coercive persuasion

anonymous asked:

Hey there, I'm currently working with a psychiatrist on blanks (her way of saying dissociation) and I'm kind of worried about getting diagnosed with DID. Is DID the only illness where you experience dissociation?

no no no no. Everyone experiences dissociation. Most people don’t experience it in a way that interferes with life, though.  Dissociation is often developed as a coping mechanism for trauma and overwhelming stress, though dissociation can be due to other things, as well.
There are many dissociative disorders and disorders that can include dissociation.  Dissociative disorders include:

OSDD has multiple subtypes as well.

  • OSDD-1: Similar to DID, but either has less distinct parts (type 1a) or no amnesia (type 1b).
  • OSDD-2: Identity disturbance due to prolonged and intense coercive persuasion (I won’t lie, I don’t completely understand what OSDD-2 entails, I copy and pasted from traumadissociation.com)
  • OSDD-3: Acute Dissociation in response to stressful events. This dissociative disorder usually lasts less than a month, and often even less (hours, days, weeks).
  •  OSDD-4: Dissociative trance.

“Problematic” dissociation can occur in Borderline Personality Disorder (criterion 9: transient, stress-related paranoid ideation or severe dissociative symptoms), Complex PTSD, psychosis, and probably others that I am not thinking of, as well.

Conversion Disorders may have dissociative components as well and are often found in people with dissociative disorders (ICD-10 classifies it as a dissociative disorder, but the DSM-5 classifies it as a somatoform disorder).

Sorry for the long answer, but no, DID is not the only disorder that includes/can include dissociation.

Hope this helped,
Emily

Otherwise Specified Dissociative Disorder (previously Dissociative Disorder Not Otherwise Specified) includes these subtypes:

“1. Chronic and recurrent syndromes of mixed dissociative symptoms. This category includes identity disturbance associated with less than marked discontinuities in sense of self and agency, or alterations of identity or episodes of possession in an individual who reports no dissociative amnesia.

2. Identity disturbance due to prolonged and intense coercive persuasion: Individuals who have been subjected to intense coercive persuasion (e.g., brainwashing, thought reform, indoctrination while captive, torture, long-term political imprisonment, recruitment by sects/cults or by terror organizations) may present with prolonged changes in, or conscious questions of, their identity.

3. Acute dissociative reactions to stressful events: This category is for acute, transient conditions that typically last less than 1 month, and sometimes only a few hours or days. These conditions are characterized by constriction of consciousness; depersonalization; derealization; perceptual disturbances (e.g., time slowing, macropsia); micro-amnesias; transient stupor; and/or alterations in sensory-motor functioning (e.g., analgesia, paralysis).

4. Dissociative trance: This condition is characterized by an acute narrowing or complete loss of awareness of immediate surroundings that manifest as profound unresponsiveness or insensitivity to environmental stimuli. May be accompanied by minor stereotyped behaviors of which the individual is unaware and/or that he or she cannot control, as well as transient paralysis or loss of consciousness. The dissociative trance is not a normal part of a broadly accepted collective cultural or religious practice. ” (from traumadissociation.com/osdd)

OSDD-1 also has 2 categories: “OSDD example 1 is either identity disturbance with less distinct parts than in Dissociative Identity Disorder (they cannot physically take executive control over the person’s body, but strongly influence the person’s thoughts and actions and amnesia is present), known as OSDD-1a, or distinct dissociative parts (alters or alternate identities) exist and can take executive control, but without amnesia, known as OSDD-1b. (From traumadissociation.com/osdd.html#ddnos
note: I slightly changed the OSDD-1 text, from DDNOS-1 to OSDD-1. DDNOS is the old name for OSDD)