diagnostic criteria in the DSM - even though it was recognized in the initial Brain Damage and still acknowledged by practitioners based on clinical evidence. The DSM still has a long way to go.
I think the rate of diagnossis between the U.S. and G.B , can be explained by this: there're are probably more cases in the U.S. because of the cultural differences, the fact that it's under-diagnosed more in G.B. because of the strickter standards, and I think G.B.'s strickter standards reflects that it's not as understood in G.B. as in the U.S.
There is the issue of self reporting. In cases where the patient is experiencing anosognosia (I'm one of those I now know later), it is unlikely or impossible to get an accurate understanding of how much amnesia, dissociation and parts there are. I was not aware there was anything missing, amnesia wise. When I was in states of dissociation, I wasn't aware of it, so I couldn't say, "Yeah, I'm dissociating right now." and sometimes even after the fact, it may be possible to not remember or be able to know that I had dissociated in some way in the past whether it was was for 3 minutes, 3 minutes ago, or whether it was for 3 years, 3 years ago. That's why dissociation and amnesia at their worst is such a lethal combination, and while it makes sense to measure the severity of a dissociative disorder by the severity of presentation of these symptoms, they are hard to catch sometimes and can even go unnoticed completely by a professional, by close loved ones, and by the patient themself. It's extremely elusive, and almost seems to try to avoid diagnosis or will self adapt without the patients conscious awareness, to thwart the process.
I only have emotional amnesia and recall issues so I think the DDNOS/OSDD I was diagnosed with fits me but I think they should change the name to dissociative identity disorder spectrum or something like that
I guess I could fit into minor DID but I think the new criteria for partial DID fits me best
They need to take the word disorder out of the label completely. That's a big reason for the stigma putting dissociatives in the category of perpetrators. It should be dissociative response or something. Something explaining how natural and protective it is and not suggesting it is deviant.
@@89ksokd91 disorder is titled as a disorder because it is something that disrupts a persons life in significant ways. I get what you mean though
I don’t think having a disorder makes you a perpetrator though
@@89ksokd91 I would love it being called something like dissociative response spectrum...
@@ConnieAshlyn I am a multiple so I know very well the reasons behind the word, but what I'm saying is it's a major proponent to the stigmas that there is something wrong or freaky about us. When so many people keep referring to it as a mental illness and mental health problem, these terms are not only inaccurate but they are confusing the public and supposed professionals. The only other psychiatric label that has disorder in it are personality disorders which is a fancy way of saying predator and perpetrator psychology. The fact is there is so much fear and confusion over split minds that having the victims of predatorial people (mostly that being the prominent cause) sharing a label term with them, has and is, causing much harm to victims and preventing more allies and advocates from existing. I was told it was called a disorder because parts exist often out of order. The fact you and I, and so many others including professionals, are personally interpreting a medical label so differently, is extremely concerning when none of the language should be confusing or subject to interpretation. For any dissociative abused by language this is even more problematic and life endangering. People hear the word disorder and imidiately associate it with concepts like defective, problematic or wrong. It's a discrediting label which is very apparent when one looks at the societal climate dissociatives and victims of abuse are in. So I suggest once again, it's renamed as a simplified and dignified word that reflects the actual experience and the intelligence of it, such as dissociative response or something better. Not a label that focuses on weaknesses from the effects of trauma and stress, when anyone remotely knowing a multiple should be aware the immense distress we are in when our defenses stop working as we understood them. We don't need a confusing and condescending label made up by the psychiatric system, when trauma is not a psychiatric issue solely anyway, though it includes those elements. It is primarily physiological and a memory condition and because of its adaptability factor should never be treated as a "disorder" it implies things that just aren't true. I write this, in my opinion, from personal and witnessed experiences and research.
@@89ksokd91 Im sorry but I think its very wrong of you to treat disorder as a dirty word and it feels like youre willing to throw others under the bus to appeal to the mentally abled and neurotypical.
In a lot of my research when suspecting i was a system i would identify the most with ddnos 1b, (presence of alters who can take executive control without significant amnesia) which really seemed like 'DID without amnesia' to me and i wondered why it got changed to such a broad vague 'osdd' kind of category.
It feels like how a lot of people with DID talk about when an alter is close to the front? More like an ever ongoing conversation that drops in and out depending whos around, and only dissociation if the host isnt part of it.
I think theres a threshold of research one can do before they can trust themselves enough to self diagnose accurately, which is why content like this is important so keep up the fantastic work Doctor!
I like this way of thinking about it. I'm not diagnosed with dissociative disorder, just CPTSD (which I only got after self-diagnosing and explicitly seeking it out; I swear, no one but me is interested in making sure my issues are properly understood and diagnosed), but I think I do also have a dissociative disorder. I definitely deal with structural dissociation, and learning about that has been critical to my recovery process. I remember learning about DID when getting my degree in psychology and feeling like I related to it in some ways, but that my dissociation was not quite that severe, in that my parts were quite aware of each other and certain parts never had full control of me, there was no obvious outward shift (I masked very well), plus there was not as much amnesia, etc. A 'minor DID' kind of diagnosis probably would have been appropriate for me, and if I had been able to self-diagnose at that time, that would have really sped up my recovery by directing me towards the right kinds of treatments. It wasn't until I learned about CPTSD, emotional flashbacks, and structural dissociation that I was able to more clearly identify when a shift to another part had occurred, instead of just feeling like I mysteriously "felt differently" at some times without being able to understand what was happening from a neurological standpoint or why. Understanding takes away so much of the shame and makes it a lot easier to work with the system as a whole.
I hate how poor the overall understanding of trauma and dissociation is, and how much gets misdiagnosed or lumped into personality disorders and anxiety disorders, which don't get treated as trauma disorders even though they clearly are in most cases. Especially if your internal management systems are fairly functional and you're good at masking, so much gets missed. I'm really good at pretending I'm okay when I'm not, and it makes my struggles all the more confusing to other people. I can't tell you how many times I've heard something to the effect of, "but you're so smart and self-aware. I don't understand why you're struggling." I don't know, maybe because many of my EPs are children that lack basic developmental skills, so even though I come across as capable in this moment, this is not the level of functioning I have when I'm triggered, because I've lost access in those moments to a lot of these internal resources.
Thank you, Hannah, lots of good points made.
Stumbled across your channel as I have a loved one who I thought might be experiencing some kind of structural dissociation due to trauma. Wasn't looking to amateur diagnose, was really just looking to better understand because I had intermittently (say a few times in the course of a year) interacted with what I wouldn't describe as 'personalities' so much as distinctive parts. But when I spoke with these parts, it always appeared there was some level of co-consciousness and no amnesia.
I didn't have the right words to talk about it so it's reassuring in a sense to learn that the psychiatric community doesn't really have a word for it either. This loved one has been since diagnosed with PTSD and is receiving trauma informed therapy but I've been working through this channel to better understand those fault lines along which trauma tends to splinter that which is intact in my own head.
Really appreciate the work you do!
Thank you, Laine. You are really trying to help, which I am sure is appreciated. If these videos help you, your loved one or the therapist in any way, it will have been worth it!
Assuming that treatment doesn't differ between these categories? I also assume that the stigma won't change either. Would changing classifications make any difference in insurance in the US, or care in the NHS in the UK? I haven't found good treatment w/o paying privately here in the US. If the criteria is "readily evident" symptomatology, then diagnosis is dependent on the skill of the evaluator knowing what to look for. Without very good training, most therapists wouldn't know a switch unless it looked like "Sybil". Most of us are not nearly that blatant. We still have DID. If you push someone to destabilize, you might see it then, but now you have someone who cannot function. Rather like wrenching a patient's arm and then asking "Now, does it hurt when I do that?"
This is what happened to me.
@@89ksokd91 I’m sorry this happened to you. I hope you’re doing better these days. ❤️
Thank you SO MUCH for this video. Watching it and reading the comments of strikingly similar experiences is just amazing. I really think THIS is what's going on with me/us! I know all about DID, and while so much of it does seem to match up with my/our experience, there isn't really amnesia between parts and no blackouts (although I do say there's a lot of graying-out) and I don't think there's a drastic noticeable difference when other parts are near. However, there is massive memory loss throughout the past, and I am aware of a few very distinct alters who have apparently been dominant throughout my/ our life at different times, and currently it seems they all have varying degrees of influence on the body's appearance and actions.
I had been wondering if maybe I had DID and integrated without realizing it, which would explain the absence of blackouts between us and why I can't tell who "I" am, but this new way of thinking also makes perfect sense!
i'm going to follow up this comment with an email to you/ctad directly [as a roundabout way of asking for help/potential connections you CTAD would have here in the states] but, i believe i fall squarely into the lexical gap in diagnostic criteria you're discussing here. long story short: i am a mute/averbal individual with dystonic cerebral palsy that has survived decades of physically unsurvivable circumstances through the protective mechanisms OF my dissociative states, including amnesia and "pain masking" ['walking normally' etc]. i have a lifelong diagnosis of CPTSD as well; my gut is telling me that it's pertinent to mention here that my mutism resulted in two emergency spinal surgeries and a continued life 'in the break' of having adapted so well instinctively to compartmentalised survival that i'm a physically active parathlete and professionally successful with proper accommodations in place.
a large amount of this history of this includes having been made to survive without adaptive+assistive equipment [including basic AAC tools] from a young age--many of which i've made on my own over the years.
BTW--i say all that not to dump, but to clarify the gravity of how far "outside" the current framework of multidisciplinary approaches to dissociation, kinesthetic/somatic trauma, personality integration, etc, i have been made to dwell in.
i very intentionally 'follow my gut' and don't research/read up on OSDD-DID spectrum disorders as a measure of self-protection, but some recent events in my immediate medical history ahve me in a rather unique position where the language of 'personalities' and 'splits' and 'alters' and 'systems' [not airquotes, referentially used here only] have only left me with the feeling that such language could in fact be preventing of *fuller* understanding of how dissociation functions in practise. so, i have some thoughts i'd like to share with you as i work through this with my mental healthcare team; especially as to reach out is because i've been documenting this whole process the past 6-7mo's [both consciously and unconsciously--i call it 'riding my intuition'].
[if you do get the chance to see this comment-i would like to emphasise that i'm sound of mind [ha], and not just some random youtube commenter--academically pedigreed, if just discrete about my professional history.]
that all being said, i know this is a hell of a YT comment to receive out of the blue, but i think you're right on the money here in perceiving a 'chasm in perception' within itself in current modalities of treatment for OSDD-DID. i have had an incredibly strange and unique life and part of my healing of that is seeking to 'make it useful'. i know what i've been through and my 'field research' thus far would be incredibly enlightening for an organisation like CTAD. so-i hope to be in a place to reach out soon. (:
I fully think this is a great idea. Thinking of it as a spectrum seems much more useful and specific than just OSDD which could be so many kinds of OSDD. Plus I think people can easily go from one extreme to another but might generally sit around a specific part of the spectrum- just like autism. For me sometimes I have more amnesia depending on the part. Sometimes I don't fully switch or stay that way so easily depending on the part. Sometimes it's very easy for a part to switch in just if they feel the strongest about something but we may not notice until eons later because it was so subtle.
Thank you, this is such an important thing to talk about to validate people's experience more.
That's actually what happened in the ICD11 because there's now DID and partial DID (pDID) in there which I find to be a very good thing.
Agreed, having both classifications being mirrored would be really useful. The DSM is so dominant in diagnosing, it feel like it has dropped behind the ICD significantly in this respect.
The start of this video made me feel like it was going to completely dismiss people with the DID type of OSDD. Glad it didn’t. I think these types of classifications would be much more beneficial but also think a lot of people who are not educated on the true meaning behind it would use ‘minor DID’ as a way to dismiss the challenges individuals face & what potential support could be denied that way. It’s also an issue faced now with the DSM, between DID & OSDD, what level of amnesia qualifies for ‘with amnesia’, would some amnesia or lots of small amnesias qualify? Does it need partial amnesia? Just thoughts
I am SO GLAD other people are talking about this, wow.
As always, thank you Dr. Mike. Always learn something new!! Keep em coming! We missed you! (Of course we comprehend stuff is difficult everywhere.. so we are patient
Just collapse DID and OSDD into one, larger category. They're essentially two different presentations of the exact same thing, function similarly, and are treated the same already. The arbitrary distinction between the two seems to be the problem itself.
Hi Alex, there is some merit in this, though having the distinction remains helpful in the way the therapy progresses and the methods and techniques that need to be employed.
I have diagnosed OSDD and left the clinic because my adult alters weren’t being acknowledged or treated. The therapists insisted everyone only has OSDD and took my 100 grand, a year of my life and ignored the majority of my system. I would love to understand how to manage my system after another medical betrayal. I only want efficiency going forward and some adults in here are fed up trying to heal in a society that doesn’t want them to exist. Any advice would be greatly appreciated.
Minor and major DID makes so much sense to me.
I find your content extremely helpful! I really need information for someone probably with OSDD !. I want to talk to someone who is newly aware of disssociation!
What you're saying makes a LOT of sense. Thanks!
Thank you for another thoughtful information packed video.
This certainly makes MUCH more sense!
Dr. Colin Ross talked about "partial DiD" in some of his research.
Thank you so much for discussing this. You explain it so well. Your videos are so reassuring, validating and important.
thank you so much for bringing this issue up, so important.
The "minor" term feels as much problematic as other specified as it seems to imply a very similar thing - that, how much visible the disorder is equals to or determines the severity of how much the patients life is impacted. This is not only an issue due to the fact symptoms can be hidden but also simply feels wrong in dismissing the scale of severity of particular symptoms. For example, how do we determine if a person with highly differing personality alters is coping worse than a person whose alters are less distinct, but may face the same severity of amnesia due to switches? Or, what if the switches or the amnesia are of lesser negative impact, but the number or the alters and the switches throughout the day leads the individual to spend the majority of their time in highly dissociated state, comparing to someone who has more distinct alters but with better integration and lesser severe dissociation frequency? And so on. There could be a lot of questions asked to consider whether it is helpful to the patients to compare two different disorders or variants of a disorder as "minor" or "major" severity in relation to each other while the reality shows, that the symptoms and their severity can significantly vary between individuals. We do not try to prejudge the impact on one's life with other bettwr known dissorders with varying variants such as depression as it is considered an obvious discrimination.
Seems to me that we still have much to learn and that this area needs much more research.
Ive been getting weird episodes where my personality would change but it’s different from a mood change, there’s one where I’m really like agressive in a way and kind of like I don’t care about anything and I have like a mad outlook on everything and the other one is basically a really submissive and shy kid (which kind of reminds me how I was like when I was younger), like I notice that this happens more often when I have my teddy bear and I would clutch it and I would feel really insecure scared and sad, I have no idea if it’s some type of dissociative disorder but it kind of freaks me out haha, also I first notice the symptoms a couple moths ago. I’d also forget what I would say or do afterwards but I’m not sure if it’s just because I have a bad memory or co-existing neurological stuff
Also when I’m falling asleep sort of, I sometimes hear conversations In my head of 2 different people talking, I don’t remember most the stuff they say but again, it might be something else or just a hallucination
(Also I have mental tics so one of the only ways I can distinguish between them is not paying attention) oh omg and I rarely tic when I’m in the agressive or childlike state
I’m just so confused help 🫠
Edit: I’ve noticed a couple more, another child that is really happy and exited and a sociable “personality” which is actually the very opposite of me.
Sounds like a decent assessment of all this is needed. Hopefully you have services available who can help.
I often eavesdrop on the conversation our parts have at night too, it’s when we feel the “safest” and we’re also tired, which automatically creates a dissociative state sorta. The parts are distinct (one of them has even expressed that she dislikes when I call them “parts” because she feels it objectifies them or something). I have every sign that points to either DID or OSDD, EXCEPT for switching and present day amnesia. Two major parts of the criteria. We can't switch, I'm front stuck, the others dislike me and our communication sucks. These factors make it so difficult for me to believe I have OSDD or DID. I spiral into panic attacks, thinking I must have convinced myself of all of this. But I've known some of these (parts) since childhood..
Maybe I just have a really powerful imagination
Question- in terms of major vs minor you use the word subtle to describe the presentation of minor; I'm trying to understand "subtle". Does this mean that the personalities are less differentiated internally, or that switches are less obvious, or...? I'm curious how this fits in (if at all) with discussions about how covert vs overt a given individual's DID is.
Also, one thing I've always had a lot of difficulty understanding was the amnesia aspect. I've never been able to find anything that tells me how much I'm supposed to be able to remember of my childhood, so I don't know how I'm supposed to evaluate whether I have diminished memory... Also, how would I ever figure out if I have amnesia of something if there's no one else who was involved who would tell me?
Thank you for all the information you provide, this channel has been very helpful to me (I have OSDD 1b).
“Subtle” can just mean not obvious, a turn of the head, a glance, phrasing or a garment worn. As a therapist, these things are sometimes easily missed, so I always ask if I think I saw one!
I too have no clue how to gauge how poor my memory really is. Most days, I’m certain I have huge abnormal time gaps for everything prior to five years ago. But then I spiral into panic attacks and doubt, thinking “maybe my memory is actually normal, and that’s how everyone’s memory works.”
Because we do not 'feel' amnesia often, its like im faking it all the time :/ its very tiring
I’m sure the reason DID is a more prevalent diagnosis in America is because health insurance companies won’t “fund/approve” treatment for OSDD. So American doctors have to use a reach around in order to get their patients the treatment they need.
Is that the case? Wow, that seems like an unreasonable decision for the companies to make.
@@thectadclinic I’m just guessing. I honestly have no idea why DID is a more prevalent diagnosis in the US. But I will also say, on the flip side, that I’ve heard US doctors are the most restrained in even giving a DID diagnosis due to the stigma.🤷♀️
Do you think having multiple personalities (I know that’s not the name, I’m talking about the literal quality of having alters or versions of self) _may be_ a possible natural variation of personality - but that we don’t see the people who are well adjusted multiples because they don’t seek help for it?
I mean, really, if there were a non-disordered, non-distress-causing, amnesia-free way to be a multiple, how would a clinician even know unless the healthy person just felt like sharing?
And, would the healthy multiple person even know, themselves? After all, we do tend to assume our ways of being are normal, and universal. Sometimes they’re not, and we clash with the world, where loved ones hopefully intervene and tell us it’s not normal. But other times - such as with having a minds eye -or NOT- having one - if it doesn’t cause problems for us, then we never even consider it’s not also the experience of those around us.
Could, then, people whose personalities are spread out be shuffled throughout the entire deck of more integrated people?
I’m thinking of Carl Jung’s archetypes; of Paul in the Bible’s writings about wanting to do one thing but doing another against his will; of performing creatives who have well developed “alter egos” (some which are publicly part of the performance, like Ziggy Stardust, and others that’re a privately experienced trancelike state that a mild mannered shy person must pull themselves into to be a brash, flamboyant performer); of people who say they “receive” the paintings/writings/music they create as though it were coming from outside of them; and, last but certainly not least, the beautiful lines from Walt Whitman’s “Song of Myself”:
“Do I contradict myself?
Very well then, I contradict myself.
(I am large, I contain multitudes.)”
No. Because people suffer MASSIVELY. It's not natural, it's trauma induced. It's brain trauma. It's not a natural fluidity.
This helps me a lot. Thank you.
What if all the parts are there, and host has no memory of the trauma (or much of life before a certain point), but the other alters cannot get past the host to reach the front, co-front, and struggle greatly with communicating to the host. Like there’s this major wall between them that doesn’t even allow them to leave the inner world. Host has been stuck in the front alone for *at least* five years, maybe longer, but doesn’t remember living before five years ago.. and some of the other alters blame host for their inability to leave the inner world.
Post Traumatic Identity Disorder, the dissociative ones without alters should be Post Traumatic Dissociative Disorder
DID isn't post trauma. It develops during trauma as a way to cope with it.
I don't agreee with labeling OSDD as major or minor, because it implies that in minor OSDD that the trauma has been less severe, when in fact in could just be that people who had more severe trauma, are better adept at using those coping skills (dissociation) because of they had more to deal with, and their brain got better at switching to the point where it's less noticable, and it also may be that some peoples minds are just better at switching, because their personalites are more fragmental, and also, that their personalities are more in communication with each-other. Maybe some people's personalities get along well, and are in good communication. So Ithink there's a danger in calling cases minor or major, until more is known. Until you can prove that people who switch more seemlessly have less trauma in their past. make sense?
Really informative video.
Where would something like a diagnosis of DPDR fit in with this? Would that be classed in OSDD? What about dissociation relating to cPTSD, and Dissociative Amnesia that doesn't follow a change in personality/parts/isn't related to another part taking over? Sorry so many questions, aside from wanting to know personally, I'm genuinely curious! (And not trying to self diagnose at all of course)
DP/DR and Amnesia sit as separate diagnoses in their own right, though are both generally found to one degree or another within OSDD and DID. With CPTSD, the ‘dissociation’ bit comes in a general form, (often ‘unspecified’) as if there were more specific types (e.g. OSDD or DID) you would lead with those as the primary diagnoses.
@@thectadclinic Makes sense, thank you!
I'm aware of what I ate at yesterday's dinner, but I hardly remember what I was talking about with my family. I guess someone of us was interacting with the people outside whilst I was just eating our food. I feel so confused.
This can be confusing, certainly, and the sense of identity confusion can cause difficulty even in such ‘everyday’ circumstances.
Another great video, Thankyou!
Thank you so much for this 💜
Interesting video -- thanks for opening up this discussion. How would you distinguish between OSDD/minor DID and CPTSD? CPTSD involves emotional dysregulation and emotional flashbacks, as well as other aspects of dissociation, which would seem similar to emotional parts of self, and there is often an impact on the overall sense of a cohesive self, as well.
I wish your comment got a reply that is an excellent question.
Thank you.
09:57 Say it louder for the people in the back!
So what is it called if someone retains one singular identity and name throughout, but experiences subtle shifts such as a variation in handwriting, slightly different vocal qualities, different interests and hobbies, and variations in areas of competency or confidence?
Hi Matt, from that description, and were all the other categories to be assessed and evidence presented, it would be more like an OSDD consideration. However, we would never diagnose purely on such characteristics, there are many other factors which need to be accounted for first.
I'm pretty sure you answered this at some point in your videos, but is there a way for alters to form without trauma or additional stress? Something to the effect of once a system is established alters can be formed based on need and/or what they represent. They do not have to come from a split or additional trauma. For all intents and purposes they can behave and switch the same as any other alter in a system, however, their origin is not derive from negative influences or stress?
I ask because within the DID community there are some system absolutist who state non-trama based alters are fictitious in nature and cannot behave or expect to be anything more than someone to interact with on the inner world (an NPC if you will).
Hi Anna, this has been recorded, yes. When the brain has prepared itself for the design and build of alters (clumsy wording, I hope you see what I mean), it may then not need trauma to create new ones, but only a sense of something being needed to maintain survival or coping. So adults can have alters generated to help with new aspects of life, for example, parenting or bereavement.
Could some systems be more covert...like hide themselves and appear less severe because they don't feel safe to be found out? It seems for me there is a lot of shame involved and my selves have pretty much tried to seem indetectable. It's like living a lie. Very strenuous to stay hidden and normal. Does this mean there is less severity though? Just a thought. I'm not even diagnosed.
Great video
Got annoyed at the paranormal one, if used to gaslight and/or denying spiritual elements?
Rewatching this 6 mos. after dx. of osdd by CTAD. Still with an unlicensed somatic experiencing therapist. Still doing emails to seek specialist in future. Gosh... this might make this even harder!
Sorry to hear you haven’t managed to find someone yet, keep trying, they will be out there somewhere!
makes a lot of sens to me!
Yeah the current categorization isn't very useful to describe what's happening here, we do get amnesiac episodes but they're usually over the most unimportant things, and we do not get those heavy unconscious switches, for us feel more like a bunch of people trying to use a single microphone. most of the time we remember most of everything although feelings or connection to the matter might differ, so, it would sound like a mix of both, it is too much of a spectrum to be that hardly limited
Dr. Mike, could you please talk about how someone can build up stamina in parts that have been mostly inside, but would like to spend more time interacting with the outside? I posted this question here a day or two ago, but it disappeared. :(
Not sure if the reason why some parts don’t stay out for long is about stamina, could be more the reason for them being out doesn’t take long?
@The CTAD Clinic: We have parts who have mostly been inside and find fronting very tiring. They talk about how they would like to front and explore the outside world more, but it's too exhausting. We would find a video addressing this helpful.
Most therapists don't know what any of this even is and/or believe in the types if abuse that cause it. I am in a treatment desert in the US
love it!
Hello, I have a question/topic request (open to anyone's advice really) regarding diagnosis that I haven't seen covered often. How exactly would you recommend patients find a psychiatrist?
I'm from the U.S and the areas I have been in personally do little to promote mental health. I've searched for resources online and come to TH-cam over the years, but I never feel quite sure as to how to approach the matter. I've gone to a few counselors, but they aren't allowed to diagnose here without a Ph.D and never really gave recommendations as to who to go to. I'm not sure if my insurance would cover the cost of these visits either, so I don't want to risk paying out of pocket to meet a psychiatrist who doesn't fit me. A lot of people cover how to bring illnesses up to your therapist, or in comments people will mention their therapists, but I haven't seen a lot of information as to how people even find one in the first place. There's a lot of stigma about going to a therapist from my family, so I can't ask them.
Part of me is also nervous about meeting a psychiatrist since I've previously been ignored by doctors and counselors. I want to protect myself from someone who might not listen to me and just insist I have something I don't without hearing why I disagree. It seems silly, but when I brought up DID to one of the counselors out of curiosity, they said that they personally thought "they're just people with overactive imaginations" which really made me uneasy.
In the UK, there is rarely choice about the psychiatrist referred to. A lot of teams only have one, so it is often just luck if you meet a great one, of which there are many.
So if the difference is in severity of vertain symptoms, would you suppose someones OSDD could turn into DID or the other way around?
We can see what you re doing
Since the therapy for DID and OSDD is the same, does it really matter?
I think it does, yes. Clarity on diagnostic terms helps with acceptance and understanding, for both the person with the condition, the person treating it and those commissioning services for treatment. The guidelines are the same for both, but the precise manner of approaching therapy varies for each individual, so having a better perspective on the nature of the dissociation would always be helpful.
@@thectadclinic I suppose I haven't reached full acceptance then. To have survived 57 years without diagnosis, having been diagnosed only a year ago...it doesn't seem to matter to me what label is slapped on me, there have been so many. But notwithstanding this, thank you for your videos, I and I know many others who enjoy and learn from them.
The therapy is not necessarily the same.
@jowalter05 me too...off and on because apparently I am so high functioning that I could go decades at a time with little to no crises. I, too, was diagnosed first with depression at 14, then again at 20, at 21 with bipolar, went off lithium on my own at 25 and never looked at a psycho-medicine again. To me the label doesn't matter, I just need some relief. Thanks for understanding.
If the treatment is the same why break it up to categories? It is all DID on a spectrum.
It helps to adjust to specifics and know what to target with different interventions. We could just say "it's all dissociation", but we need to have accurate clinical detail - it really helps. I get your point, though!.
I need help to understand my problem. At times I can be doing something and I am looking at it like I'm looking through a window at it. It's not all the time. My face features become different and so does my writing. I don't recognize myself. I look at pictures of me and I don't see me. I stopped looking in mirrors that much. I've been living with this stuff for a long time and I'm tired of it. I hear voices in my head and they sound like me. I argue with myself. I black out sometimes during an argument. Hit someone knowing I shouldn't because a police officer is right behind a door and I can't stop myself. Right now I ignore it or make fun of it but I think there's something wrong. I call myself crazy a lot. At times people even ask who I am because at the time I really am not myself. What do I do?
Hi Tulsa, given what you described, this really needs looking at in depth by a trained and experienced professional. I hope you would be able to access this through your health providers.
@@thectadclinic Thank you for your advice.
Hmmm... this theory would make my OSDD more like Minor DID... not sure how I feel about that. As long as stupid movies like 'Split' remain the general public's only impression of identity disorders, I'm not sure I want to 'own' any name with 'DID' in it.
Hey doctor. I have a question - I've been trying to learn and understanding the connection between DID/OSDD and disorganized attachment. Is there anything you've got related to that? Thanks a lot.
Have you read Allan Schore's works?
@@Flusterette No, I have not. Could you link me it, please? I know how to Google normal stuff but anything about articles of actual important subjects is confusing to me. Thank you so much.
@@MrsPurpleRaccoon Most of Schore's work is published in his books. "The Science of the Art of Psychotherapy" / "Affect Regulation" / "Affect Regulation & the Disorders of the Self" / "Affect Regulation & the Repair of the Self"
I would also recommend you look at the work of Adah Sachs, she is a friend and knows a huge amount about this, including proposing new attachment styles arising from developmental trauma.
@@thectadclinic Thank you so much for the response! I will look into them.
What is co consciousness?
When two or more alters are conscious or “online” at the same time :)
Minor DID makes so much more sense! OSDD is still a system, even if the details around amnesia are a little less severe!
I wish they would just call it Plural Spectrum Disorder.
It would cover everything.
Or perhaps Dissociative Identity Spectrum Disorder 🤷
Jappi
every day I wake up and I start to break up
I think the cause of the Europe/USA dichotomy lies in the function of the DSM. Yes, it's written by doctors and health professionals, many with long lists of qualifications and many of whom are good people, but it originates in a healthcare system where people pay private companies for health insurance, and those companies have very rigid systems regarding what they will and won't pay for. So everybody has to have a label, everyone has to be pushed into a diagnostic box- so insurance administrators can make yes/no funding decisions.
In Europe, we have socialised medical systems- the government is paying the bill regardless of what is wrong with you, so a "black and white" diagnosis is not always necessary. Yes/no binary diagnostic categories may determine treatment and be a useful shorthand in some branches of medicine but be restricting and unhelpful in psychology. I don't think there is any mystery here or any reason for Europe not to be more flexible- the differences are bureaucratic, not ideological.
I dont like the word 'minor' seems diminishing of the person's experience
Someone wants to comment on this but they keep running away as soon as they're given the chance 😄
Yes, your content does help me.👍
I change for a evasive behabiour to a attention seeking person... That shit scares me :(
Not to offend anyone.
I view DID as a form of possession. Where the entities (or demons) have control and you are along for the ride more or less. You have more limited control.
OSDD is more where the entities no longer have complete control. The entities have not left. You just have much greater control and freer will. OSDD can be inherently more dangerous of the two.
That's your ableist problem. No one else's.
You DO NOT understand these diagnoses at all.
@@DestructionAesthetics your lack of understanding of magik and frequency is understandable. Start with the Gateway Program. Run by the cia. Maybe you believe them a tad???
@Storming Heaven As a system, you're the one with a lack of understanding. DID/OSDD isn't being possessed. It's your brain's limbic system deciding to break itself into pieces, and change those pieces in order to deal with complex traumatic experiences. When the options of fight, flight, fawn, and freeze don't work, your brain chooses dissociation. Stop explaining people's disorders to them with your uneducated BS.