“As an undergraduate student in psychology, I was taught that multiple personalities were a very rare and bizarre disorder. That is all that I was taught on ... It soon became apparent that what I had been taught was simply not true. Not only was I meeting people with multiplicity; these individuals entering my life were normal human beings with much to offer. They were simply people who had endured more than their share of pain in this life and were struggling to make sense of it.”
― Deborah Bray Haddock, The Dissociative Identity Disorder Sourcebook
An alter is a dissociated self state that may be associated with either dissociative identity disorder (DID) or other specified dissociative disorder subtype 1 (OSDD-1). In cases of DID, most if not all alters can take recurrent executive control of the body in which they reside. Alters each have their own perception of self as a unique individual or entity and do not view themselves as only an aspect of a complete person. Externally, alters can display different degrees of emotional expressiveness, behave in different ways, and have different skills and abilities related to sensory-motor functioning. They have different thoughts, perceptions, and memories relating to themselves and to the world around them. They may perceive themselves as having an age, gender, sexuality, appearance, source, or even species that may or may not match that of the system's actual body, and they may or may not be aware of these discrepancies. (Some alters may see what they expect to see when they look into mirrors and are highly distressed to realize that the body that they are in does not match their internal perception of how they should look.) Often, alters have their own wants, needs, desires, and opinions. They may have psychological disorders and physiological reactions that are unique to them or experience the body’s psychological and physiological disorders in different ways or to different degrees than do other alters in the same body.
To quote "Dissociative Multiplicity and Psychoanalysis" from "Dissociation and the Dissociative Disorders: DSM-V and Beyond:"
"The alters may be few or many, of various ages, including older than the body, same- or cross-gendered, hetero- or homosexual, alive or dead, with either or both coconsciousness and copresence to varying degrees, which may not be commutative (i.e., may be one-way), communicating not at all, or through hallucinations, or through direct thought transfer, manifesting different physiological signs in the body when out, clustered in various arrays of dyads, subgrouping, layers, purposes, and so on. Subhuman, animal, or imaginary alters are not uncommon, with likely links to children’s fantasy. When out, a given host or alter may appear globally to be mentally and behaviorally whole and normal or an exaggerated caricature or a single-function agent, and so on, but not necessarily congruent with the age and gender of the body" (Dell & O'Neil, 2009).1
Alters are also referred to as parts, alternate personalities, personalities, fragments, "headmates," internal family members ("sisters," "brothers," "cousins," etc), or self states.
Collectively, all of the alters in one body are known as a system.
For more information, see:
1 Dell, P. F., & O'Neil, J. A. (2009). Dissociative multiplicity and psychoanalysis. In Dissociation and the dissociative disorders: DSM-V and beyond (p. 301). New York: Routledge.
Image transcript: Text in front of a dark background. The text reads: "I have an alter who was a persecutor for a long time. This alter saw herself as an abuser and carried an awful lot of self hate, but she wasn't really bad because her motives were to protect us. Eventually she learnt that hurting us wasn't necessary, so now she is trying to learn how to protect us in more healthy ways." The text is attributed to Wizard.
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This website was last updated 4/28/2022.
This page was last updated 7/15/2016.