Systems and selves: An exploratory examination of dissociative identity disorder on TikTok

In 2020, in the midst of COVID-19 related social distancing, the relatively new social media platform, TikTok, burgeoned in popularity. One somewhat surprising topic area that rose to prominence on the platform during this time was dissociative identity disorder (DID). Some researchers and clinicians expressed concern that the proliferation of DID content on the platform may have contributed to a marked increase in individuals presenting with DID and related symptoms. However, given that the relationship between DID and the media has historically been fraught with skepticism, as well as recent work by Christensen (2022) highlighting the development of Plural cultures online, it is critical to better understand DID on TikTok before passing such judgements. This study presents the first examination of the DID TikTok community through a descriptive analysis of 325 user signatures. Using a combination of qualitative codebook thematic analysis and quantitative content analysis, this project maps the contours of the community and centers the creative identity work that individuals within this community appear to undertake. We identified the following three themes within this sample of signatures: (a) Describing DID (with System Architectures, Diagnostic Authenticity, and Being Plural as subthemes), (b) Establishing Boundaries, and (c) Labeling Intersecting Identities. In addition to providing insights into DID TikTok, this study offers a methodological contribution by modeling one way of scaling rigorous qualitative analysis for social media platforms by using quantitative content analysis to complement qualitative methods. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

"Are people thinking I'm a vector because I'm fat?": Cisgender experiences of body, eating, and identity during COVID-19.

While a range of studies have shown the negative impact of COVID-19 on disordered eating and body image, few have engaged with how identity and social context interact with these domains. The current study used inductive codebook thematic analysis to understand experiences of body and eating during the pandemic among a diverse (sub)clinical sample of individuals with self-reported disordered eating. We interviewed 31 cisgender participants (18/31 Black Indigenous People of Color (BIPOC), 24/31 women) with a history of disordered eating (diagnosed and undiagnosed). Five themes were identified: Body Surveillance and Dissatisfaction, Movement and Intake Fixation, Food Scarcity and Resource Concerns, Changes in Visibility of Body and Eating, and Bodies Are Vulnerable. We examined the extent to which themes pertained to certain identities over others. Notably, BIPOC, large-bodied, queer participants more commonly spoke to body vulnerability than White, small/medium-bodied, straight participants. BIPOC and large-bodied participants also particularly spoke to feeling relief from discrimination as social distancing and mask wearing reduced their public visibility. Participants related these themes to changed body and eating experiences that spanned distress and resilience. Our analysis offers insight into multifaceted and contextual impacts of COVID-19 on experiences of body, eating, and identity.

"It's just not comfortable to exist in a body": Transgender/gender nonbinary individuals' experiences of body and eating distress during the COVID-19 pandemic

The collective trauma of COVID-19 has had a negative impact on people's experiences of their bodies and eating, as demonstrated by studies showing increased disordered eating and body dissatisfaction during this time. The pandemic has also been shown to have had a unique and disproportionate impact on transgender and gender nonbinary (TGNB) individuals (e.g., lost gender affirming care access, elevated levels of job loss). Given that TGNB individuals already face increased risk of body distress and disordered eating compared to cisgender individuals in a nonpandemic context and have been disproportionately impacted by contextual changes with COVID-19, it is likely that the pandemic has had a distinct impact on TGNB individuals' experiences of body and eating distress. The present study aims to understand these impacts through an inductive, reflexive thematic qualitative approach. Participants were 13 TGNB individuals (10/13 gender nonbinary/gender queer;8/13 White). They completed semistructured audio interviews about their broad experiences of body and eating during COVID-19, as well as how they understood changes across domains of family, community, access to resources, and intersectional identities interacting with these experiences. Themes included (a) Losing Affirming Spaces and Security, (b) Gaining Affirming and Supportive Spaces Online, (c) Reflecting on Embodied Gender and Identities, (d) Realizing New Connections and Insights, and (e) Considering the Self in Social Context. Notably, each of these themes interacted with participants' self-reported experiences of body and eating distress and, in some cases, healing. Our results illuminate risk and resilience factors and areas requiring innovation during and after COVID-19. (PsycInfo Database Record (c) 2021 APA, all rights reserved) Impact Statement The current study highlights complex impacts of COVID-19 on Transgender and Nonbinary (TGNB) individuals' experiences of body and eating distress. Most participants reported increased disordered eating during COVID-19, tying these struggles to lost affirming community and financial security and increased time alone noticing gender dysphoria. Some participants reported improved disordered eating corresponding to finding affirming online spaces. Many also found time to reflect on and, in some cases, realize gender. (PsycInfo Database Record (c) 2021 APA, all rights reserved)