Dissociative Identity Disorder: Difference between revisions

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Dissociative Identity Disorder, formerly Multiple Personality Disorder, is a psychological diagnosis listed in the dissociative disorders section of the DiagnosticsDiagnostic Standardsand Statistical Manual of Mental Disorders (DSM-V) and also in the International Statistical Classification of Diseases and Related Health Problems (ICD-10). It has had a highly controversial history, falling into and out of popularity amongst psychologists. An internet community, the Healthy Multiplicity community, has a very different take on the diagnosis, and on related conditions.
 
It is similar to [[tulpamancy]], in that it is an experience of [[plurality]]. These persons experience alters, which are like other personalities, that can take over the body. The original idea is that all persons experiencing this condition must have had advanced trauma at some time in the past, causing it, but this is controversial.
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== Diagnosis ==
The Diagnostic Standards ManualDSM is the de facto standard for the diagnosis of this condition. However, in practise, diagnostics often diverge from the standards.
 
The DSM, revision 5, has five criteria for DID, all of which must be met. Several other dissociative disorders use the same criteria, but need fewer of them to be met.
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:"Many features of dissociative identity disorder can be influenced by the individual's cultural background."
 
The DID further discusses comorbidity, suggesting depression, anxiety, substance abuse, self-injury and non-epileptic seasuresseizures are all possible signs of DID. It suggests that those with DID are often unaware, or conceal their symptoms at first. It says that disorienting flashbacks can occur. The DSM discusses the reporting of maltreatment and other trauma, but as you see, it's not part of the diagnostic criteria. The DSM lists higher than average hypnotizability and dissociativity, and transient psychotic events as further signs. And attemptedAttempted suicide is ridiculously common, atwith 70% having attempted it.
 
Prevalence is estimated, roughly, at 1.5% of the population, based on the study of a U.S. town.
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Other Specified Dissociative Disorder: The division of identity (aka plurality) is shared with one variant of OSDD. OSDD does not require amnesia symptoms, and it can be supported by dissociative symptoms not strong enough to meet the first criteria of DID.
 
Major Depressive Disorder: Most people with DID are also depressed, and this can disguise symptoms of DID.
 
Bipolar: Personality changes can easily be misinterpreted as mood swings.
 
Post Traumatic Stress Disorder: Has heavy overlap of symptoms with DID. This can mean the presence of PTSD can hide further evidence of DID. Dissociation unrelated to trauma is a sign it's not just PTSD.
 
Psychotic disorders: Personified voices can be mistaken for hallucinations, one of the criteria for various psychotic disorders. Furthermore, possession events can be confused for formal thought disorder, thought insertion, and thought withdrawal, other symptoms. People with DID may also experience trauma related hallucinations. However, people with DID do not have delusional explanations for their symptoms.
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=== The Clinical Perspective ===
 
The diagnosis was largelyinitially created in the eighteen hundreds, at a time when efforts to standardise psychological diagnosis were underway. The subject of multiple personalities were discussed amongst psychologists as a topic of fascination. Around this time, it became recognised that traumatic events could indeed cause long lasting mental harm.
 
Around the start of the nineteen hundreds, interest in this topic began to wane. This is most likely because the condition was seen as very rare, though accusations of fraud also factored in. Around this time, the diagnosis of Schizophrenia was broadened to be more inclusive, capturing much of what dissociative identity disorder was. This overbroadening of Schizophrenia persisted and got worse, mainly in the united states, but has since been largely rectified, with the creation of a new category of dissociative disorders, one that contains DID, as well as other categories for PTSD and similar, and stricter diagnostic standards for Schizophrenia.
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After the invention of the internet, starting in the 2000s, A number of people experiencing plurality, many of whom are diagnosed with DID or similar, formed an internet subculture. As a subculture, this group has no unified goals or opinions. They are related by a shared experience of plurality. Nonetheless, certain ideas and opinions have come out of the writings of this group. One such idea is the idea that the alternate personalities are persons in their own right. Another is that multiplicity is not a disorder. Though it is unclear if this means more that people with plurality should not be diagnosed with DID or that DID is not a diagnosis of disorder. Those in the community still recommend that people should look at getting psychological support if they feel that is best for them.
 
Dealing with plurality is not easy. In asserting that their condition is not a disorder, the community has created the problem that they need to provide support and methods for dealing with the conditionplurality in a non-clinical setting. This community has done so, establishing several ideas. A system of organisation should be established, such that the alters can cooperate with each other, schedule with each other, and communicate with each other, creating a mode of organised plurality. Instead of seeking "integration", the psychological process where the personalities are blended into one, those in the healthy multiplicity community seek conflict resolution strategies, so that the various personalities can work together and live as a family.
 
There has been some feedback from this culture's coping strategies back into psychological theory and practise. Many professional psychologists no longer pursue integration as the first solution to this diagnosis, as one example, and now also look towards conflict resolution strategies.
 
== References ==
 
== External links ==
https://tulpa.io/clinical-perspectives
http://www.isst-d.org/downloads/GUIDELINES_REVISED2011.pdf
https://pdfs.semanticscholar.org/5105/09b4c28c60d1c4d28681af633784d0a4af26.pdf