The process of reintegrating alters in Dissociative Identity Disorder (DID) is known as integration. Integration aims to bring together distinct identity states or "alters" within a person with DID, creating a more unified and cohesive sense of self. Integration is often seen as a therapeutic goal in the treatment of DID, but it's essential to understand that not all individuals with DID choose or pursue integration as a goal, and that's okay. Some individuals may find that managing their different identity states and working cooperatively with them is a more functional and preferred approach.
Integration typically involves several stages and can be a gradual and complex process. Here are the general steps often involved in integration:
Establishing communication: The therapist helps facilitate communication between different alters. This communication helps the various identity states become aware of each other's existence, understand their roles, and acknowledge shared experiences or memories.
Developing co-consciousness: Co-consciousness means that the different identity states can be aware of each other's thoughts, feelings, and actions. Strengthening co-consciousness helps the alters work together and share control over aspects of daily life.
Collaborative work: Therapists often use various therapeutic approaches, such as Internal Family Systems (IFS) therapy or other trauma-focused therapies, to help the alters develop empathy and cooperation, fostering a more cohesive internal system.
Addressing trauma: The therapist helps the alters process and integrate traumatic memories that may have contributed to the development of separate identity states.
Integration: As communication, co-consciousness, and collaboration increase, some alters may naturally integrate with others. Integration can occur gradually, and alters may merge and become one or more cohesive identities.
Integration is a personal and individual process. Some people with DID may choose to integrate some alters but not others, based on what they feel is most beneficial for their overall well-being. Integration doesn't necessarily mean that all alters disappear; it's more about finding a sense of internal unity and harmony.
Regarding your question about reintegrating after integration, once integration has occurred, the alters have merged, and a more unified sense of self has been established. At this point, the alters are no longer separate identities, and the goal of integration has been achieved. However, it's crucial to remember that integration is not the only path to healing in DID therapy, and many individuals choose to manage their DID by fostering cooperation and communication between their identity states without seeking complete integration.
The approach to treatment for DID should always be individualized, based on the person's specific needs and preferences, and guided by a qualified mental health professional with experience in treating dissociative disorders.