#Median Wordpress

[pluraldeepdive]

Let's Fact Check: Was MPD renamed to DID for Harmful Reasons?

(Disclaimer: This post contains descriptions of ableism and disbelief in plurality. I do not condone any hatred towards any person mentioned on this post. If you see anyone attacking them, please report them for harassment! This post was made to spread awareness, not negativity.)

In this post, we will be investigating the claim that multiple personality disorder (MPD) was renamed to dissociative identity disorder (DID) for harmful reasons.

Origins of the claim

This claim most likely originated from a (now privatized) wordpress blog post made in 2019.

Click here for an archive of the blog post.

In this post, the author is discussing a blog post they found that's written by Allen J. Frances, the chairman of an outdated edition of the DSM. After reading his blog post, they came to the conclusion that Frances renamed MPD to DID out of malicious intent towards people with MPD because his blog post states that he does not believe in MPD.

This wordpress post was later linked on Twitter, where many users began repeating the claim. As it spread across Twitter and other social media platforms, the claim has adopted several variations. Some people claim that Frances attempted to get rid of MPD entirely, some claim that he renamed it as a scheme to erase all plurality, and some claim that “DID” is an ableist or offensive diagnosis because of all of this. It seems like most of the people spreading these claims do not have DID themselves, however.

Click here for a link to an imgur folder showing examples of this claim in online plural spaces.

The post by Frances

Now, let's look at the blog post that was cited as proof that MPD was renamed to DID for harmful reasons.

Click here to read his post (TW for fakeclaiming and ableism).

This post was written in 2014. In it, Frances is expressing how he doesn’t believe in what he calls MPD. He personally adheres to the debunked skeptical models which suggest DID is created through therapeutic suggestion or is a “fad”. He talks about how he wished he could remove MPD from the DSM-IV, but couldn’t do so. The next best thing, to him, was to allow controversial statements to be injected into the manual. These statements were removed in the current edition of the DSM.

Frances does not mention anything about the diagnosis's name change.

Addressing bias & concerning behavior

First of all, it’s important to look into the author of the wordpress blog to understand how reliable their word is. The author is a median system who I found out, from the blog, is @/multi_sapphire on Twitter. She also runs the blog @/acting-nt on Tumblr, which is a fact known by many in the online community.

At the time of making her blog post, she did not identify as having DID. She is openly anti-psychiatry, as well. While I don't want to make this a big focus, this system also has a history in the plural community of being very hateful towards the DID label. I have had to make a PSA about them before for posting hatred in the DID tags (source). They are the coiner of the term "traumascum" among other things (source). Many, many PSAs have been made about her by other systems about various concerning behavior (source).

Frances’ post can be easily triggering to anyone with DID, OSDD, or plurality. It’s understandable how a system, who was already unfavorable towards psychiatry, came to think that all of the changes made to DID in the DSM-IV were done out of malicious intent. Let's investigate that next.

Addressing how the DSM is made & who coins names

For anyone who doesn't know, "DSM" stands for the Diagnostic and Statistical Manual of Mental Disorders. It is a handbook used by clinicians to diagnose mental disorders.

The DSM-IV is an outdated edition that is no longer in use. It was published in 1994 and was replaced by the DSM-5 in 2013. While Frances was the chairman of the DSM-IV, he was kicked off the taskforce and has nothing to do with the current DSM. Most of the changes he made were completely reversed in the current manual.

The DSM taskforce is run by many people. Diagnoses are divided across different work groups who receive input and data from researchers that specifically research and work with people with those disorders. Suggestions are proposed from the researchers to the work groups, who then analyze this, conduct field trials, and propose changes that should be made to the DSM (source).

While Frances oversaw the taskforce, he is not listed as a member of any work group or researcher in the DSM-IV. This means he did not come up with any of the proposed changes to the DSM-IV.

Why MPD was renamed to DID

All of the dissociative disorders were renamed at the same time! All of them, except for DPDR, were changed to have the word “dissociation” in them. Researchers explain that they proposed this change in order to make the dissociative nature of these disorders more understandable.

Psychogenic amnesia was renamed to dissociative amnesia.

Psychogenic fugue was renamed to dissociative fugue.

Multiple personality disorder was renamed to dissociative identity disorder.

Atypical dissociative disorder was renamed to dissociative disorder not otherwise specified.

When it comes to DID in particular, there are two main reasons for the shift from multiple personalities to dissociative identities. Hersen et al. states the one of these reasons is that the term 'personality' defines "the characteristic pattern of thoughts, feelings, moods, and behaviors" of the whole brain (source). This is what makes alters identities rather than personalities. According to this definition of personality, having multiple personalities would mean having multiple brains! The second reason is that the older term emphasized the alters over the dissociation (same source).

In my opinion, refocusing on the dissociation rather than the alters allows people with DID to have the full spectrum of their symptoms recognized, and helps distance plurality from disorders. Many plural systems don't view their systems as the problem. Many systems don't have DID, either. The shift in this diagnostic language has made it much easier for that distinction to be made! It's very unfortunate that false claims have been made about this, casting more stigma onto both DID and non-DID systems.

Summary

To summarize everything:

The claim that MPD was renamed to DID for harmful reasons most likely originated from a 2019 blog post.

The author of the blog post was reasonably concerned about a figure of authority being ableist. However, their own biases against the DID label likely influenced their claim that the DID label was created by said figure of authority.

In actuality, that guy did not come up with the name "DID." Researchers are the ones who did.

MPD was renamed to DID in order to make it more understandable and put an emphasis on dissociation.

All dissociative disorders were renamed along with DID to include the word "dissociation" in them.

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Several elements can affect the speed of your website, including web fonts, JavaScript and CSS files, images, and your hosting provider. By taking the actions listed below, you can optimize each of these elements and create the fastest website possible. This list is not all-inclusive, but it will provide a thorough optimization approach.

Best tips Page Speed Optimization for WordPress:

1. Audit Your Site

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Initial and continuous load times are hampered when all the information needed to fully load your website is kept in one location. This problem will only get worse as internet and data service providers continue to see a sharp increase in global internet traffic. Global internet traffic is predicted to reach 150,000 GB per second by the end of 2022, a 1000% increase from 2002, according to The World Bank's World Development Report 2021. CDNs, or content delivery networks, can be useful. They store replications of your content on several servers in various places. To maximize content delivery, the CDN selects the server (or servers) nearest to the user's physical location when they visit your website. 5. Optimize Your Images

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There were 276.83 million mobile internet users in the US in 2021, according to Statista data. By 2025, that figure is anticipated to rise to 296.18 million. More people are choosing mobile devices as their preferred device type in addition to using them to access the internet. A HubSpot survey of more than 400 web traffic analysts in the United States revealed that 38% of site traffic originates from desktops and 41% from mobile devices. 12. Switch to a CMS One excellent choice for rapidly creating and modifying a website is a website builder. However, it might not have the features and infrastructure necessary to assist websites with complicated problems like sluggish load times. Consider switching to a CMS if you lack the time, resources, or expertise to implement every optimization technique in this guide. By simplifying content retrieval and providing a wide range of options to alter site operations, HubSpot's Content Hub can greatly enhance website performance. Some even have a CDN integrated into them. 13. Combine the CSS and JavaScript files. Among the biggest files on a website are those for JavaScript and CSS. They are also considered separate HTTP requests. Therefore, ten HTTP requests would be needed for five JS files and five CSS files. You can shorten the number of steps needed to fully load your website by combining sets of CSS or JavaScript files if you know how to develop websites. With just a few clicks, WordPress plugins like WP Rocket enable this, but whether you use a CMS or delve into the code itself, it's worthwhile to think about file combinations to boost overall speed. 14. Minify the CSS and JavaScript files. Minifying your CSS and JavaScript files is another method to make them smaller. This method entails eliminating any extraneous code, such as: - Line breaks, comments, extra semicolons, and white space characters. - Unused variables and functions. - Lengthy Selectors for CSS that might be shorthand. File sizes and load times will decrease as a result. Either a minification tool or manual labor can be used for this. 15. Assess Your DNS Speed Your site loads more slowly and has a longer time to first byte (TTFB) the longer it takes for your domain name server (DNS) to respond. You can identify specific performance issues by using free online tools to find out how your DNS provider stacks up against other options. Is it worth mentioning? In certain situations, DNS services are also provided by your hosting company; in other situations, these two services are distinct. 16. Use asynchronous loading instead. By default, a lot of the files and features on your website load synchronously, meaning that they load in the order that they show up on the page. This causes page load times to increase because elements won't load until the script or service right before it is finished loading. The good news is that asynchronous loading, which permits CSS and JavaScript elements to load simultaneously, is enabled by many CMS platforms through built-in features or plugins. 17. Select fewer fonts. Web fonts can make your website stand out from the competition, but they can also degrade performance, particularly if they're rare or call for special character sets. Use as few fonts as possible and concentrate on speed-optimized fonts to increase page loading speed. For instance, Open Sans had the quickest load time (0.476s) in a KeyCDN analysis of the top 10 Google Fonts. 18. Pinpoint Poor-Performing Plugins Finally, find plugins that drain performance (also known as extensions or add-ons). Although plugins can provide a number of helpful features to assist with website management, they can also have a detrimental effect on performance, particularly when used to load a large number of assets or execute complex database queries. The speed rule here is straightforward. Always use the newest, fastest versions of plugins and only keep the ones you need. This is especially crucial if your website is WordPress. 19. Include Expires Headers You can add expires headers to your site's.htaccess file to speed up load times for repeat visitors. In order for the browser to decide whether to serve site resources from the cache or request them from the server, this kind of HTTP header tells the browser how long cached copies of site resources will expire. There are two reasons why expires headers are crucial. They prevent your browser from providing visitors with out-of-date resources, which might have degraded the user experience, and they allow your browser to serve current resources from the cache, which lowers server load and load time. Read the full article

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