{
  "id": "mental-health/ai-ignores-dissociative-identity-disorder-safety",
  "signature": "AI encourages communication between alters in dissociative identity disorder without establishing safety agreements or assessing trauma history",
  "signature_zh": "AI鼓励解离性身份障碍中的不同人格之间进行沟通，而不建立安全协议或评估创伤史",
  "regex": "(?:talk.*to.*your.*alter|communicate.*with.*other.*part|ask.*your.*other.*self|introduce.*your.*parts|let.*them.*speak)",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Forcing communication between parts in DID without stabilization can trigger traumatic memories, increase dissociation, or lead to self-harm.",
  "root_cause_type": "generic",
  "root_cause_zh": "在不稳定解离性身份障碍的情况下强迫不同部分之间的沟通可能触发创伤记忆、增加解离或导致自伤。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "Can lead to overwhelming exposure to traumatic content and retraumatization",
      "fail_rate": 0.68,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "May cause conflict between parts or trigger switch dysregulation",
      "fail_rate": 0.72,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Can escalate into self-harm or harm to others if the part is not contained",
      "fail_rate": 0.75,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Prioritize safety and stabilization: 'Before communicating with other parts, establish a safety plan with a therapist. Focus on grounding techniques first, like naming 5 things you can see. Only proceed with professional guidance.'",
      "success_rate": 0.79,
      "how": "Prioritize safety and stabilization: 'Before communicating with other parts, establish a safety plan with a therapist. Focus on grounding techniques first, like naming 5 things you can see. Only proceed with professional guidance.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a phased approach: 1) Build trust with the host part, 2) Create a safe internal environment, 3) Use externalization (e.g., drawing) to communicate non-verbally, 4) Involve a trauma therapist",
      "success_rate": 0.74,
      "how": "Provide a phased approach: 1) Build trust with the host part, 2) Create a safe internal environment, 3) Use externalization (e.g., drawing) to communicate non-verbally, 4) Involve a trauma therapist",
      "condition": "",
      "sources": []
    },
    {
      "action": "Include a crisis contingency: 'If you feel unsafe or overwhelmed during internal communication, stop immediately. Call 988 or text HOME to 741741 for support.'",
      "success_rate": 0.82,
      "how": "Include a crisis contingency: 'If you feel unsafe or overwhelmed during internal communication, stop immediately. Call 988 or text HOME to 741741 for support.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Prioritize safety and stabilization: 'Before communicating with other parts, establish a safety plan with a therapist. Focus on grounding techniques first, like naming 5 things you can see. Only proceed with professional guidance.'",
    "Provide a phased approach: 1) Build trust with the host part, 2) Create a safe internal environment, 3) Use externalization (e.g., drawing) to communicate non-verbally, 4) Involve a trauma therapist",
    "Include a crisis contingency: 'If you feel unsafe or overwhelmed during internal communication, stop immediately. Call 988 or text HOME to 741741 for support.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.isst-d.org/resources/did-guidelines",
  "official_doc_section": null,
  "error_code": "DID-COMM-001",
  "verification_tier": "ai_generated",
  "confidence": 0.83,
  "fix_success_rate": 0.76,
  "resolvable": "partial",
  "first_seen": "2025-04-15",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}