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Richard ([personal profile] richard) wrote2007-09-30 02:52 pm
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Of dissociation and assumptions

I've been planning to write this for a few days, and I finally finished it last night, with [ profile] sporkins (Kerry) and Nick of Astraea looking over it. [ profile] sporkins served as editor, as well. It will be published on the system's plural site, and elsewhere, later.

As most readers of this site will know, the medical model for multiplicity (defined here as the state of having more than one conscious entity within a body) states that it is a form of dissociation adopted by people who have experienced severe abuse. In essence, it is viewed as a mixture of a coping-strategy, which normally involves ‘alters’ splitting from the ‘host personality’ during trauma, and a delusion that the ‘host’ personality has constructed for himself in order to survive the trauma. (1) This model does not see members of a multiple system as full individuals in their own right; rather, it views them as fragments, ego-states or alters to be integrated into a single personality.

Whilst this model may suit dissociative systems for whom the classical DID model is appropriate, it does not apply to the different mental states that exist on the multiple spectrum. Non-dissociative multiple systems should not have their experience referred using that model because it presupposes some things that may or may not be true. It posits that there must always only be one mind within a body; everything else is a pathology or a disorder and must be corrected. Secondly, it assumes that all multiplicity is a reaction to trauma, whether the multiple systems in question have experienced severe trauma or not. Thirdly, it constructs a corporeal notion of being, which may not be applicable for members of certain sorts of multiple systems.

The dissociation model and most of its resultant therapeutic methods indicate that it is malign and unnatural for more than one mind to inhabit a single body. This idea does not appear to be based upon scientific knowledge of how the brain works: in fact, consciousness as a whole is not entirely understood by neuroscience, so it is presumptuous to assume that there absolutely must be one conscious person within a body when there is evidence to the contrary. The idea of allowing only one conscious entity to truly exist within a body is more of a Western cultural construct rather than a scientific reality. In essence, personhood is represented by Descartes’ statement: ‘Cogito, ergo sum’, or ‘I think, therefore I am’, in that it involves separate consciousness, autonomous agency, sets of reactions and independent thought. The philosophical definition of personhood is not based upon how many bodies are being inhabited. There is nothing unnatural or pathological about such an idea at all, especially if the thinking entities within the body can co-operate and treat each other with respect, instead of struggling for dominance.

It is also fallacious to assume that all multiplicity is inherently a dissociative method (with ‘splitting’) for the birth-person to avoid trauma, or memories of trauma.

Although there are forms of multiplicity that do result in a birth-person’s dissociation, not every form of it is like this. Multiplicity is simply the presence of more than one conscious agent within a body, and this definition does not require that splitting or dissociation be present (2). It is possible that some systems to have been born multiple, and it is also possible for there to have been an original person present, but with others joining the system later. An early example of this is Mary Reynolds' case (3), in which a woman had a multiple system without any iatrogenic artefacts or known abuse-history.

People within multiple systems can also be aware of what happens whether they are in conscious control of the body (‘fronting’) or not, or can be capable of receiving information from other frontrunners about events that occurred whilst they were at rest. Such systems are called ‘co-conscious’ systems. Not every multiple system experiences ‘lost time’, blackouts or other forms of dissociation from the outside world. The author’s system, to give an example, does not; it is co-conscious. This is not to say that trauma-split dissociation does not exist, but that it is not the only method by which multiplicity arises.

The dissociation model makes a rather clear definition of personhood, regardless of individuals’ identities: it postulates that the only ‘real’ person within a group is the one who identifies with the body and its background. It is not based upon the ‘birth entity’s’ conscious agency at all: the ‘birth person’ may or may not be an actual person at all, but that has no bearing on the dissociation model. Although such details are important when dealing with society at large, they can be independent of who an individual within a system really is. The body’s appearance and history may be important for social or legal purposes, but it needn’t necessarily have any bearing on the system members’ being as individuals.

Members of multiple systems report having members whose gender is opposite to the body’s sex and having names that are far more apt for them than the one that the biological parents may have given the body. Such notions are denied vehemently by the arbiters of the dissociation model: any such variations from the body are pathological, delusions and aberrancies to be exterminated in favour of the ‘host’ body and identity, whether such a person exists or not. This philosophy also ignores the idea that people need not identify with how their physical body appears in order to be real in any sort of sense. To these people, body takes precedence over mind, although it is in the mind in which the self – or selves – is located. It is in the brain, not in the skin or other organs, in which identity or identities are formed, so it is not particularly necessary for outward appearances to determine a person’s identity.

There are many people who are not multiple who do not identify with their physical body or family, whether they are transsexual, estranged from their biological families or transhumanists who believe that their bodies do not match their minds within. Although society may not be as tolerant towards them as they are towards those who identify with their parents’ Platonic ideals of who they are, it is far more tolerant towards them than it is multiple systems who diverge from said ideals. There are organizations devoted to helping single people who experience asynchrony with their bodies, and much of this treatment is focussed on allowing them to appear the way they would like, rather than forcing them to fit into a ‘birth person’ mould. This is in stark contrast to multiple systems who may be experiencing the same feelings. It is unjust to say that it is understandable for single people to have such feelings, but that it is a delusion for plural groups.

Plurality comprises multifarious experiences, and the idea that all plurality is a manifestation of dissociative coping mechanisms does a disservice to non-dissociative plural collectives. It invalidates the existence of several autonomous persons within a brain (as opposed to ‘alters’ and ‘fragments’), assumes that one must accept one’s birth configuration and denies that any non-trauma-related multiplicity exists. It is a pernicious philosophy, and steps must be taken to educate others that there are alternative, more accurate models for multiplicities of various origins and structures.

References (listed rather informally, but will be neatened up for the group site)
Dr Ralph Allison, on multiplicity's being classed as a delusion and an 'identity disorder'
John Lizza, writing about plural systems' having separate people and co-consciousness
Mary Reynolds' case - a multiple system in which there was no reported trauma or iatrogenic condition

[identity profile] 2007-10-01 02:37 am (UTC)(link)
As a trauma-induced multiple, I've always found non-trauma multiple systems fascinating. It took me some time to adjust to the idea when I first encountered it some years back (simply because my own experience was different in that there were definite moments of splitting), but I definitely "believe in" (for lack of a better term) non-trauma multiple systems.

Thanks for helping me to understand it a bit better. Since so much of my experience is very different than the reality which you and the rest of the Fen Collective experience, it's always good to learn more. :) And it was great to be able to look over those studies as well. Seeing it from a clinical point of view makes it even easier for me to understand how it works.
ext_100783: A field of orange flowers.  (Default)

[identity profile] 2007-10-01 08:57 pm (UTC)(link)
And I've put it up on here: so that everyone can see it <3