Dissociative Identity Disorder: Treatment and Management

by Hassaan Tohid

Fusions of different alter personalities should be performed whenever it appears to be appropriate. This may be through the wish of the patient, or due to the loss of function of an alter personality. Integration is a broader reorganization. Integration starts from the beginning of the treatment and continues with fusions. Fusions can occur spontaneously or be induced by the therapist. The preparedness of the alternate personalities should be assessed by the general status of the patient and the explicit ratification by the host and in particular of the alternate personalities. Spontaneous fusions occur after the gradual dissolving of dissociative barriers and the emergence of co-consciousness between alters. Fusion can be carried out through a ritual or ceremony using visual imagination.