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.