Everyone's Like Wehhhhh Why Doesn't Doctor House Gets Suuuueeed! Like My Man. Literally Every Patient

everyone's like wehhhhh why doesn't doctor house gets suuuueeed! like my man. literally every patient he sees is someone that's been trying to find a diagnosis for ages. i could live with a little medical malpractice if it were coming from someone ready to break into my home to look for allergens and not simply half heartedly listen to me before suggesting I lose weight and take ages of back and forth arguing to order a single test

Its been said before (and probably more eloquently) but I do think any discussion about how self-dx is "problematic" is meaningless until the systems under which diagnosis exists stop being ableist, racist, fatphobic, etc-- I would much rather, for example, that a person identify with the plural community and then later decide that they're a singlet, than have more parts of the plural community face trauma, oppression, prejudice, humiliation, etc from doctors just to 'prove' they're 'really plural'.

Setting that to the side-- I'll get back to it later-- the current process of medical diagnosis itself often includes people who are ostracized from parts of the plural community online.

The main schism between people who are anti self-dx and those who are not (at least as far as plurality goes...) is that those who are against self-dx have a misguided belief that there is a criterion for diagnosis that a patient must have early childhood trauma-- a criterion not present in the DSM in the first place. Though the 'early childhood trauma' theory of dissociation is the most supported and most likely theory for disordered, diagnosable plurality, that doesn't mean that that theory will in all cases be correct, in the same way that a similar chain of events could happen to two people and leave one traumatized for life and the other fine after a few months.

Its true that in many cases, disordered plurality has potential correlation with traceable traumas from early childhood, but that doesn't mean that all cases of even disordered plurality specifically come from trauma (and, of course, since disordered plurality comes often with memory problems, even if there IS a trauma it is likely the memory of it is obscured or inaccessible, and the people who are now experiencing plurality-related distress may not believe that trauma exists), and this is something reflected in the fact that the DSM only looks for current symptoms and experiences, and does not question the traumatic history of a patient whatsoever in screening for dissociative disorders.

Its provable that non-disordered forms of plurality exist (integration - both into a single being, and the more modern definition of the memory gaps and conflicts that cause distress being reduced), whether those forms come after a period of disordered plurality, or if, in some cases, a collective never experiences a clinically significant amount of distress, its scientifically and anecdotally recognized that these forms of being exist.

It is also true that many forms of plurality (even forms that do cause significant distress) are difficult or impossible to discover or diagnose. In many cases, the dissociation experienced by nature is intended to hide/conceal itself as a form of protection, which categorically makes it significantly more of an ordeal to discover-- and even more of an ordeal to have clinically recognized to the degree of an official diagnosis.

Going back to my original point about the system of diagnosis, its also objectively true that massive parts of medical institutions (psychologists and psychiatrists, doctors and other health practitioners, and insurance companies) have implicit and explicit bias against so-called "rare" or "severe" disorders, behaviors, and experiences. Even if there were a hypothetical person who fit EVERY criterion for DID in the DSM, and experienced a provable trauma at an early stage of development that could be connected directly to their experience of dissociation, and was conscious of their dissociation, there's still many cases where they would be completely reasonable to not pursue a diagnosis-- because of prejudice in the medical system, fear of reduced chances of employment, societal ostracisation, a lack of safety in their situation of living, the desire to not be institutionalized-- I could go on.

The truth is; we don't know enough to say for certain the cause of plurality in every or even any case, and it seems much more valuable at least to me to create a community built on a basis of curiosity about different modes of existence than it is to create one functioning on a system of suspicion and gatekeeping.

Ive done this every year weve been on tumblr, so hell yeag

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Domestic au where they hatescroll social media together

Hey does anyone wanna hear me talk about our interpretation of the minecraft lore and taxonomy of the mobs + some of the flora