for people saying RAMCOA/OEA isn't real because "It's all conspiracy", there are actual records of places that use those abuse methods, and no not all of them are some big scary cults (while they very much are real, and you can simply look up famous cults and get a butt load)
these things can be schools like the troubled teen industry, most known to me are Ivory Ridge and School of Élan. both abused the kids enrolled there, gaslit and manipulated them and their parents to convince them they committed bad things to get the parents to spend more money on tuition, and that they were bad kids who deserved to be there, Élan literally had a "bully" ritual where they'd pick a kid to be a "bully", and students surround them and one other student and force them to fight until one gets knocked out or until a staff member calls it off (which these were always started by staff members, sometimes for no reason). Students were forced to carry around degrading signs on themselves, some were forced to live in a dumpster for around 30 days i believe?
Ivory Ridge has a whole documentary you can watch on Netflix called The Program, where they even show a whole shed filled with files from the school.
In both of these schools, students behaviors were heavily monitored and their access to the outside world were extremely limited, if they wanted to write a letter, it'd be screened before sending out to make sure they were trying to tell parents what was happening inside the school, and when it came to phone calls, they were heavily monitored and the line would be cut off if you tried to call for help and your calling privileges would be taken (which were very difficult to even get)
these same schools also had hierarchies to climb, and rules that were impossible to follow (things like no smiling, no singing, no making eye contact, no talking to someone on the same level as you, no looking at the opposite sex, no pretending to sleep, 5 minutes showers, etc) Not to mention the staff here had lack of qualifications to be saying they were offering therapeutic care for these "troubled teens"
this abuse is also in underground trafficking rings, which i feel like i don't even have to explain how those can be organized abuse.
no RAMCOA/OEA isn't with the intention of "making a system", but it definitely can be a cause of it if a child were to endure these things, or someone who already has DID/OSDD were to be enrolled into the troubled teen industry and worsen their mental state.
if you look into these things and proceed to say RAMCOA/OEA isn't real, then you're being willfully ignorant.