2012 review posits sleep-related issues, some possible role for trauma. Socio-cognitive model has relevance as well. https://phtherapies.wordpress.com/2012/02/15/new-review-on-did-and-dissociative-disorders/ …
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DID is a therapist-created tragic myth, in which psychologically vulnerable patients are convinced that they have–and to act as if they have–a psychiatrically disabling condition. Read the references on 4thWaveNow for convincing evidence AGAINST the validity of DID.
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It may be that diagnosis is generally more careful now, w/clinicians more aware of risk of iatrogenic influences. Concept of "alters," however, especially in context discussed in the post (with competing genders vying for attention/medical intervention), deserves ongoing scrutiny
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Someone who believes they have DID should not be consenting to anything in the context of treatment by someone else who also believes in DID. That way lies disaster.
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