Re:idea - dissociation cont'd

ISSD looks like it has recently changed it's approach - and is striving to become a more open org. i know there's a demand that ISSD hasn't been able to serve by being percieved as closed to easy access of what they have to offer - which i assumed was largely due to the controversies in the past. ISSD seemed to be 'protective' of thier information - and that maintained the 'exotic mystery' of DID. i want to be 'normalized' along with dissociation - as i think it is. EMDR treats dissociation as a 'normal' response and that could be a reason why it's growth has outpaced ISSD's.

the other problem i see, is that if i can't access it's published information, neither can anyone else, including media - who typically report what is the most accessable vs the most accurate material. ISSD would become more quotable. that also allows for more 'grassroots' support which drives the need for clinicians to seek the organization in the first place. it gives me a better idea of who is 'good' out there practicing and who is not.

i rarely see ISSD referred to as a 'proffessional authority on dissociation'. i saw it more 10 yrs ago. it does concern me there are therapists dealing with dissociation, that don't know ISSD exists, or that guidelines for DD exist or where to go for those guidelines - they are treating in an abyss. the 'wild' 80's are not that long ago. i am hoping somehow EMDR can team up with ISSD to make something more accessable, through both organizations - from diagnosis to closure.

i found APA's CME for BPD (currently online) describtion of DID that's found with BPD, disturbing -

"Facilitating integration of dissociated identities or personality states and integrating amnesic episodes by explaining to patients that the problem is one of fragmentation of personality structure elements;

Practicing with the patient more fluid transitions among various identities and personality states.

Working through transference issues related to trauma and feelings about controlling dissociative symptoms.

Consolidating and stabilizing gains by providing positive reinforcement for integrated function and consistent response to dissociative components of the personality structure."

gosh - is that all there is to 'fixing' DID? when i've heard comments that some don't understand how DID affects self-indentity, this could be why.

i've seen fewer studies showing DBT's effectivness, virtually none long term - than i have for EMDR. that was before it's acceptance as a 'prefered' therapy for BPD. now methods and studies are coming in too fast to keep track of, due to renewed interest level. from my viewpoint - the faster acceptance to DBT seemed largely due to the efforts made to standardize the basic concepts of the technique, so that it could be effectively taught to therapists in the field and then, required therapists to stay in current proffessional groups for an extended time period - and eliminate some of the errors that might come from making ill-informed decisions early on. that allowed DBT's effectiveness to be openly seen, and at it's 'best', without the muddling of uncontroled techniques which tend to distract any from the results. that process, also allowed for it's growth in a controled way.

i know i wouldn't mind seeing something similar happen with a treatment that's known to be effective for DD's. it certainly would reduce a lot of pointless arguements.

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