Diagnosing Jinx (ICD 11 version)(Full unedited stream)
Added 2025-01-15 22:41:58 +0000 UTC
Comments
Missed the stream due to weather making the drive extra long, will prob miss tonight's bc I was just told about a surprise birthday dinner for someone I want to attend, so we'll see what happens there (which is well worth so nothing to be sad about :D). HOWEVER, thank you SO MUCH for leaving the videos up to watch after, I really enjoyed it.
TheCakeMachine
2025-01-17 14:49:00 +0000 UTCGreat questions and great answer! I have one follow-up question, what about OSDD? I seem to recall the states aren't as distinct/amnesia barriers not fully there? I agree with Stu that I think it would be made clearer by the show if Jinx and Powder were distinct identities/personalities, and Alex I have heard that the split of identities generally needs to happen at a very young age but the age of 8 or 9 takes into account developmental delays, so this is more out of curiousity than me actually believing Jinx fits that criteria. But there are some hints that could point in that direction that Alex mentioned so trying to keep an open mind :)
Lily Luna
2025-01-16 18:10:07 +0000 UTCThank you so much!
alex lavrenof
2025-01-16 10:18:04 +0000 UTCSome tough questions there in terms of actual accessible data. 1) Brain development is responsible for pretty much everything. One of the best resources (if you are okay with research papers) is Blihar's systematic review (https://www.sciencedirect.com/science/article/pii/S246874992030017X) regarding brain development. I believe DID can present in kids and can be called as such.BPD presentations also shows up in kids - we just call it other things until they arent kids any more and the label swaps. Remember a diagnosis in mental health is language used to discuss a cluster of symptoms and the construct of that can easily change. Diagnosis get added, removed, changed relatively frequently in the DSM and ICD (just look at whats happened to personality disorder in the last 10 years). That doesnt change the persons experience at all - they still suffer, but what we name it (and thus impacts treatment pathways that are based on such names) can and does change. 2. The main differences are as you have described. For me the key feature with DID is having distinct states. Also dont forget that one can have both - it some studies BPD is diagnosed in 70% of people with DID, and DID is diagnosed in 70% of people with BPD so comorbidity is really high. I don't see much evidence of Jinx having DID (based on what is visually shown and without adding a lot of speculation). She seems to have one self (with very poor self concept). Its far more likely (on balance) that she has comorbid BPD/Complex trauma. Obviously we dont see her internal experience but she doesnt seem to suffer from 'blackouts' or amnesia of parts when other parts have presented themselves (a crucial part of the diagnostic criteria) and I think the creators would have made it somewhat clear if that was the case. Just to caveat - This is of course all my opinion. It would be very rare where I work for one person to ever make a diagnosis like this, there would be a multidisciplinary team involved with way more history and assessment data than what we have here, plus of course the actual person experiencing it to work alongside us.
StuBoy
2025-01-16 09:54:44 +0000 UTCHi, Stu! I watched the videos about PTSD that you mentioned in your post, as well as some materials on BPD. In several sources, it was noted that patients with DID are often initially diagnosed with BPD due to the similarity of symptoms. From what I understand, the key differences are the amnesia barriers and age. (It seems that Dissociative Identity Disorder develops when a child under the age of 8—before the brain forms a cohesive sense of "self"—goes through a traumatic event. For children older than 8, such events might lead to other disorders, like PTSD, but not DID.) This reminded me of moments from Episode 4 (specifically, two scenes: the conversation with Silco at 18:50–19:15 and in Jinx's hideout at 22:37–23:00), where there are abrupt time skips that strongly resemble amnesia barriers. It also brought to mind the discussion on the stream about chronological age versus developmental age. I now have a few questions I haven’t found clear answers to yet: 1. How critical is the physical development of the child’s brain for DID, or does it primarily relate to their "psychological" age? 2. What are the main differences between DID and BPD in external behavior and other aspects? Additionally, in those scenes, it’s evident that Powder/Jinx struggles with feelings of helplessness/weakness and controlling her environment. Is that why Jinx deliberately puts herself in dangerous situations (like with the grenades in this case)—to reclaim some sense of control? Is that a "call of the void" or something like that? It feels almost like self-punishment, as if even her name is a trigger for her childhood trauma («You’re not ready», «You're worthless»). It seems to me that the scenes with her in Episode 4, up until the moment when Jinx steals the gemstone, are filled with a huge number of important elements—from signs of PTSD and BPD/DID to cognitive distortions—that they deserve a separate discussion. I’d love to hear your thoughts on all of this.
alex lavrenof
2025-01-16 04:12:51 +0000 UTC
