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
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.
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