May 1, 2012
Integration – A New Category and Nine Quick Opinions
Hello Everyone,
I hope you are doing well today.
This will be a short post, but I made an important update to the Discussing Dissociation blog and wanted to be sure that you all knew about it.
I have been asked repeatedly about my views on integration. I’ve written posts and comments about this topic, but unfortunately, I didn’t create a “category” for these posts. So now, with the 170+ articles on this blog, these posts and comments are difficult to find. Of course! This means it’s time to simplify this topic search for everyone, and to make it simpler for the Discussing Dissociation readers to find these blog articles.
If you look on the right side of this page, scroll down until you see the Categories drop-down box. I’ve added the category “Integration – yes or no” to this feature.
This drop-box will link you to here.
I’m assuming, in all my many blatherings on this blog that I’ve made more comments about integration than just what is written in these two blog articles. However, this link is a good start. If anyone finds comments about integration in other articles, please let me know, so I can be sure to add that article to the category list as well.
In case you don’t have time to read the other articles at the moment, I’ll give you a quick summary of what I think about integration right here in this post.
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Quick Thoughts about Integration – Kathy Broady’s Opinions:
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Is integration necessary?
Absolutely not.
Is integration beneficial?
I doubt it.
Is integration the ultimate peak / proof of healing for dissociative trauma survivors?
Not at all.
Does integration need to be your treatment goal?
Not unless you say so. I wouldn’t ever ever make it a treatment goal for any of my clients.
If integration is not the treatment goal, what is?
Team work. Lowering the dissociative walls between internal people. Internal communication. Talking together. Not hiding information from each other. Building trust and genuine relationships within your system. Learning to genuinely love and care for each other.
Do you, Kathy, think that integration is possible?
Honestly? Not really. Not complete and “total” integration. I have not yet met anyone who integrated in such a way that they stayed integrated permanently for the rest of their life. I have not even met anyone that I would say has been integrated successfully for years of time. I have heard the stories of many such claims, and met some of these people, but in my opinion, none of the “integrated” people that I have ever talked with were able to literally demonstrate true integration. They were still very multiple in oh so many ways.
I’m not convinced that a person who has lived most of their entire life as a multiple can literally change their brain in such ways to become a singleton. Besides, what would be the point anyway?
Do you think that blending is possible?
Yes, absolutely. To me, blending and coming closely connected together in a co-conscious ways are very different from integration. Blending does not imply a complete union of absolutely everyone. It is perfectly natural, normal, and healthy for some of the splits to become more blended together, especially those parts that are already very close to each other. If their blending happens naturally, that is great. You cannot force blending to happen, and it doesn’t happen instantly. It is a very gradual process that happens over years of excellent therapy, healing work, and genuine external safety. If there is any kind of “forcing” or demanded blending under duress or coercion or deception, you can bet that those insiders will step back and separate again in the not so distant future.
Do you think that integration keeps you safe?
Ummmm…. No. In fact, I think that claims of integration can lead to the very opposite of safety. Why? Because I think that real and genuine integration so very rarely happens (if ever), that when someone begins to believe that they are integrated, this is the beginning of some really dangerous times. This typically means, in my experience, that some of the top layers of the system may have blended together, and/or learned how to work well together, but the darker under-layers of the system have hidden behind very thick dissociative walls. This is extremely dangerous because the dark parts are able to function without being noticed, and the top layers of the system are too busy being proud or protective of their integration and/or completely absorbed in their outside lives that they don’t notice the dark rumblings behind the wall.
Do you think that integrated multiples are safe leaders for other dissociative survivors?
No. Not that I have seen. In my opinion, it is much more likely that the alleged “integrated multiple” has very neatly hidden or shoved away their dark sides, even if they do not realize this. All the claims in the world of being integrated do not actually make someone integrated.
In fact, following the leadership of someone who alleges to be an “integrated multiple” can be extremely dangerous for others, especially for those who are newer in their healing process. You would be safer to run 100 miles in the other direction than to assume that an integrated multiple is “automatically” a safe person.
I know many of you will not like these statements, and it is ok if you disagree. I am not meaning to offend you. We each have our own opinion and our own experiences in life. Let me repeat this, because it is so very important. In my years of experience, “integrated multiples” have more often than not been used as lures, and in reality, they are people who have not completed HUGE areas of work, and they are not automatically “safe” people. Going further into this topic is an entirely different blog post, but in my opinion, there is a whole whopping lot of danger in this area. PLEASE be careful when you meet an “integrated multiple”.
I am very aware that there are many multiples who have had spiritually-based integrations. That is yet another complicated topic, to be discussed at another time.
Ok – this was going to be short (and of course, it’s not short!!), so I’ll stop at this point. I can feel the waters already getting stirred out there. Ah well. What is life without controversy, yes?
IF I thought integration was a great thing, I would certainly say so. I just haven’t seen it as such.
What about you?
Do you have any comments about integration?
Warmly,
Kathy
Copyright © 2008-2012 Kathy Broady and Discussing Dissociation
December 6, 2010
100,000 Thanks to You
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Hello to all the Readers of the Discussing Dissociation Blog –
Earlier this year, I set a personal goal of inviting at least 100,000 readers to this blog in the calendar year of 2010.
Thanks to each of you, the Discussing Dissociation Blog has surpassed that goal!!
THANK YOU!
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I deeply appreciate each of you that have participated in this blog.
I appreciate the colors your have brought to this blog, and the depth you have added.
I appreciate the honesty and tenderness that each of you have shown in your comments.
I appreciate that you have openly shared your experiences in such a way that others can relate to what you’ve been through, and feel comforted in knowing that they are not alone.
I appreciate your kindness to me.
I appreciate your gentleness and support to each other.
I appreciate the courage that you have each shown in taking such a stand against the violence and ugliness in the world. You are each making the world a better place, and that is so very important.
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I hope that you continue to find helpful information, a supportive environment, and encouraging motivation for your healing journey each time that you sit here in this place.
I’m glad you’re here!
Please keep coming back!
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———-
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
November 21, 2010
Freedom of Choice and Client Empowerment or Therapeutic Exploitation?
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I would like to make a follow-up comment from a comment made on the “What Would Your Perfect Treatment Plan Look Like?” blog.
Specifically, a portion of heartofindigo’s comment includes the following paragraph:
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a final comment: I wish that T’s would do exactly what you are doing, and ask. I have heard of so many… can’t think of a way to put this delicately… asinine demands on the patient. like the therapist doesn’t trust the patient’s process or intent or something. like the therapist has “superior knowledge.” unless one has DID, I don’t see how one can assume that they can make the judgment about what is working or not. that has to come from the patient, and so there HAS to be a partnership.
plus that will empower us to reclaim our power, which is the root of the problem in the first place.
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This is an extremely important point.
The dissociative survivor IS the expert for what helps them.
And from what I can see in reading through the comments in the previous blog, the normal 50-minute hour is far from helpful. For most dissociative trauma survivors, it’s not sufficient, it’s not enough, and in many ways, it’s not helpful. DID survivors simply need more time to make sufficient progress in therapy.
Should insurance panels be the final “experts” on how long sessions can be and on how many sessions a trauma survivor can have?
If DID clients are cash-paying for their therapy, can they make their own decisions about how much time they would like to have with their therapist?
Should therapists or counselors have the final say on how much time a dissociative client needs to work on their issues?
Should psychiatrists or doctors have the ultimate decision-making power to determine all treatment plans for dissociative trauma survivors?
Who gets to decide these things? Are clients allowed to have freedom of choice and the freedom to want or request something more or different than the norm? Do mental health professionals have the only vote about what is helpful?
In too many instances, treatment plans for dissociative survivors are designed by – and limited by — mental health professionals and insurance companies. And all too many DID survivors truly do not get their therapeutic needs met because the mental health professionals are setting “appropriate limits” to what they are willing to offer their clients. These limits are decided on based on the therapist opinion, and not on the clients’ needs.
In my personal opinion, a 50-minute session once per week is barely scraping the surface of what is needed to work with the dissociative population. Most DID survivors have a minimum of 5-10 insiders that could productively use the therapy session time at any given day, and the issues that these 5-10 insiders would be discussing would not be simple issues. Typically everyone in the DID system has complicated situations, painful issues, complex conflicts to discuss. Is this going to happen in 50 minutes? Not likely. Is everyone going to get a turn in 50 minutes? Absolutely not. In reality, it would be more likely that each and every insider could fill up a 50-minute session! To have to share such limited therapy time between so many inner people means that the pertinent and important issues just are not discussed in any great depth or detail. It takes a lot longer to make progress because so much just can’t be addressed.
Because of dissociative walls, the need to switch between inside parts, amnesia between many parts, time distortion, other dissociative complications, etc., it very often takes a DID survivor longer to dig into the issues of the day, and longer to get grounded and stabilized afterwards. Having the time to talk to a few of the insiders, to get their opinions about the topic, or to give them a chance to talk about their own issues does not happen quickly.
Part of what created and solidified dissociative identity disorder in the first place was having no where to discuss complicated, painful emotions, turmoil, and distress. For the therapy hour to remain a drop in the bucket in terms of meeting the needs, it leaves the dissociative survivor feeling like they will never get through the healing process. And in some ways, that is too close to being true.
But is it therapeutic exploitation to “allow” clients to have longer sessions and / or more than one 50-minute session per week?
When is too much? If a DID client needs more than normal, even for the dissociative population, should they be allowed to have more sessions than normal?
Should therapists be “required” to set an “appropriate limits and boundaries” by insisting on short sessions, even if DID survivors say and believe they need more time in therapy?
If clients say they need 2-hour or even 3-hour sessions, should they be allowed to have extended sessions? OR should therapists have the right and responsibility to limit these sessions to “normal limits” instead?
Whose opinion is correct?
In these situations, do therapists know best or do dissociative trauma survivors know best?
In case of a disagreement between the client and therapist, who should have the final say in length of sessions and frequency of sessions?
As heartofindigo stated, a big part of the healing process is about reclaiming personal power that was not allowed during the years of trauma.
Is freedom to decide length and frequency of sessions part of client empowerment? Or part of therapeutic responsibility?
What are your thoughts about this dilemma?
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By:
Kathy Broady LCSW
http://www.AbuseConsultants.com
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
November 11, 2010
What Would Your Perfect Treatment Plan Look Like?
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In this blog article, I’d like to hear your opinion.
It’s very clear that the mental health professionals out in the world do not agree on treatment goals for dissociative identity disorder (DID / MPD). For that matter, the mental health professionals of the world do not even agree that dissociative identity disorder is a real and legitimate diagnosis, let alone agree on how to best work with trauma survivors with dissociative issues.
The disparity of perspectives and lack of education, training, and knowledge about dissociative disorders means that therapists take all kinds of different tactics in their approaches. Obviously, some of these approaches are more effective than others.
After reading the hundreds of comments on the different articles on this blog, it is very clear that many dissociative survivors are not feeling completely satisfied with their healing process. There are various limitations and obstacles in the way of having optimum treatment. Many of you have written about some wonderful therapeutic experiences, but plenty of frustrations have also been included.
Please note: I am not asking about your therapist’s personal faults – please don’t use this blog as a way to bash your therapist.
I’m actually asking the opposite. Dream big for a minute. If there were no limitations preventing you from having the perfect treatment plan for DID, what would that include?
In my opinion, those of you that have DID or live with someone with DID are the experts here. You are much more knowledgeable about DID than the mental health professionals are and you know what genuinely works for you and what doesn’t. So, in order to get an better understanding of what works best for the treatment of DID, I’d like to hear from a bunch of you. You are the true experts here on what works. You all know what you need to get through your healing. You know what helps and what doesn’t help at all (even if the mental health professionals insist on doing it that way).
Obviously what works best for one person may be a very different list of options than what works best for someone else, which is completely ok. Everyone’s opinion is welcome and no one will be more right than anyone else.
Your comments would be appreciated, and your ideas as a collective group will be important. The comments you write could send a message to the trauma therapists of the world and hopefully help them to hear what actually works, from your perspective.
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If you could design your perfect treatment plan for DID, what would that look like?
- How many times per week or per month would you meet with your therapist?
- How long would your sessions be?
- What kinds of things would happen in your sessions?
- What artistic or creative therapies would you include?
- Would your sessions be inside of an office or anywhere else?
- What time of day would your sessions occur – morning, afternoon, evening, or night?
- Besides your therapist, who else would you want to have on your treatment team?
- Would you include any kind of group therapy in your treatment plan?
- What kinds of approaches would you want your therapist to use?
- Who from your DID system would be allowed to speak and present up front during your sessions?
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Any other thoughts, comments, or ideas are welcome!
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
October 15, 2010
Turning Self-Injury into Self-Soothing
Self-injury is a problem all too common for trauma survivors with dissociative identity disorder (DID / MPD) or borderline personality disorder (BPD). For that matter, self-injury (SI) is an issue for other populations of people as well. This discussion will focus more on the effects of trauma and abuse and how self-injury can be addressed effectively. However, because self-injury is actually a very complicated topic, this particular blog article will reach only a few of those layers.
In my years of working as a trauma therapist, I have noticed that many DID survivors self-injure when they are in emotional pain. They are hurting, their heart feels broken, they feel betrayed or abandoned, or they feel incredibly sad (but can’t cry). Turning to various forms of self-injury and self-harm sometimes helps to temporarily relieve their emotional pain. (Trauma survivors also self-injure when they believe they need to be punished, or when they are extremely anxious, or when they are feeling strong compulsions or hearing internal instructions, etc.)
One of the reasons self-injury works is because the brain cannot distinguish between a self-caused physical injury and any other type of physical injury and upon recognizing a body injury, the brain releases all the necessarily chemicals and hormones. Dopamine, serotonin, and neural structures are significant in this process. I’ll refer all the complicated medical explanations to others more qualified, but the point being is that the act of self-harm creates a reaction in the brain that allows the hurting person to feel a little more calm and numb.
In other words, when self-injuring, survivors are trying to feel better. They know they are in emotional distress, they recognize the emotional pain, and they know they are hurting. And they want to feel better, or at least to feel differently.
Self-injury can be a quick fix for these intense feelings. In that sense, self-injury is not a lot different from having a few shots of whiskey, or a shot of heroine, or a plateful of doughnuts, or a pound of chocolate. Many addictive behaviors are centered around finding a way to feel better when hurting.
Typically speaking, this has been a life-long issue. From even their youngest days, most dissociative trauma survivors were neglected or ignored when they were hurting. They were not comforted, and their pain was not acknowledged. Even as very young children, they were left alone with their pain and injuries. All too often, they were not properly tended to, they were not cared for, they were not hugged, they were not given medical aid. They were hurt – physically and emotionally – and they were left on their own to manage.
In my opinion, this lack of comfort and the years of neglect are some of the biggest crimes committed against young children. Neglect is as significant in causing harmful life-long effects as any direct trauma.
So, when working with trauma survivors who experienced significant pain and next-to-no comfort, a critical and crucial part of their healing process is to teach how to accept and create healthy and positive comfort.
Children who are injured in healthier environments are very much comforted by their mothers or fathers or other caregivers. Their hurts are recognized and acknowledged appropriately. These children are given hugs and gentle affectionate kisses. They get band-aids — sometimes they get the fancy special band-aids with Snoopy or Spiderman or pretty flowers on them! They are checked on repeatedly, they are allowed to sit close to their caregiver, they are given other little treats (such as stickers, or the chance to watch their favorite cartoon), etc. These injured children learn that positive forms of comfort can help them feel better.
Since traumatized dissociative survivors were typically not taught these ways of receiving comfort, this becomes an important treatment goal in their healing process. They need to know their wounds can be tended, that their hurts matter, that someone hears them, and that they can be treated gently during times of pain.
Tending to the hurts and the wounds often has to be modeled to dissociative trauma survivors. In many situations, this will be completely new experience for them, and the process of having their hurts be important, can be a profound experience.
As trauma survivors start to experience genuine comfort and caring from others (this may start first in the therapeutic office setting), these survivors will eventually learn to copy these same kinds of behaviors and apply them towards themselves and their other insiders.
Emotional pain is no different, and in some ways, addressing and comforting emotional hurts is even more important.
Teaching trauma survivors to sit with their emotions and to increase their ability to endure intense emotions is an essential part of the healing process. In early stages of therapy, most DID survivors can barely touch their feelings. In the later stages of the healing process, DID survivors can sit with their feelings, no matter how intense they feel them, and not turn to anything destructive or harmful.
In order to sit with those feelings, survivors need to learn what to do during those moments. They need to know and understand that they matter and that bringing more harm and pain to their selves and their bodies is not the answer. Learning how to comfort themselves – how to self-soothe, instead of self-injure – is a significant process in their healing.
Self-soothing means that the person is doing something that brings comfort in a helpful, positive way. Feeling better can become about comfort instead of numbing. Survivors can learn that they are worth being comforted, instead of being feeling unvalued and ignored.
Each time trauma survivors are comforted in their pain, instead of ignored or injured more because of their pain, they are experiencing a corrective emotional experience. Correcting the neglect by experiencing proper comfort, including self-soothing comforts, is incredibly significant in the healing process.
Comfort actually works much better than numbing, especially in the long run. Comfort allows for pain to heal. Numbing (or self-injury) means that the pain is just postponed until it comes back again.
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Ways to Self-Soothe Include:
Self-soothing is unique to each person, just as any other preference is unique to each person. There are dozens and dozens of healthy options — explore a variety of different options to see what works best for you. Some ideas to try include:
- Listening to music that matches your mood – if you are feeling sad, listen to music that will help you express that sadness.
- Sing to yourself (even if this means making up your own songs, or singing sounds), or play musical instruments as a way of expressing your feelings.
- Wrap yourself up in your favorite comfy clothes or in a warm blanket and snuggle up somewhere safe, quiet, and protected.
- Hold or hug a pet, a stuffie, or a pillow.
- Sit close to someone safe. Lean against their shoulder, or find some way to have physical contact that is in no way sexualized or dangerous.
- Sip on your favorite tea, or any other gentle beverage, and treat yourself to a few simple snacks that are not heavy, but are tasty and nutritious.
- Rock in a rocking chair, or sit in a swing, and let the movement relax and calm you.
- Walk slowly or sit quietly in areas of nature that are beautiful and inspirational.
- Make your room, or your home feel particularly cozy – have nice smelling candles, or soft lighting, or bring out your favorite treasures to look at, sit by a calming fireplace (not for injury purposes! But yes, sitting by a warm fireplace can be very beautiful and calming). If you need to clean up an area first, that is ok, because it is important to be in an area that you can feel calm and quieted.
- Take a warm shower or a warm bath, using very nice smelling soaps and body washes. Dry off with your favorite most soft towels. The more you can make this a “spa-like” experience, the better.
- Bring in fresh flowers, or fresh greenery, or pretty leaves. Looking at something beautiful from nature, even while you are indoors, can be calming and soothing.
- Allow yourself to cry, uninterrupted, when the feelings come. Crying really is allowed, it really is ok, and it is a natural expression for pain. Use soft tissues, and don’t punish yourself for having real human emotions. Give yourself permission to feel, permission to heal, and permission to respond naturally to your pain. The more you can express your emotions in natural ways, the healthier you are.
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Trauma survivors — you really can help yourself to feel better without bringing more pain and injury to yourself. The key is to surround yourself with lots of nice, positive moments that help you feel better through the course of the day. Practice self-soothing every single day, especially on painful days. It will get easier, even when if it doesn’t feel easy or natural to you at first. You can learn this, and when you do, it will make a huge difference in your life.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
July 12, 2010
A Real Unicorn?!!
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This article is written for the child parts of the DID survivors that read this blog.
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Hey Kids, did you see the news yesterday? Hmmmm…. probably not, because most kids don’t watch the news. And because of that, I wanted to make sure to let you know about something I saw in the news that might interest you.
Look! Look! They found something that looks like a real unicorn!!
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The Unicorn Found in Italy
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If you look here, you will find the video that talks more about it, and shows more pictures of it walking around in its natural forest home. This little unicorn guy was found in Italy, and I think he is being protected and tended to very carefully. That’s good, because there aren’t very many unicorns in the world! 
What do you think it is?
Is it a real unicorn?
Is it a deericorn?
Maybe it’s a unideer.
Whatever it is, it is very cool!!!
Do you ever think about unicorns?
Do you have coloring books with unicorns in them?
What would you do if you saw a real unicorn?
And if you don’t like unicorns, what is your favorite animal?
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Now I realize this little deer only looks like a unicorn, but so many kid parts talk about like unicorns that I just had to share it for everyone to see.
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And for the older parts of the dissociative systems, it really is ok to let your child parts experience some of the positive wonders of the world. It is ok to let your child parts play, and to let them enjoy experiences. Simple pleasures like chocolate shakes, or yo-yo’s, or puzzle games, or teddy bears, or soccer balls can go a long ways in connecting with your child parts.
If you have dissociative identity disorder (DID / MPD), your childhood was most likely interrupted by too much pain, grief, loss, trauma, betrayal, neglect, and hurt. As a child, your play times would have been few and far between, and you would have often felt too sad or hurt to play. Dissociative skills, dissociative walls, and dissociative amnesia could have separated some of the effects of the trauma from your awareness, but in all the years I have been working with multiples, I have never yet had any dissociative survivor tell me that she or he had lots of fun and play times as a child.
This is a very sad statement because having carefree playtime is a normal childhood need. It is actually important to proper growth and development. To miss out on playtime as a child means to have unmet needs.
To help meet some of those unmet needs, it is ok, and even therapeutically important to let your child parts have fun. Let them play. Let them enjoy some carefree activities. Let them learn how to have good times.
Even if you are an adult, it is not too late to let your kids have fun. Play is a normal part of growing up, and if this was stolen from you, letting your child parts play in the current day will help with your overall healing and sense of well being.
Giving your child parts the chance to play in the here and now is a corrective emotional experience for them. Corrective emotional experiences are experiences in the current day that help to correct the wrongs and fill the voids that were left after a childhood full of trauma and neglect. Corrective emotional experiences allow for healing, growth, and positive movement.
So go find a unicorn!
Go to a baseball game!
Watch a few cartoons!
Draw in your coloring books!
Play, have fun, and enjoy life for awhile!
Your whole system will feel better for it.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
June 20, 2010
Doubly Difficult Days for DID Survivors
This weekend is often a difficult weekend for trauma survivors with dissociative identity disorder. First, there is Father’s Day (for those of us living in the USA), and secondly, it’s the Summer Solstice. Anytime the difficult days get stacked on top of each other, it’s going to make for a complicated time.
On days when the issues seem to surface in layers, what do you do to cope?
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(**This blog article is about difficult topics so it could be triggering – please pace yourself carefully and keep yourself safe.)
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Father’s Day has many of the same emotional complications as was written about on Mother’s Day. The days proceeding are often full of painful memories, heartbreaking loss, fear, conflict, and upset. The vast majority of DID survivors have had abusive fathers, so the idea of celebrating fathers typically stirs up great turmoil.
The first day of summer, like all season changes, has relevance to those who have experienced difference forms of Ritual Abuse (RA). Many of the dark church organizations celebrate the seasonal changes and these so-called “celebrations” are full of trauma, abuse, gross activities, icky messes, scary events, etc. Survivors of these ordeals are often flooded with flashbacks, emotional distress and internal conflict during the times of season changes.
When you put the two of these highly emotional events together, dissociative survivors experience a lot of overwhelm. Some of the difficulties can include PTSD symptoms (nightmares, flashbacks, depersonalization, body memories, difficulties sleeping, irritability, feeling distant from others, etc.) and anxiety symptoms (panic attacks, excessive fears, heightened startle reflex, nausea, trembling, heart palpitations, headaches, obsessions, chest pain, etc), self-destructive thoughts, self-injury behaviors, suicidal ideation (pervasive thoughts about wanting to die), depression, tearfulness, or detached numbing. It’s probably been a miserable weekend for a lot of DID survivors.
Fathers that participate in dark church rituals are often not the kind of fathers that you find written about in Hallmark Cards. These are the kinds of fathers that prefer abusive activities, or that like sadistic pain, or have freaky and perverse sexual interests. They are difficult men who have caused a lot of hurt and pain for a lot of people, especially for their children.
And yet, even so, there are nearly always those parts within the DID system that feel loyalty and a deep bonding with the father figure. These parts are typically parts that have adopted some level of acceptance of the traumatic activities, and have long ago learned to tolerate the abuse or to even define it as anything but abuse.
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Father Introjects
DID survivors often manage abuse by their fathers by creating a father introject within the internal dissociative system. Father introjects are internal system parts that remember the father so well that they look-feel-sound-act-appear to the others inside as the same as the actual father. An internal introject may do the same kinds of abusive behaviors to the other parts of the system, recreating the same abusive patterns and feelings that the external father did. Since the internal world is so real to DID survivors, it can feel like the father is still there, still controlling things, still making all the decisions, still threatening harm, still causing harm.
And in many ways this can be true.
It can be difficult to separate who the external father is from the internal father introject. They can very much feel like mirror-images of each other, shadow replicas, and the child parts of the system will not be able to tell the difference between them.
But father introjects are NOT the actual father, no matter how much they may claim to be so. Father introjects actually belong to you. They split from you, they came from your mind, and they originated with you. They are actually part of you, and not part of the father. They may have been taught by the father, but they are actually yours.
However, they will be powerful parts of the internal system though so their power and influence is not to be ignored or minimized. It is more important to work with these parts, and reconnect their loyalty to the survivor person instead of to the father figure. This is an absolutely crucial part of the DID therapy process, and if you haven’t yet gained a safe working relationship with your father introject, you will need to do so.
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Father Transference Issues
In the therapy process, male therapists will have many of the same kinds of transference issues regarding father issuesj as female therapists have with mother issues. In fact, it is often difficult for some female dissociative survivors to work with male therapists because of the kinds of trauma, abuse, and controls associated with their father. Male therapists often have to address transference issues of being seen as the abuser, controlling male, dominant owner, sexual pervert, etc. So many trauma survivors have issues with men — and even more have issues with their fathers — that it makes being a male therapist for female trauma survivors particularly difficult.
Other female trauma survivors are so used to be led by men or connected to men, especially their father, that they feel more at ease with men and less comfortable with “neglectful, abandoning mothers”. (Female therapists tend to get more of the abandonment transference issues, while male therapists tend to get more of the abuser-male dominance transference issues.) The relationship between survivors and their parents will very often dictate which gender of therapist is a better fit for them.
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Typical Father Issues
Father issues are not easy to work through. They often take years of time to sort out, and they are very painful. Many survivors truly feel bonded to their fathers, even if some of their relationship involved sexual activities. Sometimes feeling sexually connected to the father felt better than being emotionally abandoned by the mother. When this is the case, there are numerous emotional complications to process during your healing.
Do you understand the role your father has played in your life?
Do you experience system switching, feelings of fear, or flashbacks when you are in the same room with your father?
What would your father do if you said no to him?
What would your father do if you chose a lifestyle very different from the one he chose for his life?
Are you allowed to live separately from him? Have you been allowed to move away from his neighborhood?
How much control or influence does your father have over you life in the current day?
Are you safe when you are in the same room as your father?
Does your father still abuse you or any of your younger parts? Does he still exert a level of sexual dominance over anyone in your system?
Would you be betraying your father if you refused to let him touch you in sexual ways?
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Remember This
If your father is an abuser, you can get distance and separation from him.
You don’t have to stay bonded to abusers.
You don’t have to stay connected to violent relationships.
You don’t have to be abused to be accepted.
You do not have to be sexual to be accepted.
All men are not abusers.
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
April 10, 2010
Not Getting to Be Your True Self – But Whose Life is it Anyway?
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I’ve been wondering for awhile about what aspect to focus on with this week’s episode of United States of Tara. Then I remembered the last minute of the show.
Buck and his girlfriend, Pammy
And I thought more of how very painful and how very real that heartbreak is for Buck.
Throughout this season two, Tara has struggled with the fact that she is in fact multiple – that she does have dissociative identity disorder – that she is switching, or “transitioning” as she calls it – that she has other parts to herself that also want time and attention and a little bit of life space. Tara is upset about having to share her life with her insiders and she has convinced herself that she is the only one in the body who should have a life. She has decided that she “is” the life, and that no one else matters, just her.
Apparently she thinks that she, Tara, is the one and only important self. No one else matters –she is the only one that matters. Tara, Tara, Tara – it’s all about Tara.
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Well. I’ve heard far too many hosts present with that kind of attitude, but to the dismay of far too many host personalities, I completely disagree with that concept.
I vote for the system.
Meaning, if I had a vote regarding Tara, I would support Buck.
Buck is as real as Tara.
Buck is every bit as much of a person as Tara is.
Buck has his own thoughts, feelings, experiences, memories, wants, desires, etc. He is as important as Tara is.
Can Tara stake claim as the ONLY part of the system that gets to have time?
Is she really the only one that is important?
I don’t think so.
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See – the way I see it – Tara is only a portion of the person. She is not THE person. She is part of the whole person, the same as Buck is part of the whole person. Tara may have the upfront, outwardly social wife and mother role of the person, but she is not the whole person.
Tara is important, there is no denying that. I would never ever say she isn’t important. And she can be considered the leader of the system – I’m all for that idea as well.
But to say she is the only one that matters???
That is taking it too far.
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Buck and the others inside are also important. They are as important as Tara. They may have different roles, different abilities, different preferences, different histories, different memories, etc, but they are still part of the person as a whole, and they should get to have part of the life as well.
I’m not saying that I am supporting the idea that Buck has been having an affair outside of the marriage vows. An affair is an affair, and Buck is completely and fully aware of what he has been doing that would be so very hurtful to the husband. He is responsible for the pain he has caused in his family, and like it or not, he is actually already married. Buck has cheated on his husband, and he will have to face the music on that one.
Yes, Buck and Tara have a whopping lot of work to do in order to resolve this conflict but the fact of the matter is, Buck is his own person too.
And part of the current heartbreak for Buck is that Tara has staked a little more claim on how the outward life is managed, and that genuinely leaves Buck not knowing how to be or do what he wants to be or do in his own life right now. No, it really isn’t ok for Buck to go out and have his own affair. Yes, he really is his own person, but his actions still affect those around him. He will need to figure out a way to live happily and fulfilled as himself without hurting others. I don’t know how that will look for Buck, but that is the challenge he is facing right now.
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The point I want to emphasize here is that the DID system insiders do count.
They are real, they do exist, they have their own wants and dreams, and they are as important as anyone else. So squashing them out of existence, or refusing to give them time or acknowledgement is not ok.
Cooperation, compromising and sharing are absolutely important – but refusing to let the insiders have their own life-space is bordering on creating a self-centered dictatorship, in my definition.
Buck’s heartbreak about not getting to have the life he wants on his very own is very real. Insiders can and do feel extreme sadness and emotional pain over not being able to have their own bodies, their own separate lives, their own complete freedom of choice. Buck really and truly wanted to have his own girlfriend, and to have his own relationship, and to have his own time in the body. He wants the freedom to be his real self, and to make the choices he would make if he had his very own body.
If it were only that easy….
Sharing a body with 5-10-20-30 or more different insiders is extremely difficult. There seems to never be enough time to do everything everyone wants to do.
It means that sharing the 24-hour day is essential. It means that giving each other time in the body needs to be a coordinated, cooperative, ongoing process.
Finding ways to meet the needs, wants, and preferences of each of the different insiders is really complicated, and it does take a whole lot of work to find acceptable compromises. The key word here, being compromise. Tara can no more take over the life as completely her own any more than Buck can. They have to find a way to work that out together.
Because they are both real.
And they both exist.
And they both can have a say in how life looks for them.
Because they are both important, and valuable, and necessary.
Buck really is as real as Tara. And if he has to prove that, he can.
So to all the hosts out there – be willing to share the life-space with your insiders. Because far too often, if you refuse to do that, your insiders could make a mutiny type decision like Buck did. And that really never works out very well for anyone.
Value everyone in your system.
Use interpersonal skills layered in cooperation, compromise and teamwork.
Be willing to share.
Treat each other with kindness and generosity.
Accept that there are differences between you and the others and find ways to make it work so that everyone can get some of what they need.
Everyone in your system has the right to be happy.
Their lives matter too.
———-
By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
March 8, 2010
Picturing the Healing Process for Dissociative Identity Disorder
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This set of picture-postcards demonstrates a passage through time for a trauma survivor with dissociative identity disorder (DID / MPD).
These pictures show different phases of the dissociative healing process, and illustrate how healing occurs. Notice that they move from a more shattered, painful, chaotic place to a calmer, structured, organized place. Where there is originally nothing but a fragmented sense of self, there later becomes a clear sense of personal identity.
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Phase One
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The first picture-postcard has a mixture of colored pieces of all different shapes and sizes. Some pieces are more jagged, some are rounded. The mosaic nature of this design would automatically lead to many of the same questions as asked about the DID “Self Portrait” picture. For example, I would ask what the different colors represented, what the different shapes represented, if there was communication (or not) between the different pieces, if the black stitching between the colored blocks had a specific meaning, etc.
For this top picture, there are two specific shapes that I would ask more questions about. There is a definite triangle that points upward and spreads out down towards the bottom of the picture. Triangles can have a variety of meanings, and I would like to hear what this DID artist had in mind. The triangle also has layers to it. Does this have anything to do with the internal system layering?
For example, in the triangle shape that I see, the top two layers are yellow, followed by a green / blue layer, followed by a black layer, followed by a red layer. The placement of these colors could be purely metaphorical or accidental, but I could see this layering as representing important system functions and emotions.
A purely hypothetical system description could include the following ideas. The yellow layers are the happy front parts – the façade layers, the denial parts, the “I’m fine, nothing is wrong here” type of system parts. The blues and the greens could be parts of the system that know a lot of information, do a lot of the everyday work / functioning jobs of the system, etc. These parts know plenty of the historical trauma information but have to keep helping everyone manage life. They can feel some emotions, but work hard to not get overwhelmed or overloaded with emotions. The black layer could be a layer of depression, sadness, grief, anger, or amnesia, dissociated information, deeper internal controls, etc. The red layer could be more intense amounts of pain, anger, fury, trauma information, details about the abuse, etc.
The second shape that could have particular relevance is the large black shape with the blue tip. These pieces have an obvious phallic appearance to them. I would ask the artist if they intended this to be the case (chances are, they hadn’t even noticed that!), and then I would ask them questions pertaining to sexual abuse issues. If this symbol does specifically represent sexual abuse, it is clear how the abuse has been such a huge part of their lives. Just like this black piece is, in some ways, the foundational piece of the whole picture, it might feel like the sexual abuse has been the defining issue in this person’s life.
I see a lot of pain in this picture. The artist does not give the sense of happiness, of calmness peace of mind. The jagged pointy edges remind me of cutting, and I would be asking a lot of questions about self-injury.
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Phase Two
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There has been clear movement from the first picture to the second. Notice how the like colors are starting to get grouped closer together, creating a more cohesive look. There is much more green in this picture, and while the real meaning of that depends on how the artist interprets the colors, to me, it represents a lot of growth. I see a lot of progress being made in this picture. The trauma survivor has clearly been working on their healing issues, and they have been doing a lot of dissociative system work. Things are starting to come together for them.
In phase two, to me, the person is still feeling broken and dissociated, but she is not nearly as overwhelmed with the pain as before. The blue can seen as representing the teamwork efforts being accomplished by the internal system. There are still some missing chunks of time (as seen in the gaps of the blue), but the dissociative person is truly building good internal communication and has built solid connections between the internal parts. This dissociative person is starting to find herself, and she is building a sense of self-esteem, self-worth, and self-identity. As a system, they are definitely doing good work!
There are still several big jagged sharp points, possibly indicating a lot of pain, upset, questions, intense feelings, etc. The phallic shaped pieces in this picture are more obvious, which could be interpreted to mean that the DID artist is clearly addressing their sexual abuse issues. This survivor is aware of the sexual abuse issues, and the healing their sexual abuse trauma is the center of their healing work. While the trauma is still prominent, it is not overwhelming them as much as it used to. They aren’t finished with their healing, but they are making excellent progress. There is less black, and more brown, which feels to me like this person is becoming aware of more and more of the information related to their trauma. They “aren’t in the dark” as much as they used to be and life is feeling much more hopeful.
Even with all the progress, I would still ask this survivor about their suicidal feelings. The sharp points are very painful, and while the survivor may not be using self-injury behaviors as much, they may still have intense moments of suicidal ideation. It appears they are building good coping skills, and not in as high risk of following through with these suicidal thoughts, but the feelings are still there from time to time.
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Phase Three
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This third picture represents the final stages of healing from dissociative identity disorder and sexual abuse. It is hopeful, and shows how everything is coming together for this person. Notice the strength of the center of the picture. All of the colors connect with the other colors and the ability to share information is accomplished easily. Time loss, time distortion, memory gaps are not likely to be a problematic issue anymore.
The C appears to represents the host of the system, or the main “front” person, the leader of the system, or who the person wants to be as a whole. Notice how the front is a whole self, and is clearly and firmly planted in front of any of the others. This C person is now confident as the leader of her system, and presents well out in the external world.
The internal system behind the C is cooperative, quiet, calm, organized, peaceful, etc. The ability to work together, and provide information to the front C self, seems abundantly clear.
I would ask this survivor if the colors still represent the same things as they did in the earlier pictures. The meanings may or may not have changed at this point.
What I see is that the survivor is more aware of all the things she feels. C doesn’t dissociate like she used to anymore. For example, if the red still represents her pain or anger, C is aware of having those feelings, and she can acknowledge their existence, sitting with them, without letting them overtake her, or without having to dissociate them away. C has built the ability to connect with her intense feelings, and this is an incredible accomplishment. C might have times of dark depression or sadness, for example, but again, these moments do not overtake her ability to live her life as she wants it to be.
Notice that there is no obvious phallic shaped symbol in this picture-postcard. The trauma issues are resolved in a much more quiet way, and while C knows about her past, the idea of being a sexual abuse survivor doesn’t have to be the center of her life anymore. She has been able to resolve many of her trauma issues, and lay these to rest, moving on with her life.
The front of the C is facing the yellow and greens, indicating growth, progress, healing, movement, happiness, and enjoying life. C is moving forward into better times! The darkness and pain are more behind her (the black, red and brown are towards the back of the C). While life is probably never going to be perfect for this person, she is hopeful, and she is doing well.
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The Moral of the Story
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Will C create a fourth picture-postcard?
We’ll have to ask her!
The point of these wonderful hand-made picture postcards is obvious. The healing process for dissociative identity disorders works. It helps. Trauma survivors lives can become better. Healing does happen. It takes a lot of work, and a lot of time, but you really can feel better, and have an improved quality of life.
Take the point from C – if she can do it, you can too!
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By:
Kathy Broady LCSW
Copyright © 2008-2010 Kathy Broady LCSW and Discussing Dissociation
