Trans Ramcoa

I suspect quite a few people on this site don’t realize they are struggling with the effects of chronic trauma. In particular I think more people need to learn about the symptoms of C-PTSD.

Distinct from general PTSD, Complex PTSD is caused by prolonged, recurring stress and trauma, often occurring in childhood & adolescence over an extended period of time. There are many risk factors, including: abusive/negligent caregivers, dysfunctional family life, untreated mental/chronic illness, and being the target of bullying/social alienation.

I’m not a mental health professional and I’m not qualified to diagnose anyone, I just remember a million watt light bulb going off in my head when I first learned about C-PTSD. It was a huge OH MY FUCKING WORD eureka moment for me—it explained all these problems I was confused and angry at myself for having. The symptoms that really stood out to me were:

Negative self-perception: deep-seated feelings of shame, guilt, worthlessness, helplessness, and stigma. Feeling like you are different from everyone else, like something is fundamentally ‘bad’ or ‘wrong’ with you.

Emotional avoidance of topics, people, relationships, activities, places, things etc that might cause uncomfortable emotions such as shame, fear, or sadness. Can lead to self-isolation.

Learned helplessness: a pervasive sense of powerlessness, often combined with feelings of desensitization, wherein you gradually stop trying to escape or prevent your own suffering, even when opportunities exist. May manifest as self-neglect or self-sabotage. (I remember watching myself make bad choices and neglect my responsibilities, and having no idea why I was doing it, or how to stop myself. Eventually I just stopped caring, which led to more self-neglect.)

Keep reading

Developmental Trauma Disorder: We Forget—Our Bodies Remember

Anyone who has intimately experienced the current state of psychiatry in the US (notably child psychiatry) can attest to its inefficiency and its potential to do more harm than good. Patients are often issued sets of conflicting diagnoses; BPD, bipolar disorder, PTSD, ADHD and ect. Many of them fail to clarify the true nature of the problem and those who do receive treatment beyond being handed a prescription don’t seem to gain anything from it. Well, guess what?

TIL that in 2009, after years of prospective studies and a letter of support written by mental health commissioners from across the US, the National Child Traumatic Stress Network sent in a formal proposition for Developmental Trauma Disorder to the APA (American Psychiatric Association) to be included in the DSM-V. And guess what? 

It was denied. Just as it took all the way until 1980 to have PTSD accepted as a diagnosis in the wake of a generation of war-time trauma, so too is the notion that dysfunctional responses are the natural consequence of issues occurring during the span of childhood and adolescent development. The APA responded by saying that “no new diagnosis was required to fill a ‘missing diagnostic niche.’” This is of course, in the face of a hard numbers: that one-million children are abused and neglected every year in the US.

There is an incredible amount of evidence to suggest that not only is Childhood Developmental Trauma a Thing, but that without having a proper diagnosis to work from, clinical professionals are finding themselves woefully inept at making any progress with their patients. So you know, if you feel like you’re just “fucked up” and you’re convinced that you were born that way, maybe this can be your first step to realizing that no—you’re not “just” anything. If you were raised in a consistently dysfunctional household, all available research suggests your body internalized that, became hyperaware of threat and caused you to develop accordingly.

You did nothing wrong—it was and continues to be the adults in your life that fail you. You have done nothing but respond to your circumstances in the only way your body knows how.

For those interested in learning more about this, I urge you to read The Body Keeps the Score by Bessel van der Kolk and to look into the research done by Kolk, Perry and other professionals on DTD. Warning to survivors: the book pulls no punches and such, can be very triggering. Tumblr no longer tags anything that includes external links, so I ask that you send me a reply or a message in the event you’d like some actual materials.

Note: I am not a professional in this field, so I urge people with actual credentials to elaborate, because I know ya’ll are out there and you’re just as mad about this shit as I am.

Can you explain what a shell alter is and what their purpose is? /gen

Shell alters are a dissociated system member who is fronting all the time, or almost all the time. They often lack elaboration. Shells work as an interface between the rest of the system & the outside world by never leaving front, and having the rest of the system either blending with them temporariality or being forced into co-consciousness. This serves a few purposes; make the system more covert, mask inter-switch amnesia, blunt or filter out emotions/urges/etc. from the rest of the system, and more. It's uncommon, but there can be multiple shells one system, serving different subroles.

In some cases of OSDD-1a, the shell is the "unified" identity. Think like, if the system is made up of "angry Sarah", "scared Sarah", "work Sarah", etc., that shell would be the "Sarah" identity.

They're most commonly seen in OSDD-1a, but can come up in other forms of multiplicity, like DID, but typically when RAMCOA is in the picture. Although it can be daunting, healing with a shell is possible. You can reached out to them, they can be integrated, they gain more elaboration, etc etc. Whatever healing path works for you.

We don't have a shell, but I'm sure some pwDID/OSDD on this hellsite (affectionate) have talked about their experiences with them more in depth. There isn't a ton of research on them — many sites point to Alison Miller's books, but there's no actual like, raw data, just summations of what's she's found in her practice/case studies — so take that as you will.

Each shell is a different, and different systems may use slightly different definitions. Hopefully this was a good overview. -Aisling

Thank you for running this blog. I was held in troubled teen industry facilities for all of my teenagerhood, and am severely traumatized as a result, and it's been extremely hard to find words to describe what I went through to other systems or to trauma therapists.

It feels "too much", like there's no way this could all have happened to me, and I've been accused of lying about the organized abuse that went on there. Sometimes it feels almost like i AM lying, though I know I'm not.

Although feeling like I have "too much" trauma is something that I have to continue working on personally, I want to say thank you for pointing me in the direction of a framework that I can research and use that fits me more than any other one I've seen before.

I wish that none of us went through the horrors we went through, but I'm glad that there's a community out there and people talking about the things that have affected me. Thank you again for what you do running this blog.

Before anything else — thank you. This is an incredibly kind message and I'm really glad that you could find solace in this blog. I aim to provide resources that may not be (physically or emotionally) acessible otherwise, and highlight lesser-discussed aspects of RAMCOA.

The troubled teen industry is definitely part of the wider picture of organized abuse, and I wish it was put in that context more. Unfortunately, most discussions of RAMCOA focus on early childhood manifestations, and situations primarily focused on adolescents, adults, seniors aren't as referenced. Basically, the older the victim, the less likely it is to be included in definitions of RAMCOA; which is a shame, because those perspectives are crucial. Abusive care homes & inpatient facilities, prisons, and yes, troubled teen facilities are all forms of organized abuse in my mind, but the strong correlation with pedophile rings and cults has... Alienated? Many people from describing their experiences as OA.

I totally understand the feeling of having "too much trauma", and I feel like many survivors in general, not just ones of RAMCOA, can relate to that sentiment. "It's just too unlikely for all these things to have happened," I'll say to myself, "I must be exaggerating." Something that's helped me is the idea that some predators can smell blood in the water, and if all you know is hardship, it's hard to break out of hardship. Experiencing layers of trauma isn't... Rare, and you're not lying about it.

Once again, thank you. If you need any resources specific to the troubled teen industry, let me know. There's not a ton of research on it in the context of RAMCOA like I said, but I'm sure I'll find something of use.

Wishing you a gentle and fulfilling recovery. Aisling

A comic about the spectrum of responses to stress - we talk alot about the more extreme ends of this and trauma, but the more subtle and every day responses can be harder to spot. if we can understand our own and other’s responses better, problems Are easier to confront and blaming is less likely to happen :) hope it’s helpful!!

I have a question, for systems whove never switched before/have someone frontstuck, how do you deal with that? Like how do you get them unfrontstuck? Our host has been frontstuck for two years and we dont know what to do and we’re desperate at this point

here's some resources for switching:

https://plural.systems/posts/switching/

https://www.feathersong.org/plural-howto/feathers-guide-to-fronting-and-switching/

https://gist.github.com/Xe/b97203769acb3dfa761f#malfaels-guide-to-switching

https://write.as/within/switching

https://www.reddit.com/r/Tulpas/comments/1cigb6/selfawarebots_switching_guide/

https://www.reddit.com/r/Tulpas/comments/2f7ysm/guide_so_you_wanna_switch_do_you_really_might_be/

https://www.reddit.com/r/Tulpas/comments/5gaqye/a_quick_switching_practice_selftest_miniguide/

https://www.google.com.au/amp/s/amp.reddit.com/r/plural/comments/gk4a0z/learning_to_switch_voluntarily/

a lot of these are for tulpas, but should still work for any system

Endos / endogenics and why they aren't valid :

We've made posts on this before but we decided it might be good to make one big post to link to for when / if anyone asks again. We tried to cover everything we could in this post but we'll likely be making other posts similar to this later on.

So what are endos? Endos or endogenics are people who claim to have DID/OSDD without trauma or claim to have alters / be a system without having DID/OSDD.

Why is this bad? This is misinformation because as far as science knows DID/OSDD is a trauma based disorder (specifically caused by trauma in early childhood, which is speculated to be 1-9 / 1-12 years old) and your brain would not split / create alters without reason. You cannot have alters without having a disorder, this is common sense as it's not normal to have alters. To add onto this endos also take over our communities and steal our terms. (We'll make a post with further information on that in the future).

There is also a carrd that explains why endos are bad and debunks a few myths if anyone is interested in it! If not continue reading

Why can't you have DID/OSDD or alters without trauma? As far as science knows DID/OSDD is a trauma disorder and in order to have alters in the first place you require dissociation, which is also a trauma response. Here are tons of medically reviewed sources that say this:

“ They suggest that DID is caused by experiencing severe trauma over a long time in childhood. By experiencing trauma in childhood, you take on different identities and behaviours to protect yourself. As you grow up these behaviours become more fully formed until it looks like you have different identities ” — rethink.org

“ Dissociative identity disorder (DID), previously known as multiple personality disorder, is a complex psychological condition caused by many things. These include severe trauma during early childhood (usually extreme, repetitive physical, sexual, or emotional abuse). It's also known as split personality disorder. ” — webMD

“ DID is usually associated with adverse experiences in someone’s past and traumatic memories. ” & “ Dissociation — a major part of DID — is a defense mechanism the body uses to reduce your awareness during overwhelming trauma ” — pysch central

“ DID is associated with long-term exposure to trauma, often chronic traumatic experiences during early childhood. ” & “ Dissociation—or disconnection from one’s sense of self or environment—can be a response to trauma. It can happen during a single-incident, traumatic event (e.g., an assault, a natural disaster, or a motor vehicle accident), or during ongoing trauma (e.g., wartime; chronic childhood abuse). ” — mcleanhospital.org

“ Dissociative disorders often develop as a way to deal with a catastrophic event or with long-term stress, abuse or trauma. This is particularly true if such events take place early in childhood. At this time of life, there are limitations to your ability to fully understand what’s happening. In addition, your coping mechanisms aren’t fully developed and getting support and resources depends on the presence of caring and knowledgeable adults. ” — my.clevelandclinic.org

“ There are many possible causes of dissociative disorders, including previous traumatic experience. ” & “ Switching off from reality is a normal defence mechanism that helps the person cope during a traumatic time. ” — nhs.uk

“ Dissociative identity disorder is the result of a natural way of coping with childhood trauma. Our page on the causes of dissociative disorders has more information. ” & “ Dissociation is a natural response to trauma while it's happening. But some of us may still experience dissociation long after the traumatic event has finished. Past experiences of dissociation during traumatic events may mean that you haven't processed these experiences fully. ” — mind.org (two links since they're two different pages)

“ Dissociative disorders usually start as a way to cope with shocking, distressing or painful events. The disorders most often form in children who go through long-term physical, sexual or emotional abuse. Less often, the disorders form in children who've lived in a home where they went through frightening times or they never knew what to expect. The stress of war or natural disasters also can bring on dissociative disorders. When you go through an event that's too much to handle emotionally, you may feel like you're stepping outside of yourself and seeing the event as if it's happening to another person. Mentally escaping in this way may help you get through a shocking, distressing or painful time. ” — mayoclinic.org

Most of these sources are pretty recent too, with the most recent one being made in September 2023 (webMD)

What about religious beliefs / tuplamacy? First people are not required to believe or participate in your religious beliefs (and religious beliefs are not exempt from criticism) and second tuplamacy is a closed Buddhist practice that has nothing to do with being a system and should not be compared to being a system nor should it be included / involved in system communities. Note that the DSM-V also says that in order to have DID; "The disturbance is not a normal part of a broadly accepted cultural or religious practice." <- this does not mean it's possible to have alters due to a religious thing, if anything it says they cannot be counted as alters / as a system.

To add on, no you cannot pray to be a system or transition into being a system. If you were to pray and one day magically become a system you are either in denial or you've convinced yourself you're something you're not. Believing you can be a system without trauma or that you can become a system by praying is like believing you can get autism from vaccines or drinking too much dairy milk, that's just not how it works.

What about mixed origin systems? Mixed origin systems are not a thing. DID/OSDD forms purely from trauma, you can't form from a mix of trauma and not trauma, that's not how it works. If you identify as mixed origin you are likely in denial and really need to come to terms with the fact that you are either traumatized or you're not a system at all.

What about other kinds of origins? Other origins like "willowgenic" and all that bullshit? Yeah no, same thing as endos, not possible. Look above for all the proof you need, DID/OSDD is only caused by trauma. Traumagenic is the only valid origin.

But I gave myself DID! / But I created my own alters! No you didn't. That isn't possible, you cannot turn yourself into a DID/OSDD system and creating alters is a coping mechanism, not something you do for fun, sources on this;

“ DID Isn't Something You Can Give Yourself on Purpose. Having DID was not a conscious decision those of us with the disorder made when we were children. Dissociative identity disorder is not a selective disorder, meaning you cannot decide that you want to develop this brilliant coping mechanism and then you have it. ” — healthyplace

“ In any case, additional alters are usually the result of extreme stress. The mind does not like to be fractured even when an individual already has DID or OSDD-1. Many individuals cannot split unless a split is strictly necessary for their protection, functioning, or ability to remain hidden as a system. That said, there are exceptions. Some individuals may become so used to using splitting as a coping mechanism that they may split easily in response to seemingly minor stressors. ” — didresearch.org

Isn't being a system like the same as being trans or being LGBTQ? No, many endos compared the two but they are completely different. Being LGBTQ is an identity, it's something you are born as. Being a system is a debilitating disorder caused by severe trauma, it is counted as a disability which is;

“ 'A person has a disability if: They have a physical or mental impairment, and the impairment has a substantial and long-term adverse effect on the person's ability to carry out normal day-to-day activities.' ” — gmc.org

The reason DID would be counted as a disability is that;

“ Having a dissociative disorder can affect your ability to keep a full-time job, especially one with work stresses, which can worsen your symptoms. ” — disabilitysecrets

And the DSM-V criteria literally says;

“ The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning ” — traumadissociation

But the DSM-V says that trauma isn't required! No, the DSM-V actually says CSA isn't required, there are other forms of trauma that don't involve CSA or child abuse. To act as if it saying that the trauma isn't always CSA or child abuse means that it doesn't require trauma at all is extremely invalidating to those who are traumatized in ways that don't involve child abuse or CSA.

But this source claims endos exist / DID doesn't require trauma! Most of those sources are extremely old and / or made by endos (or pro endos) themselves. (We'll make a more in-depth post on this topic some other time, but for now this is all we have to say on it)

But we don't know everything about the human brain! You're right, we don't. The brain is mysterious, but we do know enough to know that it doesn't do these kinds of things for no reason. We know the brain reacts to trauma and we know what the difference between a normal brain and a disordered brain is. Just because we don't know everything doesn't give people an excuse to jump to conclusions and spread misinformation. It is better to stick to what science currently knows which is the theory of structural dissociation, which is the current theory about how DID/OSDD forms, and so far no one has been able to disprove it. And before someone says it, no it is not only a theory, it is a scientific theory which is;

“ A theory is a well-substantiated explanation of an aspect of the natural world that can incorporate laws, hypotheses and facts. The theory of gravitation, for instance, explains why apples fall from trees and astronauts float in space. Similarly, the theory of evolution explains why so many plants and animals—some very similar and some very different—exist on Earth now and in the past, as revealed by the fossil record. ” — amnh.org

And to add on;

“ Scientists develop theories to explain the natural world and to advance scientific knowledge. A theory is the highest level of explanation in science. Some features of scientific theories are that they: have been thoroughly tested over an extended period, provide accurate explanations and, predictions for a wide range of phenomena, are widely accepted by the scientific community, demonstrate strong experimental and observational support ” — study.com

safety planning resources

A safety plan is a personalized, practical plan to improve your safety while experiencing abuse, preparing to leave an abusive situation, or after you leave. This plan includes vital information tailored to your unique situation and will help you prepare for and respond to different scenarios suited to your individual circumstances. Including creating an emergency escape plan if you need to escape a violent situation, making your current circumstances safer, making sure your loved ones are safe, etc.

It can be hard to think clearly or make logical decisions during moments of crisis. Having a safety plan laid out in advance can help you protect yourself and others in high-stress situations. (hotline website). Safety planning is a top priority, whether you choose to remain in the home or leave. Making a safety plan involves identifying actions to increase your safety and that of your children. (Western centre for research and education on violence against women and children)

without further ado, here are a list of resources I’ve found especially useful. most of this is not specific to any particular location, although they do come from location specific resources so some parts of the resources may need to be adapted to your particular geographical/sociopolitical location (e.g., legal stuff like laws around bringing children with you, resources like shelters or hotline numbers). but the overall idea should be somewhat consistent.

resources list:

the toronto police victims services website actually had some great resources on safety planning.

complete victim services booklet (pdf)

how to access your safety (pdf)

planning for your children’s safety (pdf)

plan for safety leaving (pdf)

what to take with you when you leave (pdf)

what to put in your go bag (pdf)

plan your safety inside your home (pdf)

plan your safety outside (pdf)

Our Safety Planning Booklet is available in the following translations: Chinese | English | French | Hungarian | Japanese | Korean | Polish | Portugese | Spanish | Tagalog. To receive a copy of the translated Safety Planning Booklet, please contact our crisis counsellors by telephone 416-808-7066 to receive a copy via email or regular mail.

interactive guide to safety planning from the us’ national domestic violence hotline.

safety planning app (canada only)

how to plan for your safety (Canadian government, widely applicable)

the ones above are the ones i found the most useful personally. however, i’d like to add to this resource by providing more that are more location/language/need specific for folks, so i’ll try to come back to this and keep adding to it. if you have any others to add, please do.

women’s aid (uk resource, widely applicable advice)

australia, northside pdf

safety planning booklet (australia, pdf)

safety planning booklet (South Africa, pdf)

Human Bill of Rights

GUIDELINES FOR FAIRNESS AND INTIMACY

1. I have the right to be treated with respect.

2. I have the right to say no.

3. I have the right to make mistakes.

4. I have the right to reject unsolicited advice or feedback.

5. I have the right to negotiate for change.

6. I have the right to change my mind or my plans.

7. I have a right to change my circumstances or course of action.

8. I have the right to have my own feelings, beliefs, opinions, preferences, etc.

9. I have the right to protest sarcasm, destructive criticism, or unfair treatment.

10. I have a right to feel angry and to express it non-abusively.

11. I have a right to refuse to take responsibility for anyone else's problems.

12. I have a right to refuse to take responsibility for anyone's bad behavior.

13. I have a right to feel ambivalent and to occasionally be inconsistent.

14. I have a right to play, waste time and not always be productive.

15. I have a right to occasionally be childlike and immature.

16. I have a right to complain about life's unfairness and injustices.

17. I have a right to occasionally be irrational in safe ways.

18. I have a right to seek healthy and mutually supportive relationships.

19. I have a right to ask for a modicum of help and emotional support.

20. I have a right to complain and verbally ventilate in moderation.

21. I have a right to grow, evolve and prosper.

http://www.pete-walker.com/humanBillofRights.htm

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.