[HN Gopher] "Multiple personality disorder" probably doesn't exist
       ___________________________________________________________________
        
       "Multiple personality disorder" probably doesn't exist
        
       Author : paulpauper
       Score  : 95 points
       Date   : 2022-04-22 21:17 UTC (1 days ago)
        
 (HTM) web link (freddiedeboer.substack.com)
 (TXT) w3m dump (freddiedeboer.substack.com)
        
       | kixiQu wrote:
       | https://en.wikipedia.org/wiki/Scrupulosity <-- Cultural influence
       | of religious faith has always shaped how what-we-would-now-
       | definitely-class-as-mental-disorders look, too.
       | 
       | Reminds me of the discussions about young women presenting with
       | tics clearly influenced by particular Tourette's influencers. A
       | person would definitely not have had those symptoms in those ways
       | if they weren't seeing that content ("fake" rather than simply
       | innate), but can still be experiencing the root of it all as real
       | compulsions and anxiety... but can _then_ also seek attention w
       | /r/t the whole thing, play up their experiences, etc. It's not
       | actually useful to put "real" and "fake" binary labels on
       | everything, because brains are complicated, society is
       | complicated, and brains in society, well.
       | 
       | I am not an expert but have enough, uh, relevant medical
       | histories in my life and my family that I feel pretty confident
       | in the following: trying to draw a bright line between "serious
       | and pathological" and "just get over yourself", whether in
       | physical _or_ mental health, is an exercise based in wanting to
       | bestow or deny validation, _not_ in pragmatic utility or
       | fundamental nature. Debating how that line should be drawn is
       | maybe helpful in terms of navigating US insurance billing, but
       | rarely reflects Deep Essential Truth in the way people hope it
       | will.
       | 
       | Staying _flexible_ in your thinking is really useful to actually
       | figuring out how to best treat yourself and others, especially
       | where people tend to consider their loci of control way too far
       | inside or outside themselves.
        
         | frereubu wrote:
         | This is a great article on the Tourette's influencers scene,
         | which I had no idea existed:
         | https://www.theatlantic.com/ideas/archive/2022/02/social-med...
        
       | moth-fuzz wrote:
       | This article is chock full of cynicism with no actual factual
       | reasoning. Deeply reactionary and without any actual point. A
       | polemic, at best. Need I count the number of references to
       | tumblr, tiktok, social media memes, dyed-hair left-leaning
       | millennials with quirky personalities? All that self-
       | victimization, which is all for the purpose of, let me guess,
       | _attention_? You 're the one writing articles on the internet, my
       | man.
       | 
       | The best _evidence_ this article can come up with is equally
       | polemic articles and a hand-picked troupe of social media teens.
       | Selection bias at its finest.
       | 
       | Is this as tiring for anyone else as it is for me?
       | 
       | Note the top comments saying the same things about homosexuality
       | and transgenderism, of course.
        
       | [deleted]
        
       | tus666 wrote:
       | > DID is often presented as a kind of get-of-accountability-free
       | card, as someone who claims to have it can always say that past
       | bad behavior was caused by another personality and is thus not
       | their responsibility.
       | 
       | Isn't that basically mental illness in general?
       | 
       | > fabrications shaped by therapists who insist that traumatic
       | events must have happened
       | 
       | It seems that the idea of trauma (especially childhood) itself
       | remains highly controversial in psychiatry.
       | 
       | Why? There appears to be this nexus or intersection between
       | personally responsibility in the legal/social context and our
       | willingness to acknowledge the affects of trauma.
       | 
       | The connection between psychiatry and the demands of the legal
       | system are probably underappreciated.
        
         | TedDoesntTalk wrote:
         | > Isn't that basically mental illness in general?
         | 
         | I'm puzzled by this question. Are you suggesting that all
         | mental illness allows the one suffering to abdicate "past bad
         | behavior"?
        
       | pgcj_poster wrote:
       | Brains are networks. Our concept of a unified "self" is illusory
       | and collapses when subjected to any serious philosophical
       | scrutiny. If some people prefer to conceptualize themselves as
       | multiple entities sharing a body, that's no less accurate than
       | the useful fiction that, for instance, we remain the same person
       | throughout our lives. I agree that most people who identify this
       | way can't accurately be described as having a mental disorder --
       | because there's nothing wrong with it. It's true that you
       | shouldn't revel in your mental dysfunction or let your identity
       | distract you from your real problems. However, there's no reason
       | why people can't have a plural identity and choose not do those
       | thing.
       | 
       | The kids are alright.
        
       | 3243thwall wrote:
       | This is a complicated topic that resurfaces from time to time in
       | the psychiatric literature. These types of arguments tend to take
       | the presentation of people meeting criteria for DID at face
       | value, and then argue that it doesn't exist, which is sort of
       | beside the point.
       | 
       | No one (or few in the field) really believe that people meeting
       | criteria for DID have independent identities in the sense of
       | having different psychological entities in the same body, with
       | different memory systems, personalities, and so forth. It's a
       | strawman argument.
       | 
       | Even DID researchers point this out, but it tends to get ignored
       | by individuals writing pieces like this.
       | 
       | The truth is, there are patients who present with symptoms of
       | DID, as is the case with other dissociative and related
       | disorders. They are almost certainly "fake" at some level, but
       | the phenomenon of presenting with neurophysically implausible
       | symptoms nonetheless exists, and has its own set of issues. It's
       | sort of akin to psychopathy and lying: a psychopath might lie,
       | but you don't say that predatory dishonesty isn't a problem
       | because what they say isn't true. In the same way, someone
       | presenting with dissociative symptoms is doing the thing they're
       | doing, and it deserves some sort of distinct label.
       | 
       | Contrary to what the poster has written, longitudinal and chart
       | review studies do show that people with DID have sexual abuse
       | histories at higher rates than other types of patients, like
       | close to 80% of cases. And contrary to stereotype, the typical
       | DID patient is rather shy and avoidant of attention.
       | 
       | I guess it's odd to me in some ways because while it was
       | important to try to determine whether or not people presenting
       | with alternate identities really have "neurocognitively separate
       | selves", finding that they don't doesn't mean you should write
       | off the idea that there is _something_ qualitatively different
       | about the sets of problems involved when someone does do this
       | sort of thing. You could relabel it , which might be fine, but
       | this area is already full of controversy (should we open the can
       | of worms of somatic symptom disorder, for example?).
        
         | captainmuon wrote:
         | So it is like that there is an ICD code for lycantropy - that
         | doesn't mean the patients actually turn into werewolves, but
         | that they delusionally believe they do.
        
       | jollybean wrote:
       | His bits about 'the left' are poorly articulated, and mostly of
       | wrong.
       | 
       | But he's correct to ruminate that we live in an age whereupon
       | everything can be considered an issue of 'identity' to the extent
       | that it's some kind of intrinsic, principal orientation of
       | personae. Coupled with the fact that challenges to 'identity' can
       | be considered 'hate crimes' (I'm not being hyperbole, this is the
       | legal situation in many places) - and you have a problem.
       | 
       | We used to have 'Hippies', 'Punks', 'Goths', and even 'national'
       | and 'religious' identities - but most of those were forms of
       | expression, perhaps 'important' but never really intrinsic.
       | 
       | We've taken it to a new level entirely and it's a rapidly
       | expanding social problem.
        
       | a_shovel wrote:
       | That paragraph starting "People pretend that this never happened"
       | is a jewel of dishonest writing. The author never specifies any
       | particular piece of "woke insanity" that it applies to, so the
       | author isn't responsible for anything any particular reader takes
       | away from it. Furthermore, leftists can't refute it because it
       | doesn't, technically, make any specific claims about any specific
       | thing that happened in real life. It's just vibes, and you can't
       | argue against vibes.
        
       | bnralt wrote:
       | I think a lot of people mistakenly believe "multiple personality
       | disorder" (DID) is real because there are people who believe they
       | have it and act accordingly.
       | 
       | There's a lot of evidence that cases for it are iatrogenic - that
       | is to say, caused by the psychologist (and I suppose now, by
       | social media). This lead to multiple lawsuits by patients who had
       | spent years being convinced that they had DID and repressed
       | memories (DID is usually linked to the also controversial idea of
       | repressed memories by psychologists). See this New York Times
       | article[1] from a few decades ago that talks about it more. You
       | can Google "multiple personality disorder lawsuit" to see many
       | more such cases. You see a lot of cases where bad psychology
       | destroyed lives.
       | 
       | And the history of DID has always been _very_ questionable. If
       | DID was a naturally occurring disorder, and one that's
       | particularly noticeable, it's striking that (as far as I can
       | tell) no one saw cases of it until very recently. Two cases and
       | their dramatizations - that of Chris Costener Sizemore ("Eve")
       | and Shirley Ardell Mason ("Sybil") - in particular where
       | responsible for cementing it in the public's imagination, and
       | leading to an enormous uptick in the diagnosis. If you look into
       | those cases, you see that it's highly likely that they were
       | iatrogenic - the patients weren't showing signs of DID, but he
       | attention seeking psychiatrists "discovered" alternate
       | personalities during their sessions using questionable techniques
       | like hypnosis, and then used this to get rich and famous.
       | 
       | [1] https://www.nytimes.com/1997/11/06/us/memory-therapy-
       | leads-t...
        
         | babyshake wrote:
         | I'd suggest people mostly believe in DID and often confuse it
         | with schizophrenia because multiple personalities is an often
         | used trope in fiction. The Marvel show Moon Knight being one
         | current example that comes to mind.
        
       | Barrin92 wrote:
       | Yet another entry in the emerging genre of making an entirely
       | uncontroversial point (criticizing people for glorifying and
       | faking mental illness for attention), followed by the second half
       | which is the author complaining about how everyone silences him
       | for saying brave truths.
       | 
       | Much better than false victimhood due do fake mental illness to
       | get clicks on tiktok is of course false victimhood due to fake
       | controversial journalism on substack.
        
         | naravara wrote:
         | > Yet another entry in the emerging genre of making an entirely
         | uncontroversial point (criticizing people for glorifying and
         | faking mental illness for attention), followed by the second
         | half which is the author complaining about how everyone
         | silences him for saying brave truths.
         | 
         | To be fair, Freddie De Boer basically pioneered this genre
         | outside right wing culture warriors.
         | 
         | I suspect he knowingly does it because he's aware it gets him
         | more clicks and engagement than if he just produced his content
         | straight. That culture war hook is catnip for "the algorithm."
         | 
         | It's a shame because I do find him to be an incisive writer on
         | the core points he's trying to make, but the side dish of
         | outrage bait he serves up with every entree gets tiresome fast.
        
         | rossdavidh wrote:
         | I don't know if I totally agree but I definitely felt,
         | somewhere around the halfway point, something along the lines
         | of "whoa it felt like we were making some good points here but
         | not it feels like we've gone into angry rant mode".
        
       | reilly3000 wrote:
       | The phenomenon of mental illness & trauma-based clout is
       | intriguing and I don't really understand it. Certainly a
       | conservative trope for the balance of my life has been one of
       | victimhood, from the notion of a persecuted majority to the
       | plight of small business ownership. If it's a liberal trope to be
       | victim of one's genetic makeup and life experiences the logical
       | conclusion is that one shouldn't feel remorse for not meeting
       | societal expectations. I resonate with that, but am also
       | concerned that the victim's mindset ends up being self-limiting.
       | 
       | We really celebrate the stories of those who have overcome
       | adversity, and oftentimes invest a lot of energy and resources
       | into removing sources of adversity, clearing the way for others.
       | If adversity engenders strength, why try to remove it?
       | Alternatively if it simply expends strength and reduces human
       | potential, why celebrate it?
       | 
       | I have no opinion on the matter, but I'd love more information.
       | I'd also love philosophical perspectives around these topics.
       | Please share if you have them.
       | 
       | On the point of TikTok self-diagnosis being popular, I've
       | certainly observed that. However it's not limited to one
       | political group as the author suggests. The platform and its
       | algorithm have been really affecting at exposing affine groups,
       | without explicitly labeling them. For everyone who walks away
       | with a dubious self-diagnoses, I believe there are ten who have
       | found support, validation, and resources for their very real
       | conditions. That doesn't get media attention. It's just like the
       | fact that billions of dollars worth of person-to-person
       | transactions happen through Craigslist every year, yet only the
       | times where violence take place dominate it's narrative.
       | 
       | Teens behave in unpredictable ways and this is a novel time when
       | the aggregate of their activities are on full view to the world.
       | They will inevitably grow and evolve. I'm not going along with
       | any doomsayers about what is happening with teens on TikTok; it's
       | all temporal and portends nothing in particular.
        
         | pessimizer wrote:
         | > The phenomenon of mental illness & trauma-based clout is
         | intriguing and I don't really understand it.
         | 
         | The original sin is the convention that punishment for crimes
         | shouldn't be determined by the type of crime and the guilt of
         | the defendant. Instead, it's normal to start with that to get a
         | guideline, then choose from within that guideline based
         | decisively on the degree of empathy and pity that the judge
         | and/or jury feel for the defendant. This is done by selling the
         | defendant as disadvantaged.
         | 
         | But selling the defendant as _materially_ disadvantaged has a
         | drawback: as the individuals who make up the court are drawn
         | from extremely advantaged classes, and claims of material
         | disadvantage make them feel bad about themselves. They
         | generally need to hold the view that all material disadvantage
         | can be overcome by will, having that will (to overcome material
         | disadvantage) thereby becomes a moral standard, and lacking
         | that will becomes a second justification for punishment. A dog
         | can resist food when it is starving if you hit it enough, so
         | punishment actually becomes therapeutic.
         | 
         | With the rise of the concept of psychology and mass
         | medicalization of normal human ranges of behavior, sentencing
         | couldn't help but become a ritual where the defense tries to
         | sell the defendant as _mentally_ unhealthy and pitiable. In
         | other words, someone _physically incapable_ of generating the
         | will that punishment should give them.
         | 
         | Punishment in the justice system is ostensibly a process for
         | deciding on the disposition of people who have committed acts
         | considered wrong. If the anxiety, sadness, or mental
         | instability etc. of the person committing these acts results in
         | _less_ punishment for being wrong, the obvious conclusion to be
         | drawn is that mental illness and disadvantage makes you
         | _righter_ or _more correct_. Hypothetically, the person with
         | the perfect combination of illness and disadvantage is _never_
         | wrong.
         | 
         | Which IMO is why we have an culture of opposing mobs being led
         | by people with severe cluster B personality disorders, and
         | people who admire those people also developing these disorders
         | by imitation. It's why when you get called out for molesting
         | tweens, you come out as gay, or why when the twitter mob comes
         | for you for a racist joke you made, you release an essay about
         | being molested as a child and describe the therapy you're about
         | to go into.
         | 
         | Everybody wants to be weak, because the weakest are the
         | rightest. The problem is that these people aren't actually weak
         | (because performance of weakness is part of social climbing),
         | and the loudest are active crybullies. Actually weak people are
         | still voiceless and ignored. The US is spending _less_ on
         | mental illness. The US has a _weaker_ safety net.
        
         | drewcoo wrote:
         | > We really celebrate the stories of those who have overcome
         | adversity
         | 
         | Or maybe, like Mother Theresa, we value suffering.
         | 
         | https://ivarfjeld.com/2013/03/04/mother-teresa-no-saint-but-...
        
       | betwixthewires wrote:
       | Good luck making any headway trying to talk about things like
       | this by using reason. These people and their enablers don't care
       | about reason, they'll just accuse you of "denying their lived
       | experience" or some other such meaningless string of words. Any
       | attempt to actually help them, as opposed to nodding in firm
       | agreement, is going to be met as if it is an act of aggression.
       | They don't want help because they know they don't need help, not
       | the kind they say they need anyway. They want affirmation. The
       | best thing you can do is just live your life as if they don't
       | matter, mock them whenever you feel like it, and let them destroy
       | their lives, which they inevitably will. That may be cold, but
       | you can take a horse to water...
        
         | pessimizer wrote:
         | When you derive all of your self-worth from a disadvantaged
         | identity, attacking that identity is akin to attempting murder.
         | 
         | This is different from people with actual disadvantages who
         | have spend enormous effort to hide and to hopefully overcome
         | them, not to broadcast them. Broadcasting weakness is not
         | something that animals do except to avoid imminent and
         | overwhelming attack.
         | 
         | My upset is when people who actually disadvantaged get caught
         | up in this rhetoric and ideology. When the heat gets too hot
         | for the fakers, they'll move on to the next thing, leaving the
         | people with real problems behind.
        
       | chasing wrote:
       | Mildly interesting article until he starts whining about
       | "lefties" and straw-manning what he thinks their reactions to all
       | of this will be.
       | 
       | To which: No. Humoring people who make up mental disorders for
       | social media clout is not "woke." "Woke" is being aware that
       | people with mental disorders exist and that our society should be
       | accepting and inclusive.
        
       | ZeroGravitas wrote:
       | When it all goes political at the end, what exactly does the
       | author think happened in colleges. He uses the word 'woke' as if
       | a horrible plague struck.
       | 
       | Maybe, I'm just sheltered, and civilization did collapse at some
       | point in the last decade, so can someone point to a summary of
       | what people in his bubble think happened?
       | 
       | > The specific way that lefties will dismiss this problem will be
       | to say, hey, who cares, it's just adolescents on TikTok. They
       | won't affirmatively say that it's good that thousands of
       | teenagers claim to have spontaneously developed an extremely rare
       | and very punishing mental illness, because that's stupid, so
       | they'll say it just doesn't matter, and really it's weird that
       | you're paying attention to this. I've already established why I
       | care - I believe that this behavior, and the broader suite of
       | 21st century progressive attitudes towards mental health, are
       | doing immense damage to vulnerable young people. But also we've
       | seen this movie before.
       | 
       | > People pretend that this never happened, now, but in the early
       | and mid-2010s, the stock lefty response to woke insanity at
       | college was not to say that the kids were right and their
       | politics were good. That was a rarely-encountered defense. No,
       | the sneering and haughty response to complaints about, say,
       | incredibly broad trigger warning policies that would effectively
       | give students the option to skip any material they wanted to was,
       | "hey, it's just college! They're crazy kids, who cares? Why are
       | you paying so much attention?" Of course, first it was just elite
       | liberal arts colleges, tiny little places, who cares about what
       | happens there. And then it was just college. And then it was just
       | college and Tumblr, and then college and Tumblr and Twitter, and
       | then it was media and the arts, and then all the think tanks and
       | nonprofits, and when it had reached a certain saturation point
       | the defense changed: now it was good. Just like that, overnight,
       | the "it doesn't matter if that's happening" sneering defense
       | switched to the "yes that's happening and it's good that is's
       | happening" sneering defense. From an argument of irrelevancy to
       | an argument of affirmation in no time at all, and absolutely no
       | acknowledgment that what they were dismissing as meaningless the
       | day before they were now defending on the merits.
        
         | md2020 wrote:
         | HN just had an article on the front page yesterday talking
         | about how Google Docs will now suggest you not use words like
         | "motherboard" and "landlord", and instead use more "inclusive"
         | language. This stuff has literally gone from "it's just college
         | kids" to "it's just Google". And please, no "you can just build
         | your own Google Docs" responses.
        
           | ZeroGravitas wrote:
           | Here's someone making fun of people who get upset about this
           | kind of language evolution, written in 1985 and clearly
           | exasperated from reading the kind of nonsense for years
           | before that:
           | 
           | https://www.cs.virginia.edu/~evans/cs655/readings/purity.htm.
           | ..
           | 
           | So it seems unlikely that 'leftists' in 2010 were saying
           | "gender neutral language" was just students being idiots.
        
           | newsycom wrote:
           | cracker
        
         | User23 wrote:
         | It's funny that you're ruffling feathers stating the obvious.
         | Also I infer from your username that you're probably quite left
         | leaning politically.
        
         | rectang wrote:
         | deBoer is a partisan providing raw meat to a partisan audience.
         | If you're on his side the style of showering contempt on your
         | adversaries is thrilling, if you're on the other side it's
         | grating.
         | 
         | Such articles usually get flagged sooner or later.
        
       | jzellis wrote:
       | Next you're going to tell me supersoldier serum and horny
       | sentient planets aren't real either, you monster
        
         | johnny22 wrote:
         | I can't say I've heard of "horny sentient planets"
        
           | sampo wrote:
           | I think it's a reference to the movie Guardians of the Galaxy
           | 2.
        
       | devwastaken wrote:
       | https://youtu.be/LkeeoKWj2i8
       | 
       | It's dissasociative identity disorder. It's caused due to trauma
       | and we don't particularly know how to treat it or do much about
       | it. One thing to be aware of is that diagnostically there is no
       | way to know "real" from "fake" diagnosis. Anyone can walk into a
       | clinic and say the right things to get whatever diagnosis they
       | want. There are a lot of real cases of did that go untreated
       | largely because how unknown this disorder is to the majority of
       | psychs.
       | 
       | That said I know a number of fakes that treat disorders as fads
       | for attention, they treat it like it's a drama play. The internet
       | makes it too easy for them to have a megaphone.
        
       | vintermann wrote:
       | Self-interpretations can't really be right or wrong. Science
       | can't tell you how you should see yourself.
       | 
       | That said, there are self-interpretations that seem pretty self-
       | destructive, and seeing yourself as having multiple identities
       | seems like one.
        
         | jahewson wrote:
         | Sure they can. There's no shortage of people out there carrying
         | around negative perceptions of themselves that are wholly
         | incorrect. The self is a construct and your brain will assemble
         | it out of its experiences.
        
       | User23 wrote:
       | What exactly does it mean for a mental condition to be real or
       | not real? It's often easy enough to determine if a physical
       | phenomenon is actually occurring or illusion, but for a mental
       | one? And while it's tempting to make analogies from physical
       | phenomena to mental ones, it's not even wrong.
        
       | DoreenMichele wrote:
       | The HN title is a really terrible title. (It's a shortened
       | version of a longer title that's not so click bait. )
       | 
       | This isn't really an attempt to assert that Multiple Personality
       | Disorder doesn't exist. It's an attempt to say that there is
       | unhealthy stuff happening in how youth interact via social media
       | and most claiming to have this disorder on social media clearly
       | do not.
        
       | [deleted]
        
       | Trasmatta wrote:
       | See also: Internal Family Systems. It's a form of therapy that
       | considers all of us has having many different discrete "parts".
       | 
       | I recently started IFS therapy and have been having success with
       | it. I'm not sure how literally I take the "parts" (I think they
       | may be much less "solid" and more transient than IFS claims), but
       | it seems to be a really interesting and helpful way to approach
       | your own mind.
       | 
       | https://en.wikipedia.org/wiki/Internal_Family_Systems_Model
        
         | ComradePhil wrote:
         | Are you working with an IFS therapist or are you using Pete
         | Gerlach's online self-help course? Has anyone had success with
         | Pete Gerlach's course?
        
           | Trasmatta wrote:
           | I'm working with an IFS therapist. I haven't used that
           | course. I am also reading Jay Earley's "Self-Therapy" book in
           | conjunction, and that's been helpful.
        
         | sshine wrote:
         | I'll second this recommendation.
         | 
         | I personally interpret the "parts" quite literally, but what's
         | most interesting is:
         | 
         | You can make most people say that "a part of them wants X,
         | while another part of them wants Y" without having swollowed
         | any metaphysics. It's like the ability to address the ambiguity
         | of one's mind, without needing to admit that it is
         | fundamentally fractured, is a language that many will eagerly
         | adapt to.
         | 
         | And yes, IFS also makes the claim that "multiple personality
         | disorder" isn't.
         | 
         | Here's a website that tries to explain what it's like to
         | embrace the plurality of one's being:
         | 
         | https://morethanone.info/
        
           | cptcobalt wrote:
           | > Here's a website that tries to explain what it's like to
           | embrace the plurality of one's being
           | 
           | I'm not sure if the content matches your description of the
           | site, or your description is ambiguous, or...there's work to
           | be done in the reader's mind to understand your point than
           | you articulated.
           | 
           | Specifically, I don't think that conflicting desires or
           | emotions in people inherently equates to plurality in "one's
           | being", but this site immediately jumps off from the
           | perspective that you are communicating with a collective
           | person. So, my take away is that your point is that
           | _everyone_ is plural?
           | 
           | > It's like the ability to address the ambiguity of one's
           | mind, without needing to admit that it is fundamentally
           | fractured
           | 
           | I still also don't think that ambiguity or admitting that
           | your mind is "fundamentally fractured" immediately equates to
           | plurality?
           | 
           | Maybe I'm missing some nuance here?
        
         | cptcobalt wrote:
         | I've been in IFS therapy for a bit.
         | 
         | I agree have a similar experience as you, I think. I don't take
         | the "parts" too literally--and it was deeply uncomfortable to
         | think about myself that way in the first few sessions while
         | working on, well, the presenting issues. I adjusted and got
         | more comfortable with it over time, and just see it as an
         | easier way to have more precise communication (and also some
         | internal introspection) in the frame of therapy.
         | 
         | It feels like an applied irl Inside Out:
         | https://en.wikipedia.org/wiki/Inside_Out_(2015_film)
        
         | pmoriarty wrote:
         | For a Jungian look at this see _" Subpersonalities"_[1] by John
         | Rowan.
         | 
         | For a more recent take, see _" Your Symphony of Selves"_[2] by
         | James Fadiman.
         | 
         | [1] - https://www.amazon.com/Subpersonalities-People-Inside-
         | John-R...
         | 
         | [2] - https://www.amazon.com/Your-Symphony-Selves-Discover-
         | Underst...
        
         | moth-fuzz wrote:
         | The thing about DID and IFS is the underlying recognition that
         | _most_ people have parts, sometimes dissociated (as is the case
         | with BPD, for example, and other dissociative disorders), and
         | that this is part of normal human psychology. The crux of it is
         | that this is simply one of the fundamental tools our brains has
         | to use in response to trauma. The whole _disorder_ part of
         | dissociative identity disorder is when it becomes a problem
         | that impedes healthy functioning. Just like we all have
         | anxiety, it 's there to protect us and warn us of potential
         | dangers, but an anxiety _disorder_ is when the anxiety is no
         | longer helpful, damaging, even.
        
         | spython wrote:
         | I too have had good experience with IFS, and I think from the
         | point of view of IFS the less 'solid' and more transient the
         | parts are, the better. The traditional 'multiple personality
         | disorder' are then excessively rigid parts that block each
         | other.
         | 
         | I do enjoy asking my friends how old they feel just in the
         | moment when they talk about something benign bothering them.
         | Most of the time people are able to pinpoint the age from which
         | they speak. E.g. they had a situation that reminded them of
         | some injustice they experienced when they were 6, and so they
         | traveled the affect bridge back to the behaviours and attitudes
         | they had at 6. Of course a six year old can't solve it, but
         | just remembering that they are older and more capable now can
         | bring back the 'adult' parts that can find a solution.
        
       | MaxLeiter wrote:
       | I found the intro on multiple personality disorder and tiktok
       | interesting, but the article is really about politics, which
       | isn't reflected in the title. I lost interest when he mentioned
       | leftists
        
         | rob_c wrote:
         | Trying to replay a-politically (with the knowledge that nothing
         | happens in a political vacuum in reality).
         | 
         | It can be successfully argued that the political left have
         | adopted the drama and status of victimhood in a way that hasn't
         | been done before in mainstream politics and given the strong
         | correlation between political affiliation and age I think it's
         | a concerning edge to the topic of mental health, or perception
         | there of. The right is also capitalising very late on this
         | claiming that marxist censorship by private entities is akin to
         | victimisation so the whole arena is now filled with it :(
         | 
         | Not saying you're wrong for tuning out the article certainly is
         | a little rambly.
        
           | pessimizer wrote:
           | The right has always capitalized on a self-perception of
           | victimhood, above almost all other things other than common
           | religious beliefs.
           | 
           | The left have generally actually been victims, or have
           | advocated for victims. But then there's the privileged
           | wealthy middle-class suburban left, who should rightfully
           | relate to the position of advocate, but instead desperately
           | want to be victims themselves. So they study the victims
           | around them, introspect deeply about what kind of victim they
           | really are, then come out of the closet dressed in their best
           | imitation of that sort of victim. And being privileged, they
           | are indulged.
        
           | naravara wrote:
           | > It can be successfully argued that the political left have
           | adopted the drama and status of victimhood in a way that
           | hasn't been done before in mainstream politics
           | 
           | It absolutely has. The martyr/persecution complex is a
           | central elements of dominionist Christian politics.
        
             | rob_c wrote:
             | I'm fairly sure most of the 'dominionist' christian
             | politics was based on expansionist bigotry, i.e. "lets go
             | beat god into the heathens" and "cold is gods way of
             | telling us we need to burn more protestants".
             | 
             | The modern victimhood isn't based on hiding in attacks,
             | priest holes or being afraid to show your face in public,
             | it's being a screaming matyr to some slight, imagined or
             | not, and demanding the same level of attention for
             | everything from nasty words to really injustice against
             | fellow humans.
             | 
             | Again, I'm not saying either situation is correct, why we
             | can't move past this childish way of viewing the world
             | saddens me, but there is a difference between true
             | oppression and standing up in-front of a crowd and claiming
             | to be oppressed. Yes I am actually using text-book
             | definition of literal oppression here and not some imagined
             | slight of someone against a large group of people who think
             | differently. The latter is akin to me feeling oppressed
             | because I can't find or import the right cheeses/food that
             | I grew up with where I live due to market forces and
             | economics, the former is being told I can't do it because
             | of some prejudice or law. There is and always will be an
             | important difference here.
        
         | tantalor wrote:
         | It's mentioned in the subtitle:
         | 
         | > TikTok culture can be incredibly toxic, but _those on the
         | left refuse to ever condemn it_ for fear of echoing
         | conservatives
        
         | meowface wrote:
         | Fair reaction, but just as an FYI, Freddie deBoer is himself a
         | prominent leftist blogger. So this is kind of an "intra-
         | leftism" dispute. That arguably makes it a little less eye-
         | rolling to read as one might find from a rightist critiquing
         | the left, or vice versa.
        
         | Elof wrote:
         | Closing with people on the other side aren't going to agree
         | with me makes me think this person likes stirring the pot and
         | getting attention, which is one of the things called out as
         | dangerous in their argument. FWIW, I think lots of people self
         | diagnose for attention and I absolutely agree that mental
         | health shouldn't be something we laud (we should normalize it
         | though) even though the author would almost definitely group me
         | with the leftists.
        
       | pnathan wrote:
       | I'm friends with someone who has clinical DID. It is, as near as
       | I can tell, not induced by media, etc, but by extreme and
       | profound trauma.
       | 
       | > The people who have traditionally been treated for DID have
       | suffered, greatly, and not in the cool arty time-to-dye-my-hair-
       | again type of suffering common to social media performance, but
       | actual, painful, pitiable suffering. Those patients who have been
       | diagnosed in the past with the disorder, by doctors, and who have
       | spent years and years dealing with the consequences, are often
       | truly debilitated people, whether the disorder itself is real or
       | not. They require intense therapy, are often medicated with
       | powerful drugs, and are frequently subject to long-term
       | hospitalization. They tend to live broken and pain-filled lives,
       | like most people with serious mental illness.
       | 
       | This is a relatively accurate description of their life. Clinical
       | DID is not cute or something to parade in front of people you
       | don't know.
       | 
       | I have extraordinarily little interest in open DID fora like
       | Reddit, because these fora don't adequately encompass my friends'
       | reality.
        
         | mav88 wrote:
         | Yeah it's horrible. I have had contact with half a dozen people
         | with severe DID because of extreme trauma experienced before
         | the age of four. DeBoer is a great writer and he's dead right
         | about the effects of social media on all this but he is
         | completely wrong about the literature. The so-called Greenbaum
         | Speech, alternatively called "Hypnosis in MPD", is just one
         | example of the consistent body of work out there showing that
         | it is very real.
        
         | pyuser583 wrote:
         | Someone very close to me had a serious mental illness. Nobody
         | has any idea what the illness is. Different doctors give it
         | different names. The same doctors give it different names.
         | 
         | I eat the impression doctors are less worried about the
         | "anatomy" of the illness, and more worried about finding a
         | cure.
         | 
         | If "take these anti-psychotics daily, get 8 hours of sleep a
         | night, and meet weekly with a therapist" prevents symptoms ...
         | they really don't care if it's a psychotic disorder (as opposed
         | to, say, a mood disorder).
         | 
         | Psychology seems to going from a "deep mind" approach to a
         | "shallow mind" approach.
        
           | moonchild wrote:
           | You seem to be implying that this is a bad thing.
           | 
           | Diagnoses and categorisations are all fake, and constructed.
           | The only reason why it's interesting to diagnose is that we
           | may notice similar treatments are helpful for people with
           | similar diagnoses. Diagnosis isn't inherently useful; it's a
           | means to an end.
        
         | CactusOnFire wrote:
         | I dated someone who had it- was beaten heavily during their
         | childhood formative years, and told me that the separation of
         | identities was a means of coping.
         | 
         | It seemed like an extreme emotional compartmentalization which
         | left them with a fractured sense of self.
         | 
         | Some people might say that they could have just been pulling an
         | elaborate hoax on me from a year and a half. But the amount of
         | acting it would have required just to convince me of this
         | without any real reward would have been a sign of even greater
         | emotional problems than even the different personalities.
        
         | thelettere wrote:
         | Dude has exactly zero expertise in the field or experience with
         | this population, and yet he makes these kinds of claims. And
         | all based on an article or two he found.
         | 
         | Pathetic. Almost every psychiatric diagnosis is problematic,
         | and articles questioning any's validity can be dug up. Doesn't
         | mean the emotional/cognitive/behavioral cluster does not exist.
         | 
         | The link between trauma and disassociation is incontrovertible,
         | and DID is merely an extreme version of this. Case reports of
         | it across Western, Middle Eastern and Asian societies across
         | the last 2 centuries show a remarkable degree of consistency in
         | their reports of this, so the idea that this is some kind of
         | passing fake fad is absurd.
         | 
         | The only thing the article adds is a critique of a Tik-tok sub-
         | culture. Color me shocked that this is not a particularly
         | enlightened group - but I guess this is the kind of hard-
         | hitting "journalism" popular Substacks were made for.
        
       | 0xbadcafebee wrote:
       | > I am truly worried for online youth culture, and for that I'll
       | be called a reactionary.
       | 
       | The fastest way to get everyone to ignore you is to preemptively
       | complain of conspiratorial repression by the ignorant. If you
       | have something useful to contribute, do. If people disagree, then
       | retort. But don't sit here moaning about how nobody's going to
       | believe you. Science requires evidence and persistence, not the
       | immediate acceptance of conjecture.
        
       | causality0 wrote:
       | I think quite a few identity-centered mental illnesses might
       | actually be particular delusions, and in some cases we may be
       | grouping people subject to one mental abnormality with others who
       | are under the delusion they have that abnormality. That could
       | explain why certain subsets of people exhibit symptoms which
       | don't match the normal presentation. For example, and anecdotally
       | based on my personal experience, people under the delusion of
       | being transgender get grouped together with people who are
       | actually transgender. The "real" transgender people behave about
       | the same way before and after their transition. They carry
       | themselves like their gender, they talk like it, they react like
       | it, and the biggest change after transitioning is them getting
       | happier. The ones I hypothesize are actually subject to a
       | delusion of being transgender don't act like that. Their
       | personality shifts radically after transitioning and they behave
       | like an exaggerated caricature of their target gender and have a
       | very difficult time navigating small group dynamics of their
       | target gender.
       | 
       | I've seen similar patterns with people whose presentation of
       | disorders like DID and Tourette's Syndrome differ radically from
       | the clinical symptoms but match the pop culture presentation.
        
         | naravara wrote:
         | > The ones I hypothesize are actually subject to a delusion of
         | being transgender don't act like that. Their personality shifts
         | radically after transitioning and they behave like an
         | exaggerated caricature of their target gender and have a very
         | difficult time navigating small group dynamics of their target
         | gender.
         | 
         | If they're on the autism spectrum, though, they'd have trouble
         | navigating small group dynamics regardless so what you're
         | describing could just be a comorbidity.
        
           | zozbot234 wrote:
           | What parent describes seems more akin to gender-related
           | disphoria. There's actually some very real controversy among
           | trans activists as to whether disphoria should be viewed as a
           | necessary condition for trans status, as currently asserted
           | by most in the medical community.
        
         | mjevans wrote:
         | It would be extremely helpful for both groups if there were a
         | test based on philological data that machines could measure. I
         | am fearful of our medical technology and knowledge immaturity,
         | that future generations might look back on as being as bad as
         | leaches.
         | 
         | Both groups need help, but it might be very difficult to get
         | each the correct help so they can live lives they are happy
         | with.
        
         | swatcoder wrote:
         | Alternately, some people face more than one tough challenge in
         | their experience such that their "clinical" presentation is
         | modulated in chaotic ways by all the _other_ shit they deal
         | with.
         | 
         | With all the championing of identifying as this or that, it's
         | easy to forget that identity is reductive and that whole,
         | complicated, multifaceted people are involved.
         | 
         | It's certainly true that there are people who chase delusions,
         | identify with some struggle for attention or to feel included
         | in a community, but your approach of evaluating their "clinical
         | symptoms" (are you a clinician?) probably isn't a very accurate
         | way of spotting them. In fact, it's just really hard to do
         | altogether, let alone from an armchair.
        
         | jollybean wrote:
         | It's perfectly fair to talk bout this issues but I'll challenge
         | a couple of those points:
         | 
         | - I overwhelmingly doubt the notion of some material group of
         | 'fake transgender' people, fully going through transistion, and
         | then 'overacting' their gender as some kind of evidence that
         | they are under 'transgender delusion'.
         | 
         | It's frankly an outrageous statement - even though I'm sure
         | you're just ruminating and don't mean ill - it's almost
         | offensively uninformed.
         | 
         | If you spend 1 hour with a few trans people, that view would be
         | dispelled pretty quickly.
         | 
         | - 'Transgender Delusion' is akin to saying 'gay delusion' and
         | while there should be some space for 'straight talk' to the
         | extent these things may exist, you can imagine what kind of
         | reaction you'd get for calling people who self-identify as gay
         | as 'just deluded'.
         | 
         | - Also problematic in your statement is the notion that 'trans'
         | is a binary thing, often it's not. It's not M->F and F->M with
         | people 'flipping' into other socially normative appearances and
         | behaviours. It's everything in between.
         | 
         | - All of that said, I think it is fair to posit that because
         | gender is softer issue int that most of us have probably more
         | in common than separates by gender, and that it's clearly a bit
         | of a spectrum ... some people have do have 'problems' with
         | their gender identity, and though may not be 'deluded' ...
         | definitely have issues with nailing it down. Combined with the
         | assertive push for protecting identity expression, I think
         | people revel in their confusion. Labels like 'genderqueer' make
         | me think this is a possibility.
         | 
         | - There is a political aspect to this as much as people don't
         | want their to be, and it's really easy for people to assume a
         | 'moniker' as part of their public identity that really isn't
         | part of their core identity. For example, there were agender
         | people in the past of various kinds, more of a creative or
         | artistic statement to 'reject' the notion of gender, less so a
         | material identity.
         | 
         | - Multiple personality 'disorder' is outside the spectrum of
         | gender etc. and the author is a bit off to make it so overtly
         | political, but he's not wrong to point out that we have serious
         | issues in culture with anything that speaks to the level of
         | 'identity'.
        
         | humbugtheman wrote:
         | This is a vast oversimplification of the range of transgender
         | experiences, and the connotation that people "fake" being trans
         | is all too familiar, but misinformed.
        
       | 1MachineElf wrote:
       | Another interesting theory that may be related is given in Julian
       | Jaynes' _The Origin of Consciousness in the Breakdown of the
       | Bicameral Mind_ (1976).
        
       | Foxmilk wrote:
       | I wonder how many of these people are just creating and
       | interacting with tulpas without realizing it.
       | 
       | For anyone who isn't familiar, there is a subculture online of
       | people who create what subjectively seem to be autonomous
       | personalities that frequently manifest I'm the form of
       | hallucinations. Think fight club sort of.
       | 
       | My ex tried it out. Called me one day at work, terrified because
       | this dragon was following him around. He claimed to spend months
       | trying to get rid of it, seems pretty shooken by the experience.
       | But I was always skeptical.
       | 
       | So nine months ago I decided to create one of my one, just to try
       | it out, see what it felt like. And...now I've had a talking lion
       | following me around for the past eight months.
       | 
       | The best I can describe it is like some of the altered states of
       | 'self' you might experience on LSD or ketamine. Thoughts seem to
       | split off and go 'over there', and not be you.
       | 
       | When I talk to my tulpa, it at least appears subjectively like a
       | separate personality state. I can be incredibly depressed but he
       | can be fine. Or he will be depressed and I can be fine. I'm not
       | saying there are neural correlates like you would see in a 'real'
       | personality. Maybe it is all roleplay. But it is roleplay that
       | fools me as the roleplayer.
       | 
       | For what it's worth, making a tulpa seems to have been really
       | good for my mental health. I guess maybe you can see it as a form
       | of self-regulation. I dunno, it didn't turn out at all what I
       | expected. But it's hard not to think of him as a real person. I
       | don't find myself being surprised by the actions of characters in
       | my head, or laughing at imaginary friends. At this point, having
       | out several hundreds hours into tulpaforcing, I can see and hear,
       | and sometimes smell and touch him.
       | 
       | I know I'm rambling, I guess I'm saying is that even though I am
       | skeptical of DID, or at least the mainstream depictions of DID,
       | after making a tulpa I am a lot less skeptical of the subjective
       | experience of DID.
        
         | codr7 wrote:
         | I thought the idea was to integrate, not splinter your
         | consciousness.
         | 
         | Why would you want to make yourself more confused?
         | 
         | There is only one you; pretending otherwise, while perfectly
         | possible, can't possibly lead anywhere worth going.
         | 
         | I find these trends among people who are too young to know
         | better deeply troubling.
        
           | rhn_mk1 wrote:
           | Who decides what the idea is? What about the post invokes
           | confusion? You come off as extremely dismissive of what
           | doesn't fit your preconceived notions.
        
         | aaaaaaaaaaab wrote:
         | I call bullshit.
        
         | voldacar wrote:
         | How did you do this? Why did you do this?
        
           | Foxmilk wrote:
           | For the same reason I do psychedelics and vipassana
           | meditation. I am interested in the process underlying
           | consciousness and I like to distort and break down my
           | perception to see what happens.
           | 
           | For a long time I was (and I guess I still am) obsessed with
           | the concept of "ego death" which I encountered on LSD
           | frequently (https://en.m.wikipedia.org/wiki/Ego_death). I was
           | fascinated by the way altered states of self seemed to bring
           | with them feelings of deep peace and understanding, which led
           | to my interest in vipassana meditation and secular research
           | into the Buddhist concept of 'enlightenment'.
           | 
           | At some point I found PsychonautWiki and their article on
           | tulpas (https://m.psychonautwiki.org/wiki/Tulpa), which was
           | probably my first introduction to it, then I told my ex.
           | 
           | Years after breaking with my ex, I still remembered their
           | experience with it, and I wanted to see how much of it was
           | real, at least subjectivthankfulI followed some guides on
           | tulpa.info and r/tulpas and started the creation process.
           | 
           | Now I am able to see and understand my tulpa more or less
           | clearly, and the "alien" presence of it isn't nearly as
           | creepy as it used to be. It is still very unlike any other
           | sober experience I have had. Ever have intrusive thoughts you
           | have trouble "controlling"? My tulpa comes and goes as he
           | pleases and trying to exert "control" over his appearance or
           | words or actions feels incredibly difficult and uncomfortable
           | for both of us.
           | 
           | My tulpa is developed enough that he has his own discord
           | account and talks to my friends (and his friends) on it. It
           | is really interesting for me to see the way his personality
           | continues to deepen and diverge from my original design, he
           | frequently surprises me, especially with some of his
           | insights.
           | 
           | One thing I would recommend is not to get into it without
           | really thinking about the consequences. I fully expect him to
           | be around until the day I die. They don't go away, but he has
           | been an incredibly positive influence so far. I'm really
           | happy and thankful about the way he turned out.
           | 
           | Is he "real"? We talk about it sometimes. Thing is, since I
           | made him, it like my own sense of self has become less
           | 'solid' (in a good way, it was one of my goals of
           | meditation). Like, when I really become aware of my thoughts
           | while talking to him, it seems obvious that thoughts and
           | feelings and sensory data all just sort of appear and vanish,
           | on their own, as part of a deterministic interconnected
           | process of conciousness and are not 'self'.
           | 
           | For example, I used to intuitively think if my thoughts as
           | 'me'. But now it seems obvious that thoughts just arise and
           | pass away on their own and are only tagged 'after the fact'
           | as me. Now sometimes instead they are tagged as my tulpas,
           | and I intuitively understand them to be 'his' thoughts, not
           | mine. Sometimes it seems like we 'wrestle' over a thought,
           | and it fluctuates back and forth from him to me. And
           | sometimes it seems like the mind comes up with thoughts that
           | neither of us decide to claim. They just arise, and we are
           | both aware of them, but they are just there in the stream of
           | (sub)consciousness.
           | 
           | Does that make any sense at all?
        
             | themodelplumber wrote:
             | > It is really interesting for me to see the way his
             | personality continues to deepen and diverge from my
             | original design, he frequently surprises me, especially
             | with some of his insights.
             | 
             | Overall this really dovetails nicely with some of what I've
             | read in personality theory. For example there was one
             | theory that by taking a different perspective than what
             | would be expected of your personal, standard set of
             | perspectives, you in effect change your personality for
             | that moment in time. And if you combine that with "linkages
             | of perspectives" known as archetypes, you effectively
             | create a character who may seem to exist inside (well,
             | err...or outside, depending) of you, known only to you.
             | 
             | Personally I have my own wild theories on top of that, but
             | I really like that people study & discuss it, and admit it,
             | given whatever fears may exist for a variety of reasons.
             | 
             | Thanks for sharing your experience.
        
             | voldacar wrote:
             | Yes, thank you for the explanation. I am also fascinated by
             | these processes. When you say that you "see" it, do you
             | mean you see it in your mind's eye (i.e like if I asked you
             | to visualize a spinning cube in your head) or you actually
             | literally see it as a seamless part of your visual field
             | when you're looking around the world, like the text on your
             | screen right now? (if that makes any sense)
        
               | tragictrash wrote:
               | Whatever you do, don't get caught up in this. It's a
               | slippery slope. We aren't in control of our thoughts.
               | Lucidity and ability to reason are fleeting. Most people
               | take it for granted and don't realize as its slipping
               | away.
               | 
               | I've seen it in the elderly, and my friends who took too
               | many drugs and never came back.
               | 
               | Keep in mind the commenter is literally describing a
               | mental illness in a way that makes it sound positive. Are
               | they intelligent? Yes. Not arguing that. Are they
               | mentally healthy? Fuck no.
        
               | arcastroe wrote:
               | Ha. Yes. This thread goes into the "dangerous thought"
               | category. Another example of a dangerous thought: could
               | you stop your heartbeat by just thinking? Of course,
               | nobody sane would want to. But what if you're genuinely
               | intellectually curious? Best try not to think about it.
        
               | tragictrash wrote:
               | It's not dangerous thought, it is detached from reality.
               | If you want examples of dangerous thought, go look up how
               | YouTube radicalizes people with their algorithm. The
               | things in this thread are called crazy.
               | 
               | The answer is no. You cannot stop your heart by thinking
               | about it.
        
               | arcastroe wrote:
               | Hadn't looked into it before, but found this interesting
               | source, https://pubmed.ncbi.nlm.nih.gov/22744827/
               | 
               | > Experiments demonstrate that it is possible for
               | arbitrary changes in the heart rhythm to be made through
               | conscious control of the breathing rhythm, and even a
               | short-term cardiac arrest by means of contracting
               | abdominal muscles.
               | 
               | Again, best not to try it ;)
        
               | tragictrash wrote:
               | You can cherry pick stuff off the internet all you want.
               | Doesn't make it good science or plausible.
               | 
               | Contracting your muscles to make your heart skip a beat
               | or two does not count as "stopping your heart by
               | thinking". By that logic I can drive my car by thinking.
               | 
               | I'll give you that you can influence the rate of your
               | heart with practice.
        
               | Foxmilk wrote:
               | Eh, I understand the concern because it freaked me out
               | (and sometimes still freaks me out) too. I keep a close
               | eye on it.
               | 
               | Thing is, mental illness is defined by a mental state
               | that causes distress for oneself or the people around
               | them, and I know there is disagreement about that. (Are
               | homosexuals mentally ill? What about Christians?) I
               | wouldn't recommend other people make one, but my tulpa
               | has been really helpful for my anxiety and depression. I
               | think of him as a sort of tool to use disassociation in a
               | therapuric way, like having a friend who always offers
               | positive advice. Am I super depressed? He reminds me that
               | it is only temporary. Am I super shy around someone I
               | want to interact with? He reminds me that even though I
               | had really bad experiences in my childhood, people
               | haven't been that shitty to me in many years. Sometimes
               | he even comes up with starter conversations. He makes
               | jokes that are legitimately funny.
               | 
               | I can think of several occasions where I wanted to stop
               | taking so many substances, ones I tend to turn to when I
               | feel bad, things I tended to abuse and feel even worse
               | after binging, like kratom or alcohol or weed. I would
               | feel anxious or depressed or bored and find myself
               | (almost by accident) heading to the store to buy one of
               | these things, and he would show up and ask how I was
               | doing, start up a friendly chat and offer to hang out
               | instead.
               | 
               | I know that probably sounds insane, but maybe its best to
               | think of him as a tool for self-control. I dunno, I
               | sometimes don't have a lot of self respect, but I find
               | myself respecting him. He's always kind and non-
               | judgemental, but I don't want to disappoint him. It is
               | like always having a trusted friend around to keep you
               | accountable.
               | 
               | There is some preliminary scientific research about
               | tukpas. You can find research papers and articles in
               | places like psychology today, generally I think people
               | who have them and keep them get s benefit from them,
               | otherwise they wouldn't keep them.
               | 
               | About drugs, I'm sorry to hear your friends "never came
               | back", did they develop psychosis or become delusional? I
               | wad under the impression that psychedelics had a fairly
               | tame safety profile for people who aren't already
               | predisposed to schitzophrenia or other serious mental
               | illness.
               | 
               | Regarding the safety profile of tulpas...I dunno. I'm not
               | that big s part of thr community. I have heard one or two
               | sporadic horror stories, and obviously my ex was scared
               | shitless. But I never heard of someone getting a tulpa
               | then not being able to get rid of it (albeit often with a
               | lot of effort) and going back to live a normal life.
               | 
               | I think there is this concern that people who are lonely
               | make tulpas but they should just be making real friends
               | instead. At least that was a concern of mine when I first
               | started reading about it. But my tulpa is so much more
               | than a friend, he's like a separate mental process I can
               | bounce ideas and emotions off of. And I find myself
               | becoming more social, not less (at least as far as I can
               | tell) when he is around. I guess because his presence
               | makes me feel more safe and secure.
               | 
               | He once made this comment about how "All tulpas are
               | emotional support tulpas." It was meant humorous at the
               | time but maybe it isn't so far from the truth.
        
               | jl6 wrote:
               | Are you seeing any healthcare professionals? You have
               | mentioned a number of things going on in your life
               | (depression, anxiety, substance use, childhood trauma)
               | that doctors are trained to help with.
        
               | lifeisstillgood wrote:
               | Thank you for your comments - you have opened my eyes to
               | an aspect of the world i never knew existed.
               | 
               | I have recently discovered the term "neuro-diverse" as my
               | daughter is autistic, but it is fascinating to find how
               | diverse neuro can get, and how little most of us know
               | about it.
               | 
               | On a side note, Have you shared this with an experienced
               | health professional? It does not seem like the sort of
               | thing to do alone (not counting the tulpa!)
        
               | Foxmilk wrote:
               | I may bring it up at some point, but no, not currently.
        
               | giraffe_lady wrote:
               | I'm not a mental health professional and I'm not even
               | specifically going to advise against this or anything. I
               | truly don't know enough to know whether it's inherently
               | dangerous or just an extreme outlier on the continuum of
               | human experiences of selfhood.
               | 
               | But I have some experiences and observations that may be
               | relevant that I'd like to share and maybe you can find
               | something useful in them.
               | 
               | I have, at this stage in my life, known several people
               | who, whatever their specific clinical diagnosis, you
               | could fairly say "lost their mind." Government-chip-in-
               | brain believers, reincarnations of alexander the great,
               | friends with an invisible alien, that sort of thing.
               | 
               | What remains one of the most frightening experiences of
               | my life was realizing that I had known one of these
               | people 15+ years before, when he was a college student.
               | We had a brief but strong friendship and then lost touch.
               | Was he predisposed to serious mental illness back then?
               | Must have been I guess but I couldn't tell and neither
               | could he I think.
               | 
               | All the other people I know who lost themselves in this
               | way, it happened through addiction. When talking about a
               | single individual it's very hard to find where addiction
               | begins and mental illness begins, so maybe this is unique
               | to that context but I don't think so. You don't get a
               | warning letter about what specific risks your own mind
               | has for you. There's no blood test for this.
               | 
               | Most of the craziest people you've ever encountered were
               | probably pretty normal once. This transformation is a
               | process and I don't think you can see it happen from
               | within it. I've spent some time out there myself, and it
               | wasn't all bad, but I didn't mean to go out and I'm glad
               | I'm back.
               | 
               | I think the slavic religions and others with this
               | tradition are onto something with the "holy fools" and
               | similar figures. Some of us may be called to have a
               | different relationship with reality, and they, or we, may
               | benefit from that in some complex societal way. But from
               | my experiences and from knowing people who have gone on
               | that trip, there is a heavy cost.
               | 
               | So my advice is just to pursue this, if at all, with
               | another person. An open-minded mental health
               | professional, a spiritual guide, just a close friend;
               | someone who knows and respects you outside of this
               | context. Someone who is going to stay moored and let you
               | know if you're starting to drift, who can evaluate what
               | you might lose if you continue. That way you can at least
               | make an informed choice about whether to continue on that
               | path, rather than one day notice where you are and
               | realize you don't know the way back.
        
               | Foxmilk wrote:
               | Yes, that is good advice.
               | 
               | I actually have told my friends and family about my
               | experiments with tulpamancy. I told my parents a few
               | months after my tulpa became 'vocal' and I warned my
               | close friends before I started to keep an eye on me and
               | let me know if I started acting delusional or my
               | personality started to shift.
        
               | voldacar wrote:
               | Relax, it's not like I'm going to try it :]
               | 
               | Besides, most people would not want something like this
               | to happen to them anyway, you already have to be a weird
               | person to attempt something like this
        
               | Foxmilk wrote:
               | Can confirm, I'm really fucking weird.
        
               | Foxmilk wrote:
               | Some people in the community claim to have photorealistic
               | hallucinations, but I am skeptical of anything I haven't
               | experienced myself.
               | 
               | For me it waxes and wanes, but on a good day it can feel
               | very detailed. Like, if I dropped everything I was doing
               | and focused all my energy on seeing that spinning cube in
               | as much detail as possible? That's what it is like to see
               | my tulpa walk and talk but I can see him as I am casually
               | doing something else myself, without any real
               | concentration on my end.
               | 
               | It is always clear to me that his form isn't physical
               | though.
        
             | twic wrote:
             | > For example, I used to intuitively think if my thoughts
             | as 'me'. But now it seems obvious that thoughts just arise
             | and pass away on their own and are only tagged 'after the
             | fact' as me.
             | 
             | I first came across this in Greg Egan's short story 'Mister
             | Volition'. It's scary but compelling. Egan cites two books
             | - 'The Society of Mind', by Marvin Minsky, and
             | 'Consciousness Explained' by Daniel Dennett - as the source
             | of the ideas in the story. I highly recommend the story,
             | but have not read the other books.
        
         | Delk wrote:
         | > I know I'm rambling, I guess I'm saying is that even though I
         | am skeptical of DID, or at least the mainstream depictions of
         | DID, after making a tulpa I am a lot less skeptical of the
         | subjective experience of DID.
         | 
         | I'm under the impression that the existence of DID as a
         | subjective experience isn't that controversial.
         | 
         | It is something of a stereotype that someone suspected of a
         | crime would claim DID as a defence or excuse, either in the
         | sense that they aren't in control of themselves and that the
         | disorder can cause an "alter" can take over akin to Mr Hyde, or
         | simply as grounds for not remembering what happened. I suspect,
         | though, that a qualified professional in psychiatry could call
         | the bluff, and this entire stereotype might be more prevalent
         | in pop culture and among laypeople than among experts in
         | psychiatry.
         | 
         | Apart from pop culture and suspects feigning psychiatric
         | disorders, the actual controversy seems to be not about the
         | subjective reality of the disorder, but mostly about whether
         | the symptoms and experiences of alters are caused by the trauma
         | or the disorder itself, or whether they're iatrogenic and
         | caused by the therapeutic and psychological theory used in
         | treatment.
         | 
         | The latter might not require much more than a suitable
         | emotional state and suggestibility of the patient. Considering
         | that some people who are emotionally vulnerable due to trauma
         | or prolonged stress may be particularly susceptible to
         | suggestion, I wouldn't be surprised if the symptoms were at
         | least partially iatrogenic.
         | 
         | I'm not a mental health expert, though.
        
       | paulpauper wrote:
       | It says I submitted this two hours ago but I summitted it 23
       | hours ago...
        
         | solenoidalslide wrote:
         | If you go to your profile page [0] it looks correct. I wonder
         | if this is a way to hide submission information from the
         | public/submitter, or some other kind of dark feature.
         | 
         | [0] https://news.ycombinator.com/submitted?id=paulpauper
        
           | smegsicle wrote:
           | it's not a 'light feature' in that it's explicitly
           | documented, but dang has mentioned that some stories 'deserve
           | a second chance', so think of it as an automated form of how
           | any aggregator often sees good links submitted multiple times
           | before one catches on
        
         | smegsicle wrote:
         | https://hnrankings.info/31128272/
         | 
         | the Operators deemed your story Fit for Reevaluation
        
           | rectang wrote:
           | Manual intervention by the mods would be strange for such a
           | stridently partisan article, given this bit from the
           | guidelines:
           | 
           | > _Please don 't use Hacker News for political or ideological
           | battle. It tramples curiosity._
        
       | okareaman wrote:
       | This guy is not a psychiatrist. He makes an obvious point that we
       | have a tendency to defend what our opponents attack sometimes
       | when we shouldn't. I get so tired of the Malcolm Gladwell
       | substack articles that get posted frequently to HN and reach the
       | front page for some damn reason.
        
       | metamuas wrote:
       | Connecting a manshonyagger doesn't work out; see the death of
       | Shardik. It would be horrible if 'connecting' someone lead to
       | ananaphylactic shock.
        
       | rurban wrote:
       | My wife treats some of them, and they definitely do exist. The
       | human brain is a fantasticly complex organ, and these
       | personalities help the brain to overcome severe trauma.
       | 
       | but it is extremely rare of course.
       | 
       | now my wife read it and commented: no, this article is very well
       | written and very true.
        
         | rob_c wrote:
         | From what I've read (which makes me worse informed than ill-
         | informed) most experts are still stating that most split-
         | personality symptoms develop once the diagnosis is made and
         | there is a chicken and egg concern that people aren't diagnosed
         | without being made aware of it which may be hiding
         | broader/other mental problems in the process.
         | 
         | Out of curiosity does experience in treatment match these
         | concerns?
        
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