In Dissociative Identity Disorder (DID) or Other Specified Dissociative Disorder (OSDD), the inner world is a complex and subjective concept where alters (also known as identities, personalities, or parts) may interact with each other. Since the inner world is a construct of the mind and not a physical reality, actions that occur there typically do not have direct physical consequences on the external world or the host (the person in the body who holds the primary identity).
Regarding drinking alcohol in the inner world, it is crucial to understand that this behavior is symbolic and psychological rather than a physical act. Alters may choose to simulate drinking alcohol as a way to express emotions, cope with stress, or fulfill certain roles or desires within the inner world. These actions are primarily a manifestation of their emotions and thoughts.
As for whether such actions affect the host or others who are currently fronting, it can vary depending on the individual and their level of awareness and communication within their system (the collective term for all the alters). Some systems may have more fluid communication and co-consciousness between alters, allowing them to be aware of each other's experiences, including actions in the inner world. In contrast, others may have less awareness, and the actions of one alter in the inner world may not be consciously experienced or remembered by others.
It's essential to approach DID/OSDD with sensitivity and respect for the individuals experiencing it. The inner world is a unique and deeply personal aspect of dissociative disorders, and experiences can differ significantly from one person to another. If you or someone you know is struggling with DID/OSDD, it's essential to seek support from mental health professionals experienced in working with dissociative disorders. They can provide appropriate guidance and therapeutic interventions to help manage symptoms and foster healthier communication and understanding within the system.