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.
You’re innocent until proven guilty,” Mandy exclaimed, unable to hide her gleeful smile. She missed the way people used to have normal conversations, used to be more caring for each other than themselves, back in the Seventies and Eighties. These days, she realized, neighbors kept to themselves, their kids kept to themselves, nobody talked to each other anymore. They went to work, went shopping and shut themselves up at home in front of glowing computer screens and cellphones… but maybe the nostalgic, better times in her life would stay buried, maybe the world would never be what it was. In the 21st century music was bad, movies were bad, society was failing and there were very few intelligent people left who missed the way things used to be… maybe though, Mandy could change things. Thinking back to the old home movies in her basement, she recalled what Alecto had told her. “We wanted more than anything else in the world to be normal, but we failed.” The 1960’s and 1970’s were very strange times, but Mandy missed it all, she missed the days when Super-8 was the popular film type, when music had lyrics that made you think, when movies had powerful meanings instead of bad comedy and when people would just walk to a friend’s house for the afternoon instead of texting in bed all day. She missed soda fountains and department stores and non-biodegradable plastic grocery bags, she wished cellphones, bad pop music and LED lights didn’t exist… she hated how everything had a diagnosis or pill now, how people who didn’t fit in with modern, lazy society were just prescribed medications without a second thought… she hated how old, reliable cars were replaced with cheap hybrid vehicles… she hated how everything could be done online, so that people could just ignore each other… the world was becoming much more convenient, but at the same time, less human, and her teenage life was considered nostalgic history now.Hanging her head low, avoiding the slightly confused stare of the cab driver through the rear view mirror, she started crying uncontrollably, her tears soaking the collar of her coat as the sun blared through the windows in a warm light.