Cooperative arrangement
A cooperative arrangement is one of the possible treatment outcomes of dissociative identity disorder and similar forms of other complex dissociative disorders (eg, OSDD, formerly known as DDNOS). A cooperative arrangement it is sometimes referred to as "resolution".[1]:133-134 An alternative treatment outcome is known as final fusionIntegration (state of unification) occurs in the minds of all individuals and is a process rather than an end product. "If integration is impaired, the result is chaos, rigidity, or both. Chaos and rigidity can then be seen as the red flags of blocked integration and impaired development of the mind." {{Rp|9}} The natural process of the mind is to link differential parts (distinct modes of information processing) into a functional and unified self. No child has unified personality when born, in fact, they need years of sufficient nurturing for the parts of their personality to integrate. {{Rp|394}} "Integration is more like making a fruit salad than like making a smoothie: It requires that elements retain their individual uniqueness while simultaneously linking to other components of the system. The key is balance of differentiation and linkage." {{Rp|199}} Integration is the normal process that occurs in early childhood, but if interrupted by trauma, the child may not be able to integrate. {{Rp|143}} or unification and involves the complete merger of all alternate identities/parts within a person with dissociative identity disorder.
The ISSTD treatment guidelines for dissociative identity disorder in adults state that "It is important to realize that many people will not be able to achieve final fusion and/or will not see fusion as desirable. There are many different reasons for this, and a result some people will prefer a "cooperative arrangement"... This means having sufficiently integrated and coordinated functioning among the different identities, in order to promote optimal functioning." [1]:134
The ISSTD also states that "those that opt for the easier to obtain resolution, that involves an integration of functioning, communication and cooperation are vulnerable to later falling into the category of floridAn organization that has been voted down by other experts, because it mixes many disorders together. {{Rp|419}} DID or PTSD if stressed, along with other concerns." [1]:134References
- ^ a b c International Society for the Study. Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision. Journal of Trauma & Dissociation, volume 12, issue 2, 28 February 2011, page 115–187. (doi:10.1080/152947)
