Information - McDD

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There is only a little specified investigated about what causes McDD. In all likelihood it has something to do with a disorder of the assimilation of information in the brains, in combination with the reactions on input from the environment. It is possible that a genetic characteristic is involved, just like with autism.
McDD'ers are suspicious very quickly on all terrains (events or behaviours of other people). They can (for example) think that other people are talking about them. Sometimes they can lose themselves so completely in their own fantasies that the difference between fantasy and reality isn't clear anymore. They also can talk sometimes about little voices in their head that are controling them in such a way they can't resist. It isn't possible for these people to check the reality-factor of the situation. They also have to learn that behaviour isn't something that just happens, but that they can have an influence on it. The big problem with this is that the regulation of emotions is disturbed, which causes them to react before they even can get to thinking.

In the past, children with McDD were often called borderline-children because of mental problems fluctuating on the border of neurosis and (developmental)psychosis.
Diagnosing McDD is not that easy which causes the diagnose to be missed a long time. Often it is not understood how serious it is, because it is misleading if you see how well those people can function and communicate in a one-on-one contact. Their rigid resistance is frequently seen as stubborness and uncooperativeness instead of incapacity. Wrongfully often is thought on a behaviour disorder because of the extreme anger, while the fears alas often are seen as too futile. A little bit of fear changes straight into panic and a little bit of anger becomes fury. Because of the unfathomable fears, vehemence and increased body strength, it is possible that too much is asked of the environments endurance.
With these children it is best to not show your own emotions, because it confuses them too much. It is important to focus on the perception of the child. The child has little or no need for social contact or tries to avoid this, certainly in contact with more people. If the situation is getting more complex or less synoptic, things go wrong. On the school square, in the shop, on a birthday party, on a family party those children go off the rails very quicly and react with fear or anger.
Sometimes they take initiatives in contact with other people, but often they miss the capacity to see through social relationships. There is a lack of empathy and there are not many friendships with others of their age. Also turning to adults occur.

Puberty is an exciting fase for youngsters with McDD, because in this period the danger for a psychotic development is real. When they are grown up, they mostly will still have problems with contacts and thinking. Generaly they stay dependent from aid and support, especially with living and working.

© 2006 #McDD - realisation: E. Appermont