Dsm - Tumblr Posts
it’s always “you need to get a job” and “why aren’t you in college?” And never “Ava what are the 5 DSM-5 criteria for autism, why don’t you tell me all about your opinions and theories on it?”
All 4 of my Malloysical Tarot entries! I finished these ages ago but thought I should maybe actually post them! I think my favourite is either Challiapin. It's the cleanest, has some good line art and use of colour, plus I really like how I incorporated the original card!
More art on the way soon!
@malloysical-tarot
hardware vs software: mental disorder edition
I was trying to explain the difference between AuDHD and OSDD's source to an acquaintance the other week, found the note I wrote in my google keep, and thought it might be worth sharing.
I hope I have come up with a good way of explaining. I'm open to kind criticism.
Hardware: Neurodevelopmental disorders
Hardware cannot be changed. The brain is wired like that. Hardware includes ASD, ADHD, dyslexia, dyscalculia, dyspraxia, intellectual disability, some kinds of visual and hearing imparements.
It's like when you buy a laptop, it comes with a set of keys, screen, RAM etc, you can't really change it (you can if you force it but for now, think that you can't. Be like Apple, you get what you get!). Everyone has hardware, but it'll look different. Think, an autistic keyboard has a different set of keys to a neurotypical keyboard.
Software: things that develop out of trauma or stress
Software can be changed beyond the original purchase of hardware. It can be installed and added. However, unlike software, most disorders can't be uninstalled (but they can be improved with time and therapy).
Disassociative disorders (DID, OSDD, DPDR etc) install to manage trauma. Depression, PTSD and anxiety is software.. or even a bug... or... virus? is it a virus???
Some software is more likely to install on specific hardware types.
I also had a thought that communicating between neurodivergent people and neurotypicals as like trying to communicate apple with android, it doesn't always work perfectly, though often gets the point across, however sometimes it completely misses the mark??
fun fact, according to the DSM-IV, DID Specific Culture, Age, and Gender Features: "Females tend to have more identities than do males, averaging 15 or more, whereas males average approximately 8 identities." so to all my afab system friends, have fun with your 15+ alters! :DDD
Not an OSDD system, but as you (OP) said, a lot of it comes from back when OSDD was called DDNOS in the DSM IV.
DDNOS-1a and DDNOS-1b were legitimate psych diagnoses pre DSM-V, and a lot of information was updated to say OSDD, but didn't take into account the removal of 1, 1a, and 1b (I wouldn't be surprised if people used find and replace on website resources)
DDNOS 1 – DID but switching not observed by clinician, or amnesia for the significant past but not everyday life. DDNOS 1a – Like DID, but with less distinct parts/no alters. Alters may be emotional fragments or the same individual at different ages. Can experience emotional amnesia rather than physical amnesia. DDNOS 1b – Like DID, but no amnesia between alters.
Similar to how some chose to continue calling themselves MPD, those that were diagnosed using the DSM-IV or earlier just chose to continue using those clarifiers, or they find adding the clarifiers create a shortcut to explaining their symptom set; especially in system spaces.
P-DID isn't recognised in the DSM, however it is used in the ICD* *Chapter 6 of the ICD specifically covers mental, behavioural and neurodevelopmental disorders. Moreover, while the DSM is the most popular diagnostic system for mental disorders in the US, the ICD is used more widely in Europe and other parts of the world, giving it a far larger reach than the DSM. An international survey of psychiatrists in sixty-six countries compared the use of the ICD-10 and DSM-IV. It found the former was more often used for clinical diagnosis while the latter was more valued for research.[14] This may be because the DSM tends to put more emphasis on clear diagnostic criteria, while the ICD tends to put more emphasis on clinician judgement and avoiding diagnostic criteria unless they are independently validated. That is, the ICD descriptions of psychiatric disorders tend to be more qualitative information, such as general descriptions of what various disorders tend to look like. The DSM focuses more on quantitative and operationalized criteria; e.g., to be diagnosed with X disorder, one must fulfill 5 of 9 criteria for at least 6 months - wikipedia (DSM). Who does your diagnosis and what country you are in will influence whether you're able to get a P-DID diagnosis; the same goes for complex PSTD. C-PSTD (complex ptsd) is only recognised as a diagnosis by the ICD, however there is hope that with the DSM-VI (DSM-6) that they may add C-PTSD as a differing diagnosis from PTSD.
Question for OSDD-1a/1b systems: Why do you use 1a/1b?
I ask because 1a and 1b do not exist within OSDD. What you're thinking of is DDNOS-1a/1b which are outdated. Similar to how MPD is the outdated term for DID. To my knowledge, OSDD-1a/1b has never been a thing before. OSDD is just OSDD or P-DID, depending on where you live. So where did this idea come from in system communities? You can't be diagnosed with OSDD-1a/1b, so if you've done extensive research to self diagnose with this, where did you get the idea that OSDD-1a/1b is a thing instead of just OSDD or P-DID? *DISCLAIMER: This is not asked out of hate. I am genuinely curious. Genuine answers will not be met with arguments.*
On the guy who “changed MPD to DID”
Recently I’ve begun to see things like this surfacing…
AND IT NEEDS TO STOP!!!
An article that was written in 2014 has been resurfacing lately in the plural community, especially among people without DID/OSDD. This is the article in question. In this article, the author is expressing some less than validating feelings about what he calls MPD. He didn’t believe in it. He seems to personally adhere to the unsubstantiated iatrogenic (it’s created by therapists) & sociocognitive (it’s a fad) models. He talks about how he wanted to remove MPD from the DSM-IV, but couldn’t do so.
Why is this such a big deal…?
Well, the guy who wrote this article is Allen J Frances, the man who chaired the DSM-IV taskforce. People have recently started spreading around these scary rumors that because he personally didn’t believe in MPD, he came up with “DID” to replace it.
This is NOT true.
Each edition of the DSM is run by a taskforce of many people. You can learn about how the taskforce for the DSM-IV worked here. Basically, the diagnoses were divided across different work groups who would receive input and data from researchers that specifically researched those disorders. They’d then analyze what might need changes, conduct field trials, and propose their suggestions, etc.
Frances just oversaw this process. He wasn’t a member of any of the work groups who were actually down in there coming up with & suggesting the changes. (Source: The DSM-IV pp.851-873 lists out everyone who contributed & what they did.) He wasn’t a researcher, either. He wasn’t giving any input or data.
He did not “coin” DID. The name change was recommended by researchers.
Look, I’m not a fan of Frances either. He doesn’t believe in the disability that I have. As the chair of the DSM-IV, he was strongly against ‘diagnostic inflation.’ His intention with the DSM-IV was to make sure that diagnostic criteria were as limited as possible so less people could get diagnosed. Because of this, many diagnoses ended up with minimal information and vague, limited criteria.
He’s not on the taskforce anymore and hasn’t been for a long time. If he’s the chair of anything now that would be campaigning against the DSM-5. This guy actively condemns the most recent DSM because it undid a lot of the (frankly, harmful) changes. The DSM-5 lowered the threshold of many diagnoses, undoing the more restricted nature Frances pushed for.
That doesn’t mean that the DSM-5 is perfect; I certainly don’t think so. But it’s a lot better than the old manual, in my opinion.
Back to the whole “He coined DID!!!” thing…
So this whole thing that Allen Frances “coined DID” and “DID is his ableist replacement of MPD” is so fucking ridiculous. Don’t you guys think that if this were true, people would have been talking about it more? The earliest thing I could find mentioning something like this was this blog post from 2019.
I keep seeing threads practically repeating what is in this blog post. They keep bringing up that article I shared at the beginning of the post, but if you read through that article…he never mentions that he changed MPD to DID for some ulterior motive. He never even mentions changing MPD to DID at all. He just talks about his shitty opinions and whines about how he couldn’t delete MPD even if he wanted to. The best he could do to harm the diagnosis was injecting some controversy into the manual (which has been removed in the DSM-5).
Here’s that controversy. (The highlighted bits)
(^ Fuck that ableist shit. Why is everyone focusing on the disorder name and not THIS?)
I just have to wonder… If someone who was literally not a researcher coined DID and did so in order to harm people with it, over 20 years ago, WHY WOULD NO ONE WHO ACTUALLY RESEARCHES AND CARES ABOUT DID/OSDD TALK ABOUT THAT? Because there’s quite a lot of professionals who have talked about the controversy & restrictions he put into the manual! And, unsurprisingly, the name is not something that has come up! Nearly all professional sources I have found that talk about the change from MPD to DID says that it was done in order to make the disorder more understandable.
And do you guys wanna know some of the other disorders that were renamed in the DSM-IV? Literally all of the dissociative disorders (other than DPDR). They were all renamed to have “dissociation” in the name. To make them more understandable. Yeah.
DSM-III:
DSM-IV:
So, to all those people out there shitting on the DID diagnosis because they think that this asshole coined it…why are just shitting on DID when you should be shitting on ALL of the dissociative disorders that got name changes? Seriously, though. Saying that he coined DID is just straight up misinformation. My concern is that all this “DID is ableist” talk is going to end up getting dissociative people attacked or push them away from getting help. Reframe the hate lens!!! You can dislike Frances without spreading misinformation that can end up harming the people with the disability that he does not believe in.
That’s all I have to say on this.
- Sunflower