Fun Trauma Things :)

I am just going to say this outright and bare with me until the last paragraph. The idea that "the few people who are faking this disorder aren't actually hurting real people with DID or taking away resources" is demonstrably false. I check around sometimes for other people looking for dissociative specialists and ever since ~2019/8, if I call and ask a therapist if they have experience with DID their questions are "does this person spend a lot of time on social media" and "have they actually been diagnosed with DID before." I've met therapists who took their dissociation specialty off of their websites because they kept getting tons of calls from people who were seeking a diagnosis and they could not keep up.

This trend where large amounts of people are claiming to have RAMCOA and polyfragmentation within the past few years, which a significantly smaller number of specialists believe in and treat, IS going to detrimentally affect survivors even quicker and harder than general DID where there are a larger amount of people involved both professionally and not. I called this a few years ago that sometime in the future polyfragmentation would be commonly considered a "fake marker" (just as prior community trends turned into "fake markers" like introjects and kid parts) and that's already started.

We need to be able to talk about community issues like this from a practical perspective for people who need those resources, without it turning into a validation discussion or a discussion about malingering or pointless discourse. We need to step away from "shoulds"--yes it is true that practitioners should not let these things affect their overall care, but it does and simply saying it should not be that way doesn't fix anything. We need practical discussions that say "We are at this point. Now what?"

What are some common consequences of being neglected as a child? source: r/emotionalneglect

Pete Walker identifies neglect as the "core wound" in complex PTSD. He writes in Complex PTSD: From Surviving To Thriving,

"Growing up emotionally neglected is like nearly dying of thirst outside the fenced off fountain of a parent's warmth and interest. Emotional neglect makes children feel worthless, unlovable and excruciatingly empty. It leaves them with a hunger that gnaws deeply at the center of their being. They starve for human warmth and comfort."

Self esteem that is low, fragile or nearly non-existent: all forms of abuse and neglect make a child feel worthless and despondent and lead to self-blame, because when we are totally dependent on our parents we need to believe they are good in order to feel secure. This belief is upheld at the expense of our own boundaries and internal sense of self.

Pervasive sense of shame: a deeply ingrained sense that "I am bad" due to years of parents and caregivers avoiding closeness with us.

Little or no self-compassion: When we are not treated with compassion, it becomes very difficult to learn to have compassion for ourselves, especially in the midst of our own struggles and shortcomings. A lack of self-compassion leads to punishment and harsh criticism of ourselves along with not taking into account the difficulties caused by circumstances outside of our control.

Anxiety: frequent or constant fear and stress with no obvious outside cause, especially in social situations. Without being adequately shown in our childhoods how we belong in the world or being taught how to soothe ourselves we are left with a persistent sense that we are in danger.

Difficulty setting boundaries: Personal boundaries allow us to not make other people's problems our own, to distance ourselves from unfair criticism, and to assert our own rights and interests. When a child's boundaries are regularly invalidated or violated, they can grow up with a heavy sense of guilt about defending or defining themselves as their own separate beings.

Isolation: this can take the form of social withdrawal, having only superficial relationships, or avoiding emotional closeness with others. A lack of emotional connection, empathy, or trust can reinforce isolation since others may perceive us as being distant, aloof, or unavailable. This can in turn worsen our sense of shame, anxiety or under-development of social skills.

Refusing or avoiding help (counter-dependency): difficulty expressing one's needs and asking others for help and support, a tendency to do things by oneself to a degree that is harmful or limits one's growth, and feeling uncomfortable or 'trapped' in close relationships.

Codependency (the 'fawn' response): excessively relying on other people for approval and a sense of identity. This often takes the form of damaging self-sacrifice for the sake of others, putting others' needs above our own, and ignoring or suppressing our own needs.

Cognitive distortions: irrational beliefs and thought patterns that distort our perception. Emotional neglect often leads to cognitive distortions when a child uses their interactions with the very small but highly influential sample of people—their parents—in order to understand how new situations in life will unfold. As a result they can think in ways that, for example, lead to counterdependency ("If I try to rely on other people, I will be a disappointment / be a burden / get rejected.") Other examples of cognitive distortions include personalization ("this went wrong so something must be wrong with me"), over-generalization ("I'll never manage to do it"), or black and white thinking ("I have to do all of it or the whole thing will be a failure [which makes me a failure]"). Cognitive distortions are reinforced by the confirmation bias, our tendency to disregard information that contradicts our beliefs and instead only consider information that confirms them.

Learned helplessness: the conviction that one is unable and powerless to change one's situation. It causes us to accept situations we are dissatisfied with or harmed by, even though there often could be ways to effect change.

Perfectionism: the unconscious belief that having or showing any flaws will make others reject us. Pete Walker describes how perfectionism develops as a defense against feelings of abandonment that threatened to overwhelm us in childhood: "The child projects his hope for being accepted onto inner demands of self-perfection. ... In this way, the child becomes hyperaware of imperfections and strives to become flawless. Eventually she roots out the ultimate flaw–the mortal sin of wanting or asking for her parents' time or energy."

Difficulty with self-discipline: Neglect can leave us with a lack of impulse control or a weak ability to develop and maintain healthy habits. This often causes problems with completing necessary work or ending addictions, which in turn fuels very cruel self-criticism and digs us deeper into the depressive sense that we are defective or worthless. This consequence of emotional neglect calls for an especially tender and caring approach.

Addictions: to mood-altering substances, foods, or activities like working, watching television, sex or gambling. Gabor Maté, a Canadian physician who writes and speaks about the roots of addiction in childhood trauma, describes all addictions as attempts to get an experience of something like intimate connection in a way that feels safe. Addictions also serve to help us escape the ingrained sense that we are unlovable and to suppress emotional pain.

Numbness or detachment: spending many of our most formative years having to constantly avoid intense feelings because we had little or no help processing them creates internal walls between our conscious awareness and those deeper feelings. This leads to depression, especially after childhood ends and we have to function as independent adults.

Inability to talk about feelings (alexithymia): difficulty in identifying, understanding and communicating one's own feelings and emotional aspects of social interactions. It is sometimes described as a sense of emotional numbness or pervasive feelings of emptiness. It is evidenced by intellectualized or avoidant responses to emotion-related questions, by overly externally oriented thinking and by reduced emotional expression, both verbal and nonverbal.

Emptiness: an impoverished relationship with our internal selves which goes along with a general sense that life is pointless or meaningless.

For DID awareness day, I want to bring awareness to the vast spectrum of DID and OSDD symptoms. I feel like the symptoms of these disorders are often misunderstood. Many people assume that DID and OSDD are such extreme rollercoaster disorders when that’s usually not the case for any mental disorder! I’ve also seen others who believe that DID/OSDD are just having alters and not liking them–which is also not an accurate portrayal!

The DSM’s criteria of alters, amnesia, and distress/impairment aren’t meant to be taken at the surface level. These are very simple descriptors for a spectrum of experiences that are the hallmarks of the disorders. Besides that, there are many, many more symptoms that are very common. No two people with DID or OSDD are going to be exactly the same; I think that goes for any mental disorder.

Below, I’ve written up a non-exhaustive list of common symptoms in DID/OSDD. It’s important to know that many of these symptoms can overlap with other mental disorders. DID/OSDD symptoms are always unrelated to other medical conditions or non-disordered experiences, such as substance use or epilepsy. Furthermore, these are common but not required; a person does not need to experience all of these things to have DID/OSDD.

(PLEASE don’t use this list to diagnose yourself. Seek a professional if you are questioning a mental disorder!)

Common symptoms of DID/OSDD:

C-PTSD symptoms

Since DID/OSDD are more complex forms of PTSD, you or other alters might experience the symptoms of complex PTSD. Check this PDF for the symptoms of C-PTSD.

Memory gaps

You might find that your memory is unreliable. You might lose a lot of details or misremember the important bits.

You might have difficulty piecing together a coherent timeline of your life. You might struggle to retell what your childhood or adolescence was like.

You might have moments where you’re unable to remember important life events, such as the day you got married.

You might find that sometimes you can’t remember important information about yourself or about those closest to you. This could include things such as your name or who your family members are.

You might find that you sometimes forget well-learned skills, such as driving or a favorite hobby.

You may find that sometimes you can’t even remember more recent things, such as what you did today or what the last conversation you had was about.

You might have moments where you discover evidence of your memory gaps, such as text messages you don’t remember sending or purchases you don’t remember deliberating.

There might have been times when you ended up in a different place but could not remember how you got there.

Someone might have told you that you did or said something that you don’t recall.

You might have moments where you don’t even remember the times you have forgotten things. Because of this, you may feel like you don’t truly know how much memory loss you actually experience.

Depersonalization & derealization

You might experience moments where you don’t feel in control of what you’re saying or doing.

You might feel like your body is unrecognizable, unreal, or doesn’t reflect who you are.

Familiar places, objects, and people might suddenly become unfamiliar or detached to you. Alters might feel things like “those are the host’s parents, not mine.”

You might have moments where you feel like you are in a dream or a fog. 

There might be times when watching your surroundings seems no realer than watching a movie.

You might have moments where you feel unreal. You might feel like you are invisible, two-dimensional, or a robot.

You might feel numbed to or detached from your body parts, thoughts, emotions, sense of agency, or even your entire self. 

You might sometimes experience heightened or muted visual/auditory distortions with no medical cause, such as blurry vision, muffled sounds, or tunnel vision.

Sometimes might you feel like you are watching yourself, as if you are having an out of body experience.

Being an alter & having alters

You might feel confused or distressed because you do not identify with the things that people associate your whole identity with such as name, personality, opinions, or preferences.

You might feel confused or distressed because you do not identify with the same age, gender, or species as your body.

You might feel confused or distressed that your physical body does not reflect how you feel you should look.

There might be other alters who feel the same way above but differently from you, and this may also confuse and distress you.

You might not be able to access same skills, knowledge, or talents that other alters have.

Others might tell you that you sometimes act very differently, almost like different people.

You might hear voices, such as voices arguing or commenting on your actions.

There might be times when you experience intrusive thoughts, visual images, feelings, or urges that don’t actually belong to you but to another alter.

There might be times where your body seems to be moving and speaking on its own because another alter is controlling it.

You might have moments where you involuntarily switch to a vulnerable alter. Sometimes this may result in an unsafe or distressing situation.

There might be alters who are be unaware of other alters’ existence or refuse to believe so.

There might be alters who struggle to communicate with other alters or refuse to do so.

There might be alters who have suicidal thoughts, physically harm the body, or engage in risky behavior.

There might be alters who dislike or lash out at other alters within the system.

There might be alters who still carry onto memories, thoughts, feelings, or behaviors related to past trauma.

The alters within the system may have contradicting thoughts, preferences, and opinions.

You might sometimes have difficulty making cooperative decisions with your system because of conflicting desires, needs, and perceptions.

You might have episodes where you feel like you don’t know who you are, like you’re a combination of alters, or that you’re just not like yourself.

Somatoform dissociation

You might sometimes experience pain or sensations that don’t have a medical cause, such as “switching headaches.”

You might sometimes go catatonic or become paralyzed without a medical cause.

You might sometimes experience the loss of a physical function without a medical cause, such as your sight, hearing, speech, or feelings of hunger.

Sometimes, it might feel like you are numbing out pain or sensations.

You might experience other conditions without any medical cause, such as pseudoseizures.

Other symptoms

You might experience hallucinations or delusions, usually related to past trauma.

You might feel afraid or shamed of the possibility of others finding out your thoughts.

When someone asks you to describe who you are as a person, you might feel at a loss for what to say.

You might experience mood fluctuations or like your moods sometimes come out of the blue.

You might have difficulty being aware of your own symptoms or describing the severity of them. This might be because you have had them for so long that you are used to navigating life with these symptoms.

Disorders that are commonly comorbid with DID/OSDD:

Borderline personality disorder

Depression

Anxiety disorders

Substance abuse disorders

Eating disorders

Sleep disorders

Keep reading

Feel free to reblog for sample size & add comments in the tags.

RAMCOA stands for Ritual Abuse, Mind Control, & Organized Abuse.

Disorganized Attachment and Dissociation

As promised, Anon, here’s a VERY quick and dirty rundown of disorganized attachment and the role it plays in the development of dissociation. Sorry it took so long ;–; This doesn’t even begin to cover it, but I hope it at least gives people a basic understanding.

Please remember, this is so incredibly brief and barely scratches the surface. It’s a really interesting field of research, and it has a lot of important (and good!) implications to therapy techniques and models. I highly encourage people that are interested to look through some of the below resources, or make a request for any specific aspects you want discussed further. Apparently, left to my own devices with a broad topic, I fail to be coherent.

What is disorganized attachment (DA)?

There are technically 4 types of attachment between a child and caregiver, differentiated by response patterns. The first 3 types (secure, insecure-avoidant, and insecure-ambivalent) are considered forms of “organized attachment”, despite the negative behaviours associated with it, because even if they’re not “secure”, the behaviour patterns are still organized and, more importantly, consistent. In other words, in all 3 types of organized attachment, the child knows exactly what they need to do to meet their emotional needs, and the patterns in their behaviour are considered organized.

In DA, though, the child is confused, and there’s no pattern to their behaviour. They’re torn between wanting to flee to, and flee from the caregiver. When a caregiver is unpredictable and traumatizing, the child has a difficult time establishing a consistent view of the caregiver, and of themselves. In other words, the caregiver is both needed, and someone to be avoided, and the child may not understand what makes them a “good” or “bad” child, as the caregiver’s behavior is often confusing and unpredictable.

It’s summed up quite well in this image:

What causes disorganized attachment?

All the same standard things you would already know about. Abuse, neglect, behaviour that’s frightening, intrusive or insensitive, and disrupted affective communication, but it really boils down to, “A parent’s consistent failure to respond appropriately to their child’s distress, or by a parent’s inconsistent response to their child’s feelings of fear or distress.” And this happens in childhood. The way a baby or very young child form attachments are the base building blocks that a child will use to build their relationships with people in the future. 

It’s important to note that it’s not just abuse that can cause a child to form DA. Sometimes loving caregivers who have experienced trauma themselves can behave in confusing ways toward the child, especially if they are suffering untreated PTSD or DID themselves. This happens because of the caregiver’s own inability to control their emotions. Traumatized parents can have a difficult time managing their emotions and providing a sense of security for the child even though they are not abusive or neglectful. Anger or fear can erupt unexpectedly and traumatize the child. 

As well, “Disorganized attachment is often the result of intergenerational parenting patterns. This means parents are responding to their children in the same unhealthy ways their own parents responded to them when they were children.”

What role does disorganized attachment play in dissociation?

This one is… A bit tough. There’s a lot of factors in play and so much ground to cover.

First, when discussing dissociation, it’s talking about it in a general sense. Everyone is capable of dissociating, and it’s simply when you become detached from reality in response to trauma– at any age, for any kind of traumatic event.  It’s also important to note that without a secure attachment style, an overwhelming event is more likely to be perceived as trauma. Basically, though, dissociation is a general symptom in this regard, not specific to any single disorder. DA is linked to dissociation, and from there, combined with other symptoms someone may be experiencing, it can become problematic and be assigned to specific mental disorders. 

So, the child needs to maintain a relationship with the caregiver– they have no one else to turn to, so the child can develop dissociation as a way to make sense of themselves, and to maintain a child-caregiver relationship. They may “forget” the abuse, or deny it. “It is an adaptive and defensive strategy that enables the child to function within the relationship, but it often leads to the development of a fragmented sense of self.” This fragmented sense of self may or may not develop into something worse– namely, BPD and DID based on severity, frequency, and whether there was any sense of reprieve (i.e. a child can avoid the worst of dissociative symptoms if one of their parents was more supportive, because it helps them build some positive attachments).

Children with DA and suffering from abuse “are likely to generate two or more dissociated self states, with contradictory working models of attachment,” in order to handle their confusing relationship with the caregiver. From there, “It is proposed that the propensity to react to traumatic events with dissociation is related to disorganization of early attachment and its developmental sequelae.” This is fundamentally the basis of why DID can’t form once the child creates an integrated sense of self. It is theorized that DA and dissociative disorders are inexplicably linked together. You can have DA and not develop DID/OSDD, but you can’t have DID/OSDD without DA. 

A lot of new research is suggesting that it’s not so much trauma as we know it (physical and sexual abuse) that is linked to dissociation, but that trauma is something that is far more discrete and insidious (longterm inconsistent and confusing parenting styles linked to DA) and that it’s only part of “a complex web of environmental, societal, familial, and genetic factors that are all likely to interact in ways that we have only begun to understand.” This is something I firmly believe in and attribute to a lot of the endogenic claims of having no trauma (and under this theory, “overwhelming events” also constitute trauma). 

Interestingly, it’s theorized that different types of attachment are linked to different mental disorders. “Attachment insecurity can therefore be viewed as a general vulnerability to mental disorders, with the particular symptomatology depending on genetic, developmental, and environmental factors.” Going back to the 4 types of attachment, the 3 insecure types can be linked to basically all types of disorders. They are all linked to depression, anxiety, OCD, PTSD, eating disorders and suicidal tendencies, but those with anxious attachment are more likely to develop things like DPD, HPD and BPD and are drawn to co-dependent relationships. Those with avoidant attachment are more likely to develop things like SPD and APD and form addictive habits, and those with disorganized attachment are more likely to develop DID/OSDD. 

Sources:

Identifying Attachment Problems

How Disorganized Attachment Can Lead to Dissociation

Disorganized Attachment

Disorganized Attachment, Development of Dissociated Self States, and a Relational Approach to Treatment

Trauma, Dissociation, and Disorganized Attachment: Three Strands of a Single Braid

From Infant Attachment Disorganization to Adult Dissociation: Relational Adaptations or Traumatic Experiences?

An attachment perspective on psychopathology

Fragmented Child: Disorganized Attachment and Dissociation

most of my OSDD comics are gone from the internet AFAIK but I thought this one would be good to reupload (also sometimes you have to google psychologytoday dissociative disorder to get the category to show up)

People can jump on my ass all they want for this but it’s actually super shitty to treat a RAMCOA survivor like shit because they share too much information. And I don’t mean being angry at them, I mean harassing them, bullying them, and refusing to respect them as a survivor even if you don’t like them as a person.

You need to keep in mind that despite the risks of what they’re doing, they still went through these things. They suffered and still suffer. And above all. They’re a human being. Be fucking considerate of that.

to those of y'all who want the feeling of sh but don't want the blood or the scars or smth:

one: take a paper mask and take out that bendy metal thing out of the top, you can hurt yourself with it but it doesn't really leave marks. it's hard to even make yourself bleed (but it is possible) but it gets that feeling of hurting yourself. it doesn't really hurt that much but it's better than nothing when you're about to break, but please use a clean mask.

two: cut your nails too short. people don't really question it and it hurts for multiple days, but be careful. your nails are dirty so wash your hands regularly.

three: scratch yourself. literally just nails against skin- BUT BE CAREFUL!!! its very easy to get carried away with scratching and if you go too far it'll just be the same as using a blade but less sanitary. your nails are dirty.

four: intentionally nick yourself while shaving. pretty self explanatory, just don't do it on your youknowwhat that shit hurts way too much and there is lots of bacteria there only do it on your legs and arms or idk chest?

five: pour wax on yourself. it's not that dangerous as long as you're careful and is a kink for some so idk you could say it's for that ig. be careful youre messing with fire.

six: wear slightly too small clothes (specifically underwear). it hurts and you shouldn't do it for a long period of time or a lot but if you wanna be in pain while going shopping or smth it'll definitely hurt.

i dont encourage s3lf h4rm and i encourage recovery, but if youre going to sh please do it safely and take care of your cvts!

pls tell me if the info here is wrong or a bad recommendation or anything ill try and fix it

Lineart by @theywhoshantbenamed

Colours by @freshwolfprofessoreggs

♡ DID/OSDD Positivity! ♡

(´,,•ω•,,)♡ - alters been quiet for a while?  *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - nonhuman alters? *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - trans alters? *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - little alters? *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - fictive heavy systems? *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - alters acting similar to the host? *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - all persecutors are *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ -  all protectors/caregivers are *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ -  all trauma holders are *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - your trauma is *✧･ﾟ:* * VALID! *:･ﾟ✧*

(´,,•ω•,,)♡ - your disorder is *✧･ﾟ:* * VALID! *:･ﾟ✧*