In Dissociative Identity Disorder (DID), the concept of alters merging with the host is a complex and controversial topic within the field of dissociative disorders. While some mental health professionals and individuals with DID report experiences of "integration" or "fusion" between alters, it is essential to understand that not all people with DID experience or seek such integration.
The process of integration refers to the blending or merging of distinct identity states (alters) into a more cohesive sense of self, often referred to as the "host" or "core identity." Integration can lead to increased cooperation, communication, and shared awareness among the previously separate parts of the personality.
However, it is crucial to recognize that integration is not the primary goal of therapy for everyone with DID. Integration may or may not be a desirable outcome, and some individuals may prefer to focus on developing effective communication and cooperation among their alters while maintaining a sense of individuality for each identity state.
Regarding the idea of the host "seeing what is happening outside instead of being blocked," it is related to the concept of dissociative amnesia. Dissociative amnesia in DID can create barriers between alters, leading to memory gaps and limited awareness between identity states. With successful integration or improved communication, there may be a reduction in dissociative barriers, and information might flow more freely among the different alters and the host.
It's essential to remember that the experiences of individuals with DID can vary significantly, and not everyone will have the same goals or outcomes in their treatment journey. Therapeutic interventions aim to provide support, healing, and improved functioning to enhance the overall well-being of the individual. The treatment approach is highly individualized, and what works best for one person may not be the same for another. Therefore, the focus is on developing coping strategies, enhancing communication, and fostering cooperation among the different identity states to improve overall functioning and quality of life.