The concept of integration in Dissociative Identity Disorder (DID) refers to the process in which the distinct identity states (alters) within a person's system merge or come together, resulting in a more cohesive sense of self. Integration is considered one possible outcome of therapeutic work and healing in some cases of DID, but it is not the only possible outcome, and not all individuals with DID will achieve full integration.
Integration is a complex and multifaceted process that involves the merging of identity states and the resolution of traumatic memories and conflicts. It is a gradual and delicate process that can take time and may not be achievable for everyone with DID.
If a person with DID has achieved integration, it is generally thought to be a more stable state of functioning, where the need for distinct alters has diminished significantly. However, it is essential to understand that the mind is incredibly complex, and it is theoretically possible for a formerly integrated individual to experience a "re-split" or the emergence of new alters.
There are several reasons why a person who has integrated might experience a re-split or the formation of new alters:
New trauma: If the individual experiences new traumatic events or stressors, the mind may use dissociation as a coping mechanism, resulting in the creation of new alters.
Coping with overwhelming emotions: When faced with overwhelming emotions or stress, the mind may dissociate as a way to manage the distress, leading to the emergence of new alters.
Unresolved issues: If there are unresolved conflicts or unprocessed memories from the past, these could potentially lead to the creation of new alters as a way to cope with those issues.
External triggers: Certain external triggers, reminiscent of past trauma, could lead to the emergence of new alters.
It's important to note that the mind's response to trauma and stress can be highly individual, and not everyone who achieves integration will experience re-splitting or the formation of new alters. Additionally, the integration process itself is not always a linear journey, and some individuals may experience fluctuations in their level of integration over time.
If a person who has achieved integration finds themselves experiencing new dissociative symptoms or the emergence of new identity states, it would be important for them to seek support from a qualified mental health professional experienced in working with dissociative disorders. Therapy can help them navigate these experiences and understand their underlying causes while providing appropriate coping strategies and support.