Tag Archive: Dissociatieve Identiteitsstoornis

The diagnostical reality of a SD-DID sufferer

Are all DID diagnoses a tertiary structural dissociation?

  • SD * Structural dissociation
  • MPD * Multiple Personality Disorder
  • DID * Dissociative Identity Disorder
  • BPD * Borderline Personality Disorder

Are all MPD/DID diagnoses the same as a tertiary structural dissociation of the personality ?

A very complex Post Traumatic Stress Disorder

Dissociation
  • Technically and to SD diagnostically instruments: YES
  • Reality to the present time of a global diagnostically acceptance and understanding of the SD: NO

Because until now the three levels of a Trauma related Structural Dissociation of the personality are not globally recognized or used as a diagnostically instrument to diagnose a (Complex) PTSD and a Trauma related dissociation.Three levels: primary, secondary and tertiary.

  1. PSD – a PTSD a primary Structural dissociation of the personality
  2. SSD – a Complex Trauma related Dissociative Disorder, in combination with a attachment or severe personality disorder, a secondary SD
  3. TSD – a Complex Trauma with severe dissociative symptoms a tertiary SD

Until this moment level 2 and 3 are a diagnostically mess. Because there is still no suitable diagnostically DSM category to define a Complex Trauma (CPTSD) with severe dissociative symptoms.

Result: Level 2 and 3 of the SD are totally mixed up as a Dissociative Identity Disorder.

To this matter I want to share a personal note:
Last February I had a nice and also educative conversation with Professor Ph.D. Onno van der Hart. During this conversation we also spoke about the frequency DID is diagnosed. And that to my opinion to many people get diagnosed with a DID while they suffer more likely a level 2 of the Structural dissociation of the personality. And to this personal observation and conclusion I asked him some feedback and he answered to me:

Dutch respons:
” Nique ik ben het met je eens dat mensen veel te snel ook van DID (of Dis) spreken als er in feite van secundaire dissociatie van de persoonlijkheid sprake is–terwijl dat waarcshijnlijk ook vaker voorkomt dan tertiaire dissociatie van de persoonlijkheid. Kortom, ik ben mij er zeer van bewust dat de dissociatieve stoornissen (DD) méér omvatten dan alleen DIS, en dat dit vaak onvoldoende wordt aangegeven. Ik ben bang dat het spreken in termen van niveaus–primaire, secundaire en tertiaire–van dissociatie van de persoonlijkheid, zoals wij dat doen, niet gangbaar is. Want dan moet men ook onze theorie accepteren, en niet iederene kent hem of wil in die termen gaan denken.“. (Onno van der Hart, February 2014)

Prof. Ph.D. Onno vd HartWhich means (Eng translation): 

“Nique, I agree with you that people much too quickly speak of a DID when in fact they talk about a secondary dissociation of the personality — as it shows that though is more common than tertiary dissociation of personality. In short, I am very aware that the dissociative disorders (DD) include more than just DID, and that this often insufficiently is indicated.
I’m afraid that speaking in terms of primary, secondary and tertiary levels — of a structural dissociation of the personality, as we do, not generally is accepted. Because then one must also accept our theory, and not everybody knows him or want to start thinking in those terms.“. (Prof. Ph.D. Onno van der Hart, February 2014)

To me this also explains the difficulty to find fellow sufferers and good informative websites about SD.
I’m diagnosed with a diagnose where all sorts of mentally disorders are mixed up with each other, because globally and diagnostically there is no diagnostically system to define a Complex Trauma related disorder. And also there is a severely lacking of understanding to the theory of a Structural Dissociation such as given by The Haunted Self a (study book). So people like me, who suffer a complex Trauma with severe dissociative symptoms but also free of a personality disorder, we aren’t recognized by a global diagnostically system. I suffer no symptoms of a Borderline or other personality disorder. I suffer a complex Trauma with severe dissociative symptoms (ANP switching) – a Tertiary structural dissociation of the personality.

In may 2014, I also had a shared conversation with my own personal CPT and Ellert who both go in the same Dutch traumatology team and which also diagnosed my case. I spoke to them about the mixed up diagnoses — personality disorders, SD DD and level 3 as a DID, and Ellert answered  (Literal text translation):

Ellert Nijenhuis, Ph.D.


“Sometimes the facts are more strongly than the theory. I mean: about 40% of the current DID
 population meets the criteria of BPD. An even larger group has a personality disorder (approximately 60%). BPS also develops in early childhood, sometimes BPD seems trauma-related, sometimes it seems not. You could also say that BPD is a sign of a certain imbalance of the personality.
Very general: on axis II diagnoses are not made out on the basis of a development, but on the basis of symptoms.
(Ph.D. Ellert Nijenhuis, may 2014)”. 

 

 

 

My personal conclusion
lots of info which you can find on the internet and which is carried out by people who were diagnosed with classical MPD in the past and now declare themselves as diagnosed with DID as a Trauma related tertiary structural dissociation of the personality;
lots of them don’t even understand the theory of a Structural dissociation – – the difference between ANP and EP and realted switching behavior – – and inform you totally wrong. Until now I could not find one website who informs you right about the structural dissociation of the personality such as given by: Kathy Steele, Ellert Nijenhuis and Onno van der Hart.

My words are probably rough to take in and lots of people hate me by it, but a diagnose is also not meant to please but to point out the reality of symptoms, behavior and a the mental disorder(s) someone is suffering.  So again I answer to the question: is all the info on the internet about DID – – related to a Tertiary Structural dissociation of the personality?  NO !
B
ecause to make such a statement we would need to re-diagnose all the MPD/DID sufferers which were diagnose for the 21st century and which aren’t diagnosed by the diagnostically instruments and knowledge (interviews and differential D instruments) which define a diagnose of a Trauma related Structural Dissociation of the personality – the three levels.

Knowledge does change and has changed.
But in all those years they never adjusted diagnoses given in the past.


The Internet and all given information that comes with it
is it trustworthy

shutterHow to know if the information you read on Blogs or personal managed websites is trustworthy to the understanding of a Structural dissociation of the personality or a DID related tertiary structural dissociation of the personality (the three levels)?

Most people who are diagnosed during the 21st century by the expertise of a Trauma center and or by a clinical psychologist which is specially trained to work with the instruments to diagnose a structural dissociation of the personality (SD theory), will have no problems to mention where they were diagnosed. Because they have no reason to make a secret of it.

Websites written by people who refuse to mention who diagnosed them and when they were last diagnosed with DID or otherwise, are often also the websites where you will get misinformed about DID and the Structural Dissociation of the personality – SD theory.

 

Also websites where you find information which is most indicated to the (EP not in though with the present time) switching and alternation behaviors are not the websites where you get objectively informed about a structural dissociation. There focus is too much orientated on the acceptance of unrealistic Switching behavior which isn’t a realistic match to how someone suffers a Tertiary Structural Dissociation of the personality.

That sort of websites do carrie out a stigmatizing profile of a classical MPD/DID diagnose which are more damaging than educative to the understanding of a Trauma related Structural Dissociation of the personality.

If someone pretends to share educative information about a disorder as DID then they will also have no problems with you asking ‘when and by whom were you diagnosed?’ If you talk about knowledge and you write a whole website to give meaning to a diagnose in order to help out a global understanding of a ‘diagnose’, then the diagnose and who diagnosed him/her has to be also no secret! If they send you away with an answer ‘you are out of line with that question because that is private’ or ‘It doesn’t matter which diagnose I carry’ than you have the wrong website to inform yourself about a Structural Dissociation of the Personality.

Also keep in mind: A big and over active website does not always mean ‘trustworthy information’.

Love and understanding to you all

attentiona note of attention:

To all the professional mental caretakers and psychotherapists out there
please inform yourself on a professional way about the trauma related structural dissociation of the personality such as given by Kathy Steele, Onno van der Hart and Ellert Nijenhuis.

And to all readers pleas note
In order to correctly understand the explanation of my own personality systems, you need some knowledge of the summary of a SD. Be ware: Switching between personality parts is not a phenomenon that only belongs to a trauma related Structural Dissociation (SD) – such as a very complex PTSD the dissociative identity disorder (DID) – or a complex PTSD Secondary SD (OSDD) – or a less complex Post traumatic stress disorder PTSD.

There are other disorders that have symptoms of identity problems and switching behavior between personality states such as a theatrical personality disorder, a Borderline Personality disorder, a bipolar disorder or schizophrenia. A Dissociative Disorder (DD) has a wider range of being a co-morbidity disorder. And also the tertiary SD, DID, the trauma related Dissociative Identity disorder is a polysymptomatic condition which is characterized by a hidden presentation (S.Boon & N. Draijer).
So keep in mind: Diagnoses of a ‘trauma related’ structural dissociation of the personality can only be done by an experienced clinical trauma psychologist/psychotherapist which is specially taint to do so. 

*  *  *  *  *

 

Complex Trauma PTSD

Complex-trauma

The Observing part of our personality

The Observing part

Lets explore the part of our own being which dances its way trough the interactive brain systems

yogaroots.be susie

Introspection !

And the Observing part of our personality

We are all able to observe or examine our own mental and emotional state, mental processes, etc.; the act of looking within oneself we call ‘introspection’.

The observing part we call the part which carries this ability of ‘introspection’. So you could say it’s normal to have an observing part. An observing part is not a traumatized Emotional Personality part or state, because than it wouldn’t be able to observe or examine our own mental and emotional inner self.

Introspection is a normal human capacity.


 

 

But what happens to this part of our personality if we become traumatized?

 

Then we don’t lose the ability of introspection but a traumatized personality doesn’t like to go on a exploring introspective adventure, so the main personality shuts down or ignores the introspective personality part – the ANP gets phobic to explore the inner self. Yet this observing part of our personality plays a very big role during therapy and the recovery process after trauma. It’s the communication line between our ANP and EP parts. If the apparently normal personality isn’t able to reboot the observing part after Trauma, or worse – never learnt to use this part proper – than this will slow down the recovery process. To recover from trauma we need to regain trust in our own capacity of ‘introspection’ – our own main observing part.

observing part

What if we suffer a tertiary dissociation of the personality,
also related to DID

 

If we suffer a tertiary dissociation of the personality than we also get acquainted with more than one ‘apparently normal personality’ state. And there it is also possible that every ANP has created their own misleading observing part which tells the ANP that it’s not their own emotion, or this memory didn’t really happen to us.

Those misleading observers are called OEP’s, the observers of the EP’s. Sometimes also called the inner gatekeepers. Their function is; helping out the ANP to ignore the nasty EP’s and reject the other ANP as being also parts of the own personality. And although those observers are very misleading, it’s also very important to gain there trust during the recovery process and ask for their help during therapeutically sessions. Because they also can tell a lot about the EP’s and they can be very functional as communicators of the inner self.

 

Now the question could be:
What happened to the main observing personality part if you suffer a tertiary structural dissociation of the personality?

It’s in there somewhere. It’s a part of our main personality so it can’t be gone. And within a tertiary SD, one of the ANP’s is very often able to communicate with the other ANP(’s). And mostly this ANP holds also the main observing personality part. Very frequently this is also the most numb ANP because there the observing personality part survives and function at its best.

 

A personal note to the understanding of the ANP parts
Not so long ago I got confused by the distorted information which is spread on the internet about the theory of the structural dissociation of the personality. So I asked my Clinical psychologist and therapist (traumatology) at the Dutch Top referent trauma center Assen-Drenthe:
“How many ANP’s can a person own which developed and suffers a tertiary structural dissociation?”

And he answered to me:
“In all those years that I treat, teach and contribute to the research of traumatology and also contributed in the writings of the book The Haunted Self, I personally have never met or heard of someone having more than three main ANP’s.

 

The more I understand, the more I start to recognize and feel
although I still not understand why I feel scarred of a task such as ‘body hygiene or body care’.

I can’t feel my own body as my own body on those moments and the world around me seems very small,
very close and nearby but also locked away in a very thick Fog.
I don’t see sharp and I’m still not able to think clear on those moments.
I function mechanic on those moments and do what has to be done.

It doesn’t feel as me taking care of me, but it is me ANP ‘Nique’
If we need to survive, the mind is stronger than our soul.
Maybe I have lost contact with my own inner soul, who knows.
But I will beat this monster inside me 

Complex Trauma PTSD

The interactive brain systems

How about the interactive brain systems 

(the magic of our brain complexity)

Hypnotic Thoughts

.

Broadcasted by:  HypnoticThoughts


Hypnotist Paul RamsayPaul Ramsay

Paul Ramsay is a board certified hypnotist in private practice, hypnotizes over 1500 people per year, and tours as a stage hypnotist. For over 10 years, Paul Ramsay has been entertaining college and high school students as a stage hypnotist. In 2011, Paul introduced his exclusive interactive show called Mind Games. Paul’s video series Hypnotic shows a day in the life of a traveling stage hypnotist. Paul’s private practice is dedicated to helping individuals stop negative habits such as smoking, fingernail biting, and overeating. Ramsay’s private practice also offers customized, individual personal coaching programs to help his clients achieve their goals and maximize their potential. www.PaulRamsay.com

and

mani-saint-victorCognitive Neuroscientist Manuel Saint-Victor

M.D. Dr. Saint-Victor is Chief Neuroscientist at Mindful360, which he co-founded. Dr. Saint-Victor is focused on using a non-pathological approach to helping people get better by becoming more self-aware of their strengths and resources. Dr. Saint-Victor trained under Dr. Eva Ritvo, M.D. and Dr. Ray Ownby, M.D., MBA, Ph.D. as a Psychiatry Resident at Jackson Memorial Hospital; attended Medical School at UNC Chapel Hill School of Medicine; and conducted cognitive neuroscience research under the supervision of Stephen M. Kosslyn, Ph.D. as an undergraduate at Harvard University. Dr. Saint-Victor’s white paper about Core Value Alignment will be released in July 2014.

 

What is the Default Mode Network?

The default mode network (DMN) is a network of brain components active when during daydreaming, self-generated thought, and when not attending to outside stimuli.  Some neuroscientists theorize that the DMN is involved with the Freudian ego functions.   There is increasing evidence that moderation of thedefault mode network is the mechanism of hypnosis effects.

As stated in “Bringing Unconscious Thoughts to Awareness: Default Mode, Body Rhythms, and Hypnosis“, a study reviewing the changes induced by neurohypnosis and hypnotherapy:

sence of self

“The default mode network is vital to our sense of self and sense of agency, moral sensitivity, organizing memory to reconstruct the past, simulating the future such as inner rehearsal and daydreaming, and imagination such as free association, stream of consciousness, and taking other people’s perspective.”

See the Video . . .

 

target

The Central Executive Network(CEN)

The Fronto-parietal Central Executive Network (CEN) handles inhibition, task switching, and updating.  It inhibits the default mode network, engages your conscious brain to think and maintains attention on a prioritized task.   It’s helpful to think of it as active when you put effort forth to keep your mind from wandering during a goal directed task.  Many psychiatric conditions including ADHD are associated with poor inhibitory regulation of DMN activation by the CEN.   The dance between the CEN and DMN are coordinated by the Salience Network which, based on the amount of relevant outside stimulus triggers a switch out of REST mode into cognitive functioning.

See the Video . . .

 

The Salience Network

salience
The Salience network is made up of the anterior cingulate cortex and the insula.

Together they coordinate to monitor the conditions in the body for homeostasis (insula) from temperature, to pH, to pain, to hormonal discomfort and notify the anterior cingulate cortex.  You may recall that the ACC handles conflict.  Well, those would be the conflicts.

Also keep in mind that information coming in through the senses, including auditory, visual, and tactile are part of the data integrated by the insula

to much info

The autistic brain

Once the salience network is activated it modulates the default mode network.

It kicks the brain out of daydreaming, mind wandering,  and other self-referential behavior and into ready for action mode.

See the Video . . .

 

focusDorsal Attention Network (DAN)

 

The Dorsal Attention Network increases attention to external stimuli based on goals and activated mental representations by increasing the salience of goal relevant stimuli.

See the Video . . .

 

coldPolyvagal Theory

 

Polyvagal Theory doesn’t exactly fit into brain networks…but it does.  I’d like for you to stretch the network concept to include any system with a bunch of interacting nodes.  Polyvagal Theory explains the role of the vagus nerve (cranial nerve 10) in your social cognition.  In a nutshell, the vagal nerve has a dorsaland ventral branch. The dorsal branch is associated with lower vertebrate fight, flight, freeze behavior.

The ventral branch is associated with tend and befriend type responses to stress and allows continued use of facial micro-expressions and empathy.

Freeze

 

See the Video . . .

 

 

 

 

 

 

Complex Trauma PTSD