Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters.Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal.Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.
And at night the river flows, it bears pale stars on the holy water, some sink like veils, some show like fish, the great moon that once was rose now high like a blazing milk flails its white reflection vertical and deep in the dark surgey mass wall river's grinding bed push. As in a sad dream, under the streetlamp, by pocky unpaved holes in dirt, the father James Cassidy comes home with lunchpail and lantern, limping, redfaced, and turns in for supper and sleep.Now a door slams. The kids have rushed out for the last play, the mothers are planning and slamming in kitchens, you can hear it out in swish leaf orchards, on popcorn swings, in the million-foliaged sweet wafted night of sighs, songs, shushes. A thousand things up and down the street, deep, lovely, dangerous, aureating, breathing, throbbing like stars; a whistle, a faint yell; the flow of Lowell over rooftops beyond; the bark on the river, the wild goose of the night yakking, ducking in the sand and sparkle; the ululating lap and purl and lovely mystery on the shore, dark, always dark the river's cunning unseen lips, murmuring kisses, eating night, stealing sand, sneaky.'Mag-gie!' the kids are calling under the railroad bridge where they've been swimming. The freight train still rumbles over a hundred cars long, the engine threw the flare on little white bathers, little Picasso horses of the night as dense and tragic in the gloom comes my soul looking for what was there that disappeared and left, lost, down a path--the gloom of love. Maggie, the girl I loved.
I realized I still had my eyes shut. I had shut them when I put my face to the screen, like I was scared to look outside. Now I had to open them. I looked out the window and saw for the first time how the hospital was out in the country. The moon was low in the sky over the pastureland; the face of it was scarred and scuffed where it had just torn up out of the snarl of scrub oak and madrone trees on the horizon. The stars up close to the moon were pale; they got brighter and braver the farther they got out of the circle of light ruled by the giant moon. It called to mind how I noticed the exact same thing when I was off on a hunt with Papa and the uncles and I lay rolled in blankets Grandma had woven, lying off a piece from where the men hunkered around the fire as they passed a quart jar of cactus liquor in a silent circle. I watched that big Oregon prairie moon above me put all the stars around it to shame. I kept awake watching, to see if the moon ever got dimmer or if the stars got brighter, till the dew commenced to drift onto my cheeks and I had to pull a blanket over my head. Something moved on the grounds down beneath my window — cast a long spider of shadow out across the grass as it ran out of sight behind a hedge. When it ran back to where I could get a better look, I saw it was a dog, a young, gangly mongrel slipped off from home to find out about things went on after dark. He was sniffing digger squirrel holes, not with a notion to go digging after one but just to get an idea what they were up to at this hour. He’d run his muzzle down a hole, butt up in the air and tail going, then dash off to another. The moon glistened around him on the wet grass, and when he ran he left tracks like dabs of dark paint spattered across the blue shine of the lawn. Galloping from one particularly interesting hole to the next, he became so took with what was coming off — the moon up there, the night, the breeze full of smells so wild makes a young dog drunk — that he had to lie down on his back and roll. He twisted and thrashed around like a fish, back bowed and belly up, and when he got to his feet and shook himself a spray came off him in the moon like silver scales. He sniffed all the holes over again one quick one, to get the smells down good, then suddenly froze still with one paw lifted and his head tilted, listening. I listened too, but I couldn’t hear anything except the popping of the window shade. I listened for a long time. Then, from a long way off, I heard a high, laughing gabble, faint and coming closer. Canada honkers going south for the winter. I remembered all the hunting and belly-crawling I’d ever done trying to kill a honker, and that I never got one. I tried to look where the dog was looking to see if I could find the flock, but it was too dark. The honking came closer and closer till it seemed like they must be flying right through the dorm, right over my head. Then they crossed the moon — a black, weaving necklace, drawn into a V by that lead goose. For an instant that lead goose was right in the center of that circle, bigger than the others, a black cross opening and closing, then he pulled his V out of sight into the sky once more. I listened to them fade away till all I could hear was my memory of the sound.