In Dissociative Identity Disorder (DID), a host refers to the part of the individual's identity that is most frequently present and often responsible for managing daily life. This part may or may not be aware of the other identities or alters within the system (collective term for all identities or personalities in DID).
One of the alters in a DID system can indeed be a "little." The term "little" is often used to describe an alter who embodies a childlike personality, emotional state, or developmental age. Littles may express themselves with childlike behaviors, emotions, and mannerisms. They may also have memories, interests, and preferences that reflect a child's perspective.
It's essential to understand that each alter in a DID system can have unique characteristics, and some alters may manifest as children, while others may represent different ages or aspects of the person's identity. Littles are one of the many possible manifestations of identities within a DID system.
The presence of a "little" alter does not necessarily mean that the individual with DID has a primary caregiver role in their life, but it can be a part of their internal system. Therapy for DID often involves understanding and working with all the alters to achieve better communication, cooperation, and overall well-being. A skilled mental health professional with experience in treating dissociative disorders can be instrumental in guiding the therapeutic process.