Understanding DID from the Perspective of Individuals with Complex Trauma

There is an ongoing debate surrounding the terminology used to describe those with Dissociative Identity Disorder (DID) and how they refer to themselves and their alters. A key consideration in this discussion is the education and personal experience of those diagnosed, as well as the nuances of language that impact understanding and empathy.

The Relevance of Education and Personal Experience

While some individuals within a DID system may hold advanced degrees such as a Masters in Psychology, many do not. The education that one receives, particularly in a field such as psychology, does not necessarily translate across the entire system of identities. This is because the education is often directed at the particular individual, not the entire group of identities that make up the system.

Moreover, the field of psychology does not extensively cover DID, making it valid for individuals to refer to their alters as "people" instead of the more commonly used term "alters." This choice of language can reflect a personal and emotional relationship to their alters rather than a technical understanding of neurology or psychological theory.

The Psychological and Emotional Impact

People with DID, especially those with complex DID, often perceive their alters as separate individuals. This perception is rooted in profound and often traumatic experiences that shape their internal world. Terms like "altered state of mind" can be misleading or even distressing for individuals who have experienced significant trauma. The term "alter" can conjure images or memories of manipulation or control, which are common in cases of prolonged abuse.

Emphasizing the perspective of those with DID can help foster a more empathetic understanding. It is crucial for healthcare professionals, such as certified nursing assistants (CNAs), to approach patients with DID with an open mind and a deep sense of empathy. Participating in continuing education courses focused on DID and complex trauma can significantly enhance their ability to provide compassionate care and support.

Navigating the Identity Dynamics

From my own experiences, I can affirm that those within my DID system, known as 'Em' and 'All,' are perceived as different people. These identities have distinct personalities, interests, and emotions, making it clear that they are separate from one another and from myself. While I acknowledge that some individuals within the system may identify more closely with some alters, viewing them as somewhat connected, such a perception is not the norm.

For example, in my system, there is one identity that occasionally appears to regard itself as a part of 'All.' However, this identity hardly ever surfaces and rarely communicates with the rest of us. This illustrates the complex and sometimes mysterious nature of DID, where the lines between identities can blur in unexpected ways.

Conclusion

The language and terminology used to describe DID and its facets are deeply intertwined with the personal experiences and emotional connections of those who live with the disorder. While there is no one-size-fits-all approach, prioritizing understanding, empathy, and ongoing education in DID can significantly improve the quality of life for individuals with complex trauma and those who support them.

It is essential for healthcare providers, such as CNAs, to recognize the validity of the language and perceptions used by individuals with DID. Engaging in current, relevant courses and continuing education on DID can help bridge the gap in understanding and provide more effective care.

By fostering a more inclusive and empathetic environment, we can better support individuals with DID, ensuring they receive the compassion and understanding they need.