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I lost the posts we wanted to respond to, but I think I remember what we were gonna say
🗝️🏷️ RAMCOA with vague examples, syscourse?
From what we’ve read, it seems like Complex refers to the specific disorder’s criteria. C-PTSD is PTSD with a different presentation; in this case, multiple/prolonged trauma causes difficulty tracing symptoms in the same ways as other PTSD cases. C-DID is DID with a different presentation; here it’s more intricate mechanisms that lead treatment down another path. Even CDD, which is dissociation into self-states instead of one dissociating self-state. The C just means that thing, plus some extra. There are going to be cases where a Complex patient is actually more simple to care for than a non-Complex patient — it’s just a matter of narrowing it down with more criteria.
As far as I know, there are no other communities that use Highly Complex as a label. It’s a specific word to whittle down the topic even further; C-DID but with more specifiers. For HC-DID, the specifiers are programming and structuring. Every human who experienced programming and lived is a RAMCOA survivor. Not every RAMCOA survivor considers themself a HC-DID system. Some survivors didn’t form systems at all. Others don’t think their system qualifies. Maybe people just don’t want to identify themselves this way. Even if it were a medical diagnosis — it’s not — forcing people to use labels they don’t want is rude at best.
RAMCOA stands for Ritual Abuse, Mind Control, Organized Abuse. Surviving any of those is enough to belong in the community.
Ritual Abuse - maltreatment (of anyone) including ceremonies or traditions. It can be anything from religious sacrifice to underage marriage.
Mind Control - manipulation of psychological processes. I genuinely don’t know if there has to be negative intent or a specific plan from the abuser to qualify, but even targeted McDonald’s ads make use of mind control (probably not abusively, I’ve never looked into that).
Organized Abuse - maltreatment that involves multiple perpetrators collaborating in their perpetration. If two people meet at a bar and then hurt a child together, that’s enough. It can be elaborate groups like churches or criminal groups, but the only requirement is more than one perp.
It can be one or a mix of any, but it’s still RAMCOA. Usually, the DID community uses RAMCOA to talk about surviving programming (Trauma-Based Mind Control for the purpose of creating a system), and we label our systems Highly Complex.
To be Highly Complex, survivors are usually closest to C-DID. But wait, there’s more!
HC-DID systems also receive:
Programming - I only know of TBMC being used to split off dissociative alters, but I’d budge on that if someone knew otherwise. Abusers control the child (body) by causing calculated suffering until they get the results they want. Perps split off alters with goals in mind for them, and continue to break them until they fit the desires of the abusers. This control extends to every other aspect of HC-DID, and is the reason another label exists at all.
Layers - different dimensions of innerworld. Sometimes this looks like literal other realms inside, but it could also be like floors of a building or planets or other separate worlds. Layers are often assigned a name or cue that allows outsiders to maneuver a system’s landscape from the external world. Perps don’t go in as much as they bring out, by assigned alter or other cued manipulations.
Subsystems - alters with alters, except also programmed. Cues are assigned to each subsystem alter as well, usually related to the subsystem as a collective. Just like programmed singlet alters, subsystems can be arranged by outsiders for memories, tasks, etc.
Sidesystems - kind of multiple systems within the metasystem. Groups might be contained in a separate innerworld pocket, unwilling to communicate with other alters, or otherwise unreachable in the same way other groups are. These sidesystems usually have a collective task, or function as a whole other system in the body. Details of what they do and why are also conditioned.
Programs - conditioning attached to cues. Programs might force amnesia, give body memories, set off chains of tasks, or any other typical or atypical system capability. Programs might be perceived as wires and buttons, or files, or whatever else programmers decide.
Not all HC-DID systems will have the same level of programming. Not all programmed systems will be more “complex” that other systems. Having a term to describe our unique experiences helps a lot of survivors to feel understood, especially if they’re already open about their past.
RAMCOA survivors are kept in a strange position online and irl. We’re used as examples of “unimaginable trauma” and “extreme abuse”, but are largely told to sit down and shut up; we’re too dangerous to speak up about what was done to us, too unbelievable, or too much at all. Finding help is a nightmare, sucks butt for everyone involved, and is fairly necessary for long term recovery. Like many systems, we beat the odds time and time again to call ourselves “survivors” instead of “victims”. Like many systems, we are rejected by most of society. Unlike most systems, we are a secret within system communities.
Being Complex is not being special, it’s just a haughty way to say there are extra requirements. Recovery for many systems is already a stretch. For HC-DID systems, we are healing the impossible.