to answer the question asked by finding my way... the difference in alters with DID and alters with OSDD...
in my link at the bottom of the post you will find this information, but as you can see you do not have to have alters to have OSDD.. here in america the one OSDD specifier where a person ....can or may... have alters is specifier number one. in simple terms what it means is that there is very little dissociative problems, very little identiy problems very little sense of self and agency problems. no amnesia
how does this translate to having alters. the OSDD alters do not take control, a person does not switch into these alters, they are totally co conscious so there is no need for alters to take control therefore no dissociative forgetfulness(amnesia)
a person with DID switches into being their alters, the alters take control and there is a dissociative memory problem called dissociative amnesia.
in other words OSDD specifier 1 is ...like... having DID but vastly different.
OSDD is only used when a treatment provider wants to tell the client why their mental disorder does not fit the other dissociative disorders in the american recognized dissociative disorders.
example if I felt I had alters but my alters did not take control and there was no memory loss not time loss and other symptoms that come with DID my treatment provider would have to say to me... amanda you have OSDD because your alters are not like DID they do not take control, you do not experience amnesia, 100 percent you are the one in control and though they may be there, and you may hear them and feel them and know what they are telling you to do in hard situations because of all this co consciousness and lack of switching you do not have DID you have OSDD.
here is what treatment providers go by in the USA now regarding OSDD other countries may have other standards.....
Other Specified Dissociative Disorder 300.15 (F44.89)
the DSM 5 states....
Quote:
This category applies to presentations in which symptoms characteristic of a dissociative disorder that causes clinically significant distress or impairment in social, occupational or other important areas of functioning predominate but do not meet the full criteria for any of the disorders in the dissociative disorders diagnostic class. The Other Specified Dissociative Disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific dissociative disorder. This is done by recording "Other Specified Dissociative Disorder" followed by the specific reason (e.g. "Dissociative Trance")
Examples of presentations that can be specified using the "other specified" designation include the following:
1. Chronic and recurrent syndromes of mixed dissociative symptoms: This category includes identity disturbance associated with less-than-marked discontinuities in sense of self and agency, or alterations of identity or episodes of possession in an individual who reports no dissociative amnesia.
2. Identity disturbance due to prolonged and intensive coercive persuasion: individuals who have been subjected to intensive coercive persuasion (e.g. brainwashing, thought reform, indoctrination while captive torture, long term political imprisonment, recruitment by sects/cults or by terror organizations) may present with prolonged changes in or conscious questioning of, their identity.
3. Acute Dissociative reactions to stressful events: this category is for acute transient conditions that typically last less than 1 month and sometimes only a few hours or days. These conditions are characterized by constriction of consciousness, depersonalization, derealization,perceptual disturbances (e.g. time slowing, macropsia) micro-amnesias, transient stupor; and or alterations in sensory-motor functioning (e.g. analgesia, paralysis)
4 Dissociative Trance: This condition is characterized by an acute narrowing or complete loss of awareness of immediate surroundings that manifests as profound unresponsiveness or insensitivity to environmental stimuli. the unresponsiveness may be accompanied by minor stereotyped behaviors (e.g. finger movements) of which the individual is unaware and/or that he or she can not control, as well as transient paralysis or loss of consciousness. The dissociative trance is not a normal part of a broadly accepted collective cultural or religious practice.
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