I can provide some general information based on what I've been trained on in 2023.
Polyfragmented Dissociative Identity Disorder (DID) is a complex condition where a person experiences the presence of multiple distinct identities or personality states, often referred to as "alters." These alters can have unique characteristics, roles, and purposes. Some may act as protectors, internal self-helpers, persecutors, or hold other roles within the system.
In therapeutic contexts, mental health professionals typically work with individuals who have DID to facilitate communication and collaboration between alters, aiming for internal cooperation and healing. The approach used may vary depending on the individual's needs and therapeutic goals.
Some therapists work with the entire system or specific clusters of alters, addressing them collectively. They may use techniques like Internal Family Systems (IFS) therapy, where they interact with the different parts of the system and help them communicate and understand each other's roles and needs.
Other therapists may focus on identifying and addressing alters individually. This approach involves understanding the unique experiences, traumas, and functions of each alter, working towards integration, or finding a more cohesive and cooperative internal system.
The choice of strategy depends on various factors, such as the individual's preferences, therapeutic goals, the complexity of their DID system, and the therapist's approach and expertise.
It's essential to note that my responses are purely informative and not a substitute for professional mental health advice. If you or someone you know is dealing with DID or any other mental health concern, I encourage you to seek the support of a qualified mental health professional who specializes in trauma and dissociation to get personalized and appropriate care.