Safety Planning Resources

to those of y'all who want the feeling of sh but don't want the blood or the scars or smth:

one: take a paper mask and take out that bendy metal thing out of the top, you can hurt yourself with it but it doesn't really leave marks. it's hard to even make yourself bleed (but it is possible) but it gets that feeling of hurting yourself. it doesn't really hurt that much but it's better than nothing when you're about to break, but please use a clean mask.

two: cut your nails too short. people don't really question it and it hurts for multiple days, but be careful. your nails are dirty so wash your hands regularly.

three: scratch yourself. literally just nails against skin- BUT BE CAREFUL!!! its very easy to get carried away with scratching and if you go too far it'll just be the same as using a blade but less sanitary. your nails are dirty.

four: intentionally nick yourself while shaving. pretty self explanatory, just don't do it on your youknowwhat that shit hurts way too much and there is lots of bacteria there only do it on your legs and arms or idk chest?

five: pour wax on yourself. it's not that dangerous as long as you're careful and is a kink for some so idk you could say it's for that ig. be careful youre messing with fire.

six: wear slightly too small clothes (specifically underwear). it hurts and you shouldn't do it for a long period of time or a lot but if you wanna be in pain while going shopping or smth it'll definitely hurt.

i dont encourage s3lf h4rm and i encourage recovery, but if youre going to sh please do it safely and take care of your cvts!

pls tell me if the info here is wrong or a bad recommendation or anything ill try and fix it

I’m gonna make an exception to my DNI on the endo thing for THIS POST ONLY, so-again THIS POST ONLY and ONLY FOR THE ENDO RULE-endos and supporters can interact because I want to hear peoples opinions on this. Do not harass us!!!

DID from a RAMCOA and TBMC survivor “sysmed” systems perspective (so many adjectives)

Hi. I’m the host of an HC-DID system. We are all, as far as I’m aware, what one might call a sysmed. Why do we believe this, and what’s our perception of DID? I’ll explain my views in this post

For us, while living does not mean misery, DID means misery, if that makes any sense. I differentiate the two because my whole life does not revolve around my DID. Anyways, our entire dissociation revolves around our programming and trauma. Even my fellow parts mean misery to me, even though I don’t hate all of them since I know it’s not some of their faults. It means misery because it means more time lost and more time where our programming takes place. Even though not all parts are brainwashed, we all have some degree of programming. We also all have some degree of amnesia.

I’d say I’m in control about 35% of our life. That’s 65% of my life gone because of this disorder, and that’s only counting when I’ve been the host. Imagine when I’m not the host anymore? I’ll be nothing, pretty much.

So, that’s my view on DID; while it doesn’t taint everything, it means misery.

That’s why for me and the rest of us (again, that I know of) having a glamorized carefree “version” of that is a result of ignorance. Being endogenic is taking away everything that DID is about.

And no, if you count “sysmeds” as a struggle, sorry but that’s nowhere near comparable to the trauma people who actually are systems experience.

What counts as TBMC? Ex-Pentecostal wanting to know because I never really see clear and concise definitions on these things and trying to research RAMCOA gives me a lot of dodgy right wing rhetoric which I don't want to keep having to comb through for my own sanity.

TBMC is known by as two things. One: trauma based mind control. Two: torture based mind control.

Most survivors we've also ran into prefer the former because it tends to include things that are less extreme and not everyone feels their trauma went far enough to be considered torture. It's also unfortunately true that a lotta alt-righters tend to get into mind control in a more co-opting nature, which is ironic given the group that did that to us was alt-right. Honestly we find the TB to be unnecessary given mind control is always traumatic and is inherently horrific.

What counts as TBMC?

TBMC is something done primarily through abusive means to induce a dissociative state, in which one becomes more suggestible. This can be done in order to intentionally create parts/alters (when done starting on someone as a child in rare cases) or just to make someone behave the way you want them to. This is why sometimes people who are abducted by other countries as agents betray their old group and join in with their abusers. (For an extreme example). Other ways the dissociative state is achieved is through putting people into forms of trances. This can be done with meditation or mantras, forced hypnotization, and at times substances.

We've got a good mixture of both mind control and conditioning. The conditioning is done more via Pavlov's Dogs type experiences and "training" and is less tied to TBMC and typically easier to train out of. Mind control- especially in those raised with it- is driven into a part of their personality. It becomes an essential piece of the whole identity and it is not something that can be taken away without proper aid and therapy. You cannot deprogram yourself from mind control the way you can "uncondition" yourself, so to speak.

Anything that was driven into you while in a dissociative state (thus highly suggestible) or being actively traumatized that is ideological, personal, an act, behaviors, etc. is typically a form of mind control. A very common example of this is being made to be fully and completely dependent upon your leader/an authority figure. This may result in what is reminiscent of worship of the individual and in some cases leaves the victims incapable of making decisions. To this day we have to ask friends in desperation what food we should eat because the idea of deciding for ourselves is far too difficult. We roll dice connected to numbers to mark our decisions in hopes of having a way to make a choice. (And again, this is but one example.)

Some of the information we have garnered on the subject comes from a variety of sources more heavily focused upon cults as that was what we grew up in and with. We have dug deep into the information on what makes a cult a cult and what signs of specific types of cultic programming we exhibit. Even then programming can be hard to categorize and know what is meant by because it's so personal and specific in its application. I am uncertain if we are of much help- but I will say we personally see no harm in if you find spaces appropriate for it, asking if specific things you expect may be programming or signs of TBMC are able to be labeled as such. That's what we had to do to accept we were a RAMCOA survivor as we originally had less memories of the cult until given the name by our parents (to be clear we did this only because we were already in therapy and part of our recovery and work is being done in order to come out against the group and the leader, and have full legal protections as a whistle blower)

Other Personality Disorders

This post is about personality disorders that used to exist in the DSM or ICD but don’t anymore. You cannot be diagnosed with these disorders, as they’re not in any diagnostic manual; you would be diagnosed with Other Specified Personality Disorder (or the ICD-11 equivalent) instead.

Passive-Aggressive / Negativistic (PA/NegPD)

A pervasive pattern of negativistic attitudes and passive resistance to demands for adequate performance, beginning by early adulthood and present in a variety of contexts.

Masochistic / Self-Defeating (Ma/SDPD)

A pervasive pattern of self-defeating behavior, beginning by early adulthood and present in a variety of contexts. The person may often avoid or undermine pleasurable experiences, be drawn to situations or relationships in which he or she will suffer, and prevent others from helping him or her.

Sadistic (SaPD)

A pervasive pattern of cruel, demeaning, and aggressive behavior, beginning by early adulthood and present in a variety of contexts.

Depressive / Melancholic (De/MePD)

A pervasive pattern of depressive cognitions and behaviors, beginning by early adulthood and present in a variety of contexts.

Other Personality Disorders

Turbulent

Turbulent PD has never existed in any DSM. It’s part of Millon’s theorised personality disorder taxonomy, but doesn’t appear in any other literature.

It seems to be an alternate way of categorising and defining hypomania & cyclothymic disorder, and is similar to ADHD, NPD & HPD.

Millon classes it on a spectrum from ebullient personality type -> exuberant personality style -> turbulent personality disorder.

Haltlose

Theorised in German, Russian, and French psychiatry.

Haltlose translates to “unstable” (literally, “without footing”) and refers to a “drifting, aimless and irresponsible lifestyle: a translation might be ‘lacking a hold' on life or onto the self)”.

“Those with haltlose personality disorder have features of frontal lobe syndrome, sociopathic and histrionic personality traits”.

Someone with haltlose PD “lacks concentration and persistence”, and “lives in the present only”. They are “easily persuaded, and [are] often led astray”.

Haltlose PD is similar to AsPD as there is “an inability to learn from experience, and no sincere sense of remorse”. They are often described as ‘lovable rouges’.

(Cullivan, R, ‘‘Haltlose’ type personality disorder (ICD-10 F60.8)’, Psychiatric Bulletin, 1998, pp. 58-59).

Immature

Immature PD was mentioned in the DSM-III as a specifier for Other Specified PD, but removed in later editions.

It seems to be a combination of borderline, histrionic, narcissistic, antisocial, dependent, schizoid and avoidant PDs.

Almeida et al. suggest the following criteria for Immature PD: irresponsibility; impulsivity; unreliability; easily swayed; mood swings; expect overindulgence from others; dependency on others; ability for remorse or regret but it’s “light and fleeting”; inability to manage assets; inability to follow plans; quick to lie; unable to delay gratification; quick to frustration; devaluation of others; risk-taking behaviour; unstable relationships and behaviour; feels both entitled and worthless; attention seeking; recklessness; shyness; ungrateful; over-familiar with others; unable to plan for the future; substance use.

They also suggest 3 subtypes of Immature PD: the dramatic and emotional subtype, the shy subtype, and the mixed subtype.

(Almeida et al., 'Immature Personality Disorder: Contribution to the Definition of this Personality', Clinical Neuroscience & Neurological Research, 2019, pp. 1-16).

Eccentric and Psychoneurotic

These two personality disorders existed only as ‘other specified’ PDs in the ICD-10, where no definition is given.

Should I name my alters?

Or: How much separation is too much separation?

The ISST-D treatment guidelines state: “It is countertherapeutic to suggest that the patient create additional alternate identities, to name identities when they have no names (although the patient may choose names if he or she wishes), or to suggest that identities function in a more elaborated and autonomous way than they already are functioning.” - Source: www.isst-d.org

So what does this mean? Why does this matter?

“Countertherapeutic” means “Working against a therapy”. It refers to something that goes directly against the way therapy should be approached, enacted, or provided.

Doing something countertherapeutic will make your healing journey harder, and in some cases can cause you even more harm.

Does this mean that you should never give your alters names?

No. The guidelines clearly state that it is ok to name alters, but that you should not name alters who do not have names.

A personal take on this, by a reddit user, is: “You’re supposed to discover and accept differences, not push alters to be more separate than they already are.”

Basically, if an alter has a name, or chooses a name, and wishes to be referred to by that name, then you should accept that. If an alter changes their name, you should also respect that - especially as a lot of alters choose or have names which are descriptive of their roles, purpose, or values. And as these roles or purposes might change, the alter in question may wish to change names with it.

Interestingly, “Got parts? : an insider’s guide to managing life successfully with dissociative identity disorder / by A.T.W.” actually suggests that people with DID/OSDD MUST pick names for parts/alters who do not have names. This is found in the section titled “Getting to know you”.

In this case, I believe that the purpose of naming alters who do not have names, is to identify them and link that alter’s personality, triggers, traits, etc together more easily. It is my interpretation that you do not need to pick a name, but that you do need to pick an identifier for each alter in order to complete the task laid out in that section of the writing.

Identifiers.

An identifier is a word, name, or term, which helps distinguish one person or alter from another.

For instance, at school you and your friends might refer to a fellow schoolmate as “the red haired girl”.

In a system, you might refer to a little alter as “the happy one”, or perhaps “the 6 year old”.

Identifiers like this can help make sure that everyone in the conversation knows who you are talking about. This can be particularly helpful in therapy for DID/OSDD, as it will make it easier to track an alter’s thoughts and personality, as well as helping the therapist identify which alter is having a particular problem, reaction, or any negative learned behaviours that they may need help with.

Systems will often use labels as identifiers - eg “host”, “little”, “protector”. I even know a system who refers to alters by numbers in a chronological order (that is, the first alter to become known is alter 1, the next is alter 2, and so on). This particular method is unusual, because most people would interpret this as a hierarchy, or a way of saying that some alters are more important than others.

The type of identifiers you use is up to you and your system. Make sure to remember that identifiers can change at any time - “the angry alter” may become less angry, and then a new identifier may be needed. If you do not allow identifiers to change, you may accidentally be forcing other alters to feel as though they have to act in a certain way - eg “the persecutor” may have started healing and growing, but if you insist on still calling them “the persecutor”, they may be angry or feel helpless to control their actions.

When is a name or identifier bad? - See this separate post.

What is the problem with increasing separation between parts?

It is my interpretation that pushing alters to be more separate than they actually are, will likely increase or strengthen dissociative barriers between alters, which is contrary to the goal/s of treatment (whether you want fusion or healthy multiplicity). And can make communication and cooperation even harder.

However, the ISST-D guidelines (and the personal experiences of many systems) shows that some separation, or acknowledgement of separation, is good and healthy.

Why is this? Isn’t this a contradiction?

No. To summarise, you should not force names/traits onto an alter. But you should also not refuse to acknowledge that they have a name/trait.

If you break an alter’s trust by forcing something on them, or by refusing to allow them to be themselves, your healing journey will become more difficult. All of your alters (including whichever alter is reading this) are equal. You are all part of the same person. So you should accept your differences AND similarities.

“ Taken together, all of the alternate identities make up the identity or personality of the human being with DID.” - Source: www.isst-d.org

In conclusion:

- Do not forcibly pick a name, appearance, trait, etc, for any alter.

- Do not insist that any alter must keep a previously chosen name, previously displayed trait, or insist that their appearance or age cannot change.

- Do not refuse to allow an alter to choose (or self-report) their name, appearance, traits, etc.

- Be respectful of an alter’s choices.

- Be open to helping an alter if their choice of name indicates a deeper issue, but do not push them about it.

And

- Be careful. If you decide to assign an identifier, appearance, or other indicator, to an alter: Be mindful, and watch out for signs of increased barriers, dissociation, or otherwise negative results. If you see that starting to happen, I’d suggest slowing down and reviewing what could be causing it. Talk to your therapist about it if possible.

We are going to finally go and try to chart out / document our system / known parts for our old/current therapist and since we make a lot of organized sheets and stuff for fun I'm sharing a copy of a template for alter information ^^ Feel free to use / make a copy and use on your own and modify and all.

Its BASK + Extra stuff that we find relevant to our system

Google Docs

Copy For Others

Sheet1 Name:,TEMPLATE Picture / Description / Self Depiction,BEHAVIOR:,Important Notes: AFFECT: SENSORY: KNOWLEDGE: Role:,NOTABLE DYNAMICS

On writing DID characters/stories

I asked a DID friend about writing DID coded characters and stories, because myself and another wanted to make sure our representation was respectful and empathetic. That said, neither story is intentionally depicting DID, but the coding is inevitably there.

Here is their response. This is from one system, and is not the end all be all on DID. My personal recommendation would be to have a sensitivity reader if you are intentionally writing DID, but if your story has DID/multiple personality tropes and not DID specifically, the following is for you.

Are these distinct personalities? Like separate and distinct as in do they identify as separate individuals? Do they communicate? Are there amnesia barriers? Do they have separate thoughts and memories and opinions? Dissociation and fugue states can occur in other conditions. DID is a fairly specific criteria. OSDD a and b are similar but have key differences. Some systems can be as small as two so that’s not really a factor although to be honest I don’t know systems like that.

But is this character going to be like explicitly stated to have DID? If not, then they don’t need to worry about getting terms right or being believable even, it can just be “DID coded” characters. Like The Crystal Gems from Steven Universe are very DID coded to me or the whole series is. I mean Stevonnie is what it’s like being blended co/con which happens often.

It’s not DID but it’s a lot like DID and looking at the fanfic that way may alleviate some pressure. If you just wanna make sure it’s not offensive or something somehow by accident you can check with a sensitivity reader. Jekyll and Hyde is also a well worn trope, so if it's only two personalities you don't need to fret about DID representation.

And it’s just my opinion but like I feel like we have autistic coded and queer coded characters. Coding vs overt spelling certain things out happens for a variety of reasons. I think for things as complex as a condition like DID, overt means you will spend a LOT more time focusing on and explaining the condition and how it affects the character’s life and relationships, whereas keeping it coded is helpful for avoiding all of that and just using their condition more functionally.

Making them have DID flat out means you can’t use it as a simple ploy device, Which is gonna over complicate your story and characters in this instance. But if you do it right then the demographic will still see representation and take it positively and those not in the know will just take it all at face value.

For example, the whole Venom thing is very plural coded but obviously that’s coded and different being it’s a parasite and it’s not trauma based. It works as an analogue and it makes you think about parallels. it’s entirely different when you make a character like Moon Knight or Crazy Jane from Doom Patrol, because then eventually you’re getting into their system functioning, their trauma history, and the actual disorder. Then how it debilitates them as well as empowers them all becomes a huge part of their story.

Again, I myself do not have DID and I am sharing what my DID friend wrote in response to my question. If you have DID, feel free to reblog and respond to agree or disagree or add to it.

I hope this is helpful to anyone writing DID or DID-coded characters.

Question, would maladaptive daydreaming about the torture also, counties as creative expression of the trauma? Also, please stop calling us out/j

On expression of trauma in childhood through creative means

(CW/TW: Abuse, Torture, Trafficking, etc.)

I've seen lots of survivors of various kinds of abuse, particularly RAMCOA, post recently about how either one of the first signs they were abused in that way, or something they rediscovered/recalled later on, was that during childhood they often re-enacted traumatic scenarios or scenarios similar through games, or playground role-playing. Expression of trauma and abuse through creative means is very common in childhood - scientifically, it's more difficult for anyone to express their trauma through verbal means than it is through art, or etc, and this is the basis for art & play therapies commonly used with children and younger patients. It's a recognised phenomenon in psychology that there are certain markers in children's art for trauma, as it alters one's self perception to go through these experiences, especially in youth. So, in reference to RAMCOA/OEA in particular - recreating these situations in childhood games is perfectly normal, and if you feel this is an experience that resonates with you, you're not at all alone.

RAMCOA changes one's perception of what is normal, and intentionally so, and so to see a child express this through games which would ordinarily be much more domestic - like playing house, whereas a survivor might reenact a scene of torture, or an imagined trafficking ring - is a child survivor expressing a scenario which is normal for them without having to acknowledge it verbally through any means. This extends again to art, and writings, etc - if you look back on the "ordinary" parts of your childhood, and feel the trauma bleeds into those regardless, this is perfectly normal. Even if you feel that at the time you shouldn't have known about those things, or that you didn't see them with nearly the weight that they should have carried - all of this is okay. Everyone works things out at their own pace. All of us survived.

— Muse

Here are some resources on childhood trauma expression through art:

Psychology Today

When Trauma Happens, Children Draw: Part I

When trauma happens, children draw.

Frontiers

Children’s drawings as a projective tool to explore and prevent experiences of mistreatment and/or sexual abuse

Reality shows us that situations of mistreatment and sexual abuse in childhood are still seldom visible, despite their high prevalence aroun

Are there any RAMCOA-exclusive terms the system community needs to be aware of?

I know system hopping, system resets, and shell alters have had their meanings butchered, but then I see some debate about if "sidesystem" is RAMCOA-exclusive (or at least only experienced by RAMCOA survivors), as well as how gatekeeper and polyfragmentation aren't RAMCOA-exclusive but often have their meanings that tie back to that erased.

I... Can't think of any.

Terms being exclusive to RAMCOA¹ is kind of tricky as 1) most people who have gone through RAMCOA have little awareness of it, both in their own memory & not being aware of the terminology and community 2) RAMCOA is a continuum, meaning it's hard to define what is or isn't "enough" to qualify as RAMCOA, and 3) there are few rules as to how a system copes with stress & trauma. Further, a lot of the language around RAMCOA is community-based, or from specific high-control abuser groups; it's just damn hard to track where things come from. I can say though that sidesystem has its roots in the larger community and I know multiple "regular" systems with sidesystems⁠—hell, we were using "sidesystem" before we gained more awareness of our OA⁠— and shells exist in other forms of multiplicity, specifically some OSDD-1a presentations.

System hopping & system resets are weird as well, as they describe phenomena that is related to RAMCOA, and I'd argue really a facet of the control and shutdowns with systems who have survived RAMCOA, but we did not come up with those names at all. System hopping is often used as a threat by abusers (like used in combination with something like twin programming), and resets can be programmed-in "rotations" of fronters, but... They are what the wider plural community called them, and what some survivors have adopted because they're now recognizable terms.

That being said, I do think the community should be more aware of how the history of OSDD & DID is based in the study of RAMCOA. I see so many younger systems now ignore or even mocking the concept of RA, lumping the entire phenomenon in with the Satanic Panic (even though many of us survivors were literally born after that ended), or buying into False Memory Syndrome rhetoric. I've literally seen folks saying "there's no evidence that repressed memories exist" as if we haven't proven that scientifically over and over again. I think it's an issue of folks trying to distance themselves so far from stuff like the Satanic Panic & more modern iterations like Qanon that they leave survivors like me behind. It reeks of respectability politics, and victims are exhausted with the decades of fakeclaiming.

I think we should be less worried about if certain terms are exclusive to RAMCOA survivors and more concerned with actually meaningful support, like looking into the research on it, knowing the history of our fight for recognition and The Memory Wars era (for example: do you know where the RAMCOA acronym comes from? Do you know what the Grey Faction is? Can you recognize how misogyny was weaponized, and how social services were targeted by politicians by using us as a pawn?), and recognizing harmful rhetoric.

(Sorry for the huge dump of text!!!)

¹ For the record, there are certain terms that are exclusive to RAMCOA by means of, well, that being in the definition; programming, for example, is... Obviously RAMCOA specific. However, almost all forms of abuse require some kind of conditioning so saying "conditioning" is RAMCOA exclusive is false. See? It's tricky.

⚠️TW- Talks of Death⚠️

However. However while it's true an alter within headspace cannot truly die and more goes into a "slumber" aka dormancy there are actual ways alters can "die".

•An alter who was front and experienced a near death experience might turn into a ghost alter

•An alter who has been dormant for so long and their amnesia walls are so high up could be considered dead

•For our System we have a Purgatory meaning that alters who no longer wish to be within the System will go into Purgatory where memories are "erased" and essentially are declared "deceased" as they no longer take front nor do they consider themselves to be associated with main Inner World, the Side System or even Subsystems.

•Purgatory Example-

Two of our alters/headmates were once considered to be "mortal" one is an adult trauma holder and another is a Little trauma holder.

The adult holder experienced a near death experience when front and in the Inner World got pushed into Purgatory. This one alter is the only alter that managed to escape from Purgatory with memories in tact.

The other alter to essentially "die" is our Little holder. This Little became a zombie. This Little willingly placed themselves in Purgatory due to the high stress of trauma.

These are just two possible examples plus one special of how an alter within headspace could "die" however an alter dying in the Inner World and no longer being of an existence is not possible as even if they turn into an undead or ghost alter they're still within the head.

The one and only way alters can truly die, cease to exist is when the body dies. With DID alters are created by and from the brain due to trauma. When humans pass, the brain will no longer function along with the rest of the body. This is the only way and how alters can truly die