This carrd was made by the cherry sprites system (@spectrefever on tiktok)
Last updated on : 5/29/24
Warning for mention of programming (TBMC) in the polyfragmented section of this carrd.

QuestionsAnswers
What is Dissociative Identity Disorder? How is Dissociative Identity Disorder formed?Dissociative identity disorder (DID), formerly known as Multiple personality disorder (MPD), is a dissociative disorder formed due to repeated trauma in childhood & a disorganized attachment with caregivers
What is the diagnostic criteria for Dissociative Identity Disorder?In the DSM-5-TR, there is 5 criteria. And in the ICD 11, there is around 6. I will provide the links to look at the criteria as its genuinely too long to copy and paste it. DSM-5-TR ICD 11
Are there any other disorders similar to dissociative identity disorder? If so, what are they and where can I find it?Yes! In the DSM-5-TR there is Other Specified Dissociative Disorder (OSDD). And in the ICD there is Partial Dissociative Identity Disorder (P-DID). In the DSM-5-TR, there is 4 different presentations of OSDD, and the 1st presentation, also called OSDD-1, is the only one that is similar to Dissociative Identity Disorder. DSM-5-TR ICD 11
Is Dissociative Identity Disorder overdiagnosed?No, DID is not overdiagnosed according to this article. Also, due to the demonization of the disorder and skepticism on whether or not DID exists (it does exist.), a lot of medical professionals will overlook symptoms of DID and fail to accurately notice, diagnose, and treat it.

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What is Polyfragmentation?Polyfragmentation, or polyfragmented, is when someone with Dissociative Identity disorder has a high number of fragments (usually a 2:1 or 3:1 fragment to alter ratio) than fully formed alters
What are fragments?Fragments are alters with a less fully formed identity. They may not have any interests and likes and dislikes, or a name, or pronouns. Fragments may vary depending on the polyfragmented system you are talking to.
What are some things common in polyfragmented dissociative identity disorder systems?Things that are seen in polyfragmented systems are, a higher amount of dissociation compared to other people with DID who are not polyfragmented, a high fragment to alter count, complex and repetitive and often inescapable trauma in childhood (before the ages of 5), having a higher chance to split new alters or fragments due to not having a strong coping mechanism that isn't dissociation, a complex and detailed innerworld, and many more. You can see the paper that talks about polyfragmentation here
Can OSDD-1 systems be polyfragmented?In the majority of cases, no. In OSDD-1 there are 2 different presentations, often called OSDD-1a and OSDD-1b. In OSDD-1a, there is amnesia and dissociation, the same amount in non polyfragmented DID, but alters are not as distinct and fully formed. In OSDD-1b, alters are more distinct and more fully formed than in OSDD-1a, but there is little to no amnesia. Although, if a system who went through programming in early childhood was programmed to present and function as an OSDD-1 system, then they can be polyfragmented as they only present as an OSDD-1 system due to their handlers
What is C-DID and HC-DID?C-DID, or complex DID, is another term for polyfragmented DID, and HC-DID, or highly complex DID, is a term for systems who's system structure is highly complex due to RAMCOA and or TBMC.

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Can children have dissociative identity disorder?Yes! The disorder itself is formed only in childhood so obviously children can have it. There have also been quite a few cases of children and adolescents being diagnosed and treated for dissociative identity disorder. And in the diagnostic criteria for DID in the DSM-5-TR, children are mentioned in one of the criteria in a note.
Can you share some cases of children and adolescents being diagnosed and treated for Dissociative Identity Disorder?Of course! This first case is of a 16 year old from Korea, with nine alters, who was diagnosed and treated for DID. And this second case is about a 10 year old girl who was diagnosed with DID and treated for it.
How could DID present in children?Well, it will obviously depend on the system and what they need and if they're overt or covert, but in overt systems in childhood they may call themselves a different name from their host and dress differently, they might act differently from their host. That's just a few ways it may present in children. They may also appear to be very forgetful, since most people don't realize that its amnesia because of DID and not just a forgetful child.

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What is introjection?In psychology, introjection (also known as identification or internalization) is the unconscious adoption of the thoughts or personality traits of others. It occurs as a normal part of development, such as a child taking on parental values and attitudes. It can also be a defense mechanism in situations that arouse anxiety. (Wikipedia)
What are introject alters?Introject alters are alters in systems that are based off of an outside source, such as a caretaker, a fictional character, or anything else that the brain decides is helpful to the system in order to keep surviving.
Introject alters aren't realThey actually are! In this paper about polyfragmentation, there is a section that talks about introject alters, confirming that introject alters are medically recognized as an actual thing to happen.
What are fictives and factives?The terms fictive and factive are more specific terms for introject alters, "fictive" being for alters who are based off a fictional source, such as superman for example, and "factive" being for alters who are based off of a real source, such as a "safe person" a child may have while they're going through trauma.
Can you pick who you get an introject of?No. You cannot choose the alters that split, including introjects. If it was possible to choose, many systems out there would not have introjects of their abusers.

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