#dsm

[prokopetz]

Today's aesthetic: cosmic horror tabletop RPGs from the 1980s whose creators wrote the "madness rules" by simply plagiarising a list of disorders and their descriptions from the DSM-II and turning it into a d100 lookup table, except the DSM-II still listed "homosexuality" as a mental disorder (it wasn't removed until the DSM-III), with the result that there are several published tabletop RPGs where there's a small but non-zero chance that seeing Cthulhu will make you gay.

[sysmedsaresexist]

Since my reply is hidden, I've decided to just make my own post about this and put some accurate info out there.

Covert DID vs Overt DID & Possession vs Non-possession: They don't mean what you think they mean!

Here's a bunch of facts and info in no particular order!

I saw a post about how masking isn't a type of covert DID, and I'm here to tell you that

Masking was the original covert!

Dissociation and the Dissociative Disorders (by Dorahy, Gold & O'Neil, 2nd edition, 2023)

You know the statistic in the DSM about covert/overt systems? It's taken from Kluft, above. And it includes masking.

Covert and overt aren't actually used all that often clinically, but it actually has several meanings, INCLUDING MASKING. Neither has to do with possession or non-possession, but they're unfortunately often incorrectly equated as "possession form = overt" and "non-possession = covert". They can overlap, but this is incorrect!

Possession's biggest use is for a disorder that no longer exists as a separate entry in the DSM 5.

Possession-Trance disorder still exists in the ICD, though, and we'll start there.

Trance disorder

"The trance state is not characterised by the experience of being replaced by an alternate identity."

"Trance Disorder is characterized by recurrent or single and prolonged involuntary marked alteration in an individual’s state of consciousness involving a trance state (without possession)."

"The trance state is not characterized by the experience of being replaced by an alternate identity."

"The identities of the possessing agents typically correspond to figures from the religious traditions in the society."

"In Possession Trance Disorder, the individual’s normal sense of personal identity is experienced as being replaced by an external ‘possessing’ spirit, power, deity or other spiritual entity, which is not the case in Trance Disorder. Possession trance states often include more complex activities (e.g., coherent conversations, characteristic gestures, facial expressions, specific verbalizations) than are typical of trance states, which tend to involve less complex activities (e.g., staring, falling)."

We can already see how this is starting to play out with overt/covert and non-possession/possession form.

Possession trance disorder

"Possession trance disorder is characterised by trance states in which there is a marked alteration in the individual’s state of consciousness and the individual’s customary sense of personal identity is replaced by an external ‘possessing’ identity and in which the individual’s behaviours or movements are experienced as being controlled by the possessing agent."

"Trance episodes are attributed to the influence of an external ‘possessing’ spirit, power, deity or other spiritual entity."

"During possession trance states, the activities performed are often relatively complex (e.g., coherent conversations, characteristic gestures, facial expressions, specific verbalizations that are frequently culturally accepted as belonging to a particular possessing agent)."

"Presumed possessing agents in Possession Trance Disorder are usually spiritual in nature (e.g., spirits of the dead, gods, demons, or other spiritual entities) and are often experienced as making demands or expressing animosity."

"The identities of the possessing agents typically correspond to figures from the religious traditions in the society."

"This is distinguished from Dissociative Identity Disorder and Partial Dissociative Identity Disorder, which are characterized by the experience of two or more distinct, alternate personality states that are not attributed to an external possessing agent. Individuals describing both internally and externally attributed alternate identities should receive a diagnosis of Dissociative Identity Disorder or Partial Dissociative Identity Disorder. In this situation, an additional diagnosis of Possession Trance Disorder should not be assigned."

From Dissociative Identity Disorder, I only want to note one thing:

"Individuals who describe both internal distinct personality states that assume executive control as well as episodes of being controlled by an external possessing identity should receive a diagnosis of Dissociative Identity Disorder rather than Possession Trance Disorder."

So, already, we've learned that possession and non-possession have to do with whether the entities are experienced as internal or external agents.

You'll note that the ICD doesn't mention covert or overt at all.

So back to the DSM-- “possession” was diagnosed as Atypical Dissociative Disorder in the DSM-III or DDNOS in DSM-III-R. In DSM-IV, possession and trance were diagnosed as sub-categories of the Dissociative Trance Disorder (DTD), and in DSM-IV-TR they were merged into one, and recognized as a cultural variant of the Dissociative Disorder Not Otherwise Specified [DDNOS]. In DSM-5, possession-form presentations are linked with criterion A of DID: “Disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession” (p. 292).

Another common myth has to do with amnesia and covert/overt. The facts are:

Covert DID is associated with the highest levels of blackout amnesia. That's how it stays covert. People have amnesia for their own amnesia. It's an incredible phenomenon that's highly documented.

Overt DID typically has the same or less amnesia. It's much harder to explain away noticeable behaviour so people are much more aware of their own gaps in memory and can begin treatment sooner. They're much more easily diagnosed. As internal dialogue and intrusion are far more different in these entities, people become aware sooner and experience more grey out amnesia thanks to this basic awareness.

Covert DID is no longer diagnosed as OSDD 1a. The DSM 5 introduced new reporting criteria that allow the patient and their family to self report switches. OSDD and DDNOS 1a were primarily used for situations where the clinician didn't witness a switch during interviewing. As such, OSDD these days mainly covers P-DID presentations where switching is genuinely rare, if it happens at all. While P-DID is less associated with amnesia, OSDD 1a will require it. P-DID without amnesia will fall into 1b or DID itself, thanks to the DSM's updated amnesia wording.

For this next bit, I'll be using the DSM 5, as that's what I have in front of me, for the purposes of this conversation, this version will do fine.

"Dissociative identity disorder is characterized by a) the presence of two or more distinct personality states or an experience of possession."

"The fragmentation of identity may vary with culture (e.g., possession-form presentations) and circumstance. Thus, individuals may experience discontinuities in identity and memory that may not be immediately evident to others or are obscured by attempts to hide dysfunction."

You know, overt/covert, and wow, it doesn't just have to do with the entities, BUT HOW YOU DESCRIBE YOUR DISORDER?!

You mean... like masking?

Holy shit, yeah, the DSM just said that.

These terms are not as interchangeable as some people think they are. They have very unique meanings and are very different concepts, not only from each other, but from how they're often used within the community.

To reiterate:

Possession form = external entities

Non-possession = internal entities

Overt = noticeable behaviour and mannerisms

Covert = hidden or sneaky behaviour or mannerisms

These can and do overlap, but exist as separate concepts.

More from the DSM:

"The defining feature of dissociative identity disorder is the presence of two or more distinct personality states or an experience of possession (Criterion A). The overtness or covertness of these personality states, however, varies as a function of psychological motivation, current level of stress, culture, internal conflicts and dynamics, and emotional resilience."

Oh, wow, it changes over time and can vary between alters themselves?! Wow.

"Sustained periods of identity disruption may occur when psychosocial pressures are severe and/or prolonged. In many possession-form cases of dissociative identity disorder, and in a small proportion of non-possession-form cases, manifestations of alternate identities are highly overt. Most individuals with non-possession-form dissociative identity disorder do not overtly display their discontinuity of identity for long periods of time; only a small minority present to clinical attention with observable alternation of identities."

"Possession-form identities in dissociative identity disorder typically manifest as behaviors that appear as if a “spirit,” supernatural being, or outside person has taken control, such that the individual begins speaking or acting in a distinctly different manner. For example, an individual’s behavior may give the appearance that her identity has been replaced by the “ghost” of a girl who committed suicide in the same community years before, speaking and acting as though she were still alive. Or an individual may be “taken over” by a demon or deity, resulting in profound impairment, and demanding that the individual or a relative be punished for a past act, followed by more subtle periods of identity alteration."

So, yes, according to the DSM, purposefully masking is a covert presentation, and it has nothing to do with possession or non-possession form. The way a system "naturally" presents will change many times over the course of their disorder.

IN FACT, if we want to get technical, covert actually refers specifically to heavy fragmentation in most clinical texts. Fragments are typically experienced internally and as intrusion, rather than switches. Here's a source.

Covert DID is a less dramatic and more subtle form of the disorder. In this variant, individuals with DID do not display overt switches or distinct personalities. Instead, they experience a fragmentation of their identity, leading to a lack of continuity in their sense of self and memory. These individuals may not even be aware of their condition and might attribute their memory lapses and identity shifts to stress, forgetfulness, or other factors.

Covert DID can be challenging to diagnose because the symptoms are less obvious. It often goes unrecognized for years, and individuals may suffer in silence without understanding the source of their difficulties. Therapy and expert evaluation are essential for identifying and addressing covert DID.

And another.

In addition, diagnostic challenges can result from identity alteration or personality switching not as obvious as expected. In fact, many patients have “covert DID” or “OSDD,” which is characterized by partial dissociation (e.g., dissociative intrusions) rather than full dissociation (i.e., switching plus amnesia).

In the end, though, these terms aren't used all that often, and various uses will still be understood in a clinical setting. Doctors can't even agree on definitions, so use them however you want.

It's not that big of a deal.

I hope this post was useful, even if it was a bit disjointed.

[i-am-aprl]

The short answer is no, not based on what he did.

Pathologizing resistance and protesting in all its forms, including the selfless act of self-immolation in order to communicate an urgent message to save countless innocent lives is a colonial imperialist tool.

Fight any attempt to pathologize Aaron or any activist. They delegitimize Palestinian liberation when they paint us as “mentally ill” as if freedom and liberation are mental diseases!

Rest in peace Aaron.

*Please seek help if you have thoughts of self-harm.

[autism-affirmations]

ICD version comes tomorrow

[grrl-operator]

Stüssy x Cactus Plant Flea Market

[untouchvbles]

Mitsubishi 3000GT VR4 at Waukesha Cars & Coffee (2024) - Meet 4 in Waukesha, WI.

[andybug1]

crystal, talking to edwin: oh that’s so funny. anyway have you ever heard of the DSM??

[radracer]

Mitsubishi Eclipse GS-T 2G

@okuyama0522 @yuta_fl5emon.99 @dk_blacksti

[lord-of-the-margins]

Recent thoughts on Transgenderism

Tumblr, I think it’s time we approach the gender talk.

I’ve been very angry at liberals since about 2022. Before that (2019-2021) I was terrified of them. I grew up as a liberal in a very liberal area. I knew one moderate conservative. All I’ve known is liberal perspectives and ideologies for most of my life. I went to Evergreen State college for years (super senior). I lived in the epicenter of woke.

I’m not going to be a liberal ever again. Being around a lot of liberals, like in a city, makes me nervous. That’s how bad things have been in my little world. All the bridges have been burnt and every knife has somehow found its way into my back. I’ve since taken them out and re-calibrated my expectations.

Still, I have gender issues. They’ve gotten a lot better. And gender shit is still consuming society for no real reason other than to spread misery it seems.

Because of how horrifically poorly liberal society handles the issue of transsexualism and transgenderism, I’m scared to share the new insights I’ve made regarding gender dysphoria. The way the left fetishizes and commodifies mental illness is truly disturbing. The teenage impulse to commandeer and mimic mental illness for attention is never discouraged at any point. Not even in fully grown adults.

If I tell you what I’ve discovered, I’m afraid you will destroy yet another portion of the DSM in a misguided attempt to validate me. It is not validating. You are harming people. I needed the DSM to figure out what was happening. I needed psychologists to push back on my impulses. I’m glad they did. They can no longer do so without fear of being slandered as transphobic.

I look at the work you’ve done on behalf of the trans community and it reads as a collection of demons trying their best to fix society.

So yeah.

I like Tumblr for reasons other than politics. I don’t really want to talk about politics on here all that much. But this national gender dysphoria the younger generations all seem to have is hard to ignore. It can also be offensive. I’ve felt as offended by Zoomers and Alphas trying to be inclusive as I did from Gen X trying to hurt my feelings. So that’s been a fun little discovery I’ve made about myself and the world. Maybe you just can’t escape it. It’s part of life either way. And if you’re fucking around with gender, it’s inevitable. Maybe constant offense needs to happen just to make this demented form of self-expression that less attractive. Because a trans identity is not an attractive endeavor. It doesn’t make for attractive men and women. If you must do it, you need a thick skin just to look at yourself in the mirror let alone to hear what anyone else has to say about it. It’s signing up for a lifetime of disappointment and can only be explained through mental illness.

To conclude, what I found behind the mental illness was even more mental illness. Given liberals’ inclination to celebrate, imitate, and capitalize on mental illness, I don’t think it would be wise for me to tell you about what I did to make the pain of gender dysphoria go away.

What I will tell you is that I had to recognize that I suffered incredible abuse growing up. Truly exceptional abuse. I’ve been studying books on the matter on and off for about four years now. I had to learn a lot of new things and it was very overwhelming at first. It changed how I saw myself and even how I view reality. It’s been quite a journey.

None of the resources I used were made by anyone in the trans community. None whatsoever. All the people who helped me wrote their books in saner times. Your big gay trans social justice movement didn’t help me one bit. Just like feminism has never really helped me personally. Because exceptional people don’t need a parade to get their foot in the door.

Whenever I get close to woke people, I get nervous. I’ve gotten better at sensing that malevolent energy. Since I grew up with it, it took some time to suss it out. It took a massive fuck up, followed up with sticking to my convictions, to feel about fifty knives in my back before it finally sank in.

A lot of damage has been done and yet there are people under the left’s banner I could still care for. People who make uplifting art that has truly helped me. If I hadn’t found them, I wouldn’t have bothered writing this. So I guess this is for the innocent, the clueless, the kind.

I would only consider seriously talking about gender dysphoria with the public if and only if the DSM once again recognizes transsexualism and transgenderism as mental illnesses and the American Psychological Association allows its practitioners to discourage transitioning.

[valexombie123]

YANDERETOBER- 2# BITE

"I wonder what I taste like?"

"I can help you."

[prokopetz]

All I'm saying is if you can take a DSM label and replace a random word in that label with "haunted" and the provided diagnostic criteria still sound reasonable, there was probably not a great deal of rigour involved to begin with.

[moonshine-nightlight]

Pre-order: Don't Shoot the Messenger

My novella, Don't Shoot the Messenger, is now available for eBook pre-order on Amazon!

Print to come!

Despite how it might seem, being a messenger for the feared sea-demon pirate, Admiral Satrasi, infamous far and wide for having an entire fleet of raiding vessels who answer to him alone, is a relatively safe job. After all, no one knowingly crosses the Admiral. Right? The most recent captain looking to join his fleet hasn’t gotten that bulletin yet. He's going to find exactly what happens when someone interferes with the Admiral's favorite messenger.

UPDATE! It's officially out now!

Amazon: eBook and Paperback. It's also available through kindleunlimited!

[tomorrowusa]

Friday December 15th is the 50th anniversary of a significant event in LGBTQ+ history. It's less well known than Stonewall but had a major impact from Day One.

On December 15, 1973, at a time when society often still views gay people as deviants, the American Psychiatric Association reverses a century-old decision, issuing a resolution stating that homosexuality it neither a mental illness nor a sickness. To underline the point, the association removes homosexuality from its influential reference tool, the Diagnostic and Statistical Manual of Mental Disorders.

That description above makes it sound rather dry. To hear about the dramatic events which led up to that decision by the APA, listen to this episode of This American Life from NPR.

81 Words 🏳️‍🌈

[sunnyy-sunsh1ne]

About the Possible Deterioration that the curse of Inmortality had on Khaenri'ahns (TL;DR)

CLARIFITACION: This thread was written just after the Caribert Archon Quest came out, and also when I was still an student in Psychology.

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The effects of the curse started to gain my interest since we got the Caribert Archon Quest, because they remind me a bit of neurocognitive disorders.

First off, I'll use the knowledge I've obtained during my Psychology career, and the sources that were given to me during that time.

Even so, I'd still need an specific specialization to talk confidently about this topic.

So because this is not my specialized field of research, I'll be talking from the knowledge and point of view from when I used to be an student.

I'm open to feedback by any expert in the topic<3

By the way, I'll use the "ND" abrevitation to refer to neurocognitive disorders.

And I'll also use the Diagnostic and Statistical Manual of Mental Disorders (5th ed). I would use the DSM-5 TR (most updated edition) but I still need to get it

If I ever use other sources, I'll add them around the thread.

First, what are neurocognitive disorders?

In the most simple definition ever, neurocognitive disorders are a group of disorders that affect: memory; behavior; attention; learning; decision making; perception; movement; & language.

These disorders usually happen to older adults by longevity, but they can also be obtained by younger people. The causes can be for genetics, accidents or other unkwown causes.

The thing is, Chlotar had symptoms of these kind of disorders.

Of course we can't classify him with an specific disorder because the symptoms are quite vague, and also I don't have any kind of specialization on the area of neuropsychology.

Still, we can detect some of the symptoms and understand a bit better in what consists the curse of inmortality.

Along the quest, Dainsleif says that his memory wasn't fully functional due to his long period of existence; here we have a problem with memory, a symptom of ND.

There's a possibility that Dainsleif is actually presenting symptoms of dissociative disorder. People with this disorder tend to live in a constant state of alert, making them to not be totally present during their daily lives; this results in them not remembering important or regular stuff, because their mind were not completely present at the time.

This case can be seen in memories that are partially or totally forgotten.

I'm not really sure if Dainslei actually went through this disorder, but the possibility is there; it seems (not confirmed) that Dainsleif had to endure 500 years in constant danger of the abyss, making him be in a constant state of alert all the time.

If Chlotar is being serious about this, then here we can find two symptoms of ND: motor skills; & I would also add facial recognition because supposedly he wasn't able to recognize his son, but to be honest his son is a hillichurl & it's totally understandable that he can't distinguish between hillischurls.

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CONTEXT: On Twitter I wrote about making this an on-going thread, so that when we learn new information about the curse, I be able to add it into the thread.

[rootbeercarguy]

Mitsubishi GTO Twin Turbo at High Octane Car Party in penticton bc canada

[untouchvbles]

Mitsubishi Lancer Evolution IX at Hot Rods On Hampton (2024) in Butler, WI.