They assert that DID cannot be accurately diagnosed because of vague and unclear diagnostic criteria in the DSM and undefined concepts such as "personality state" and "identities", and question the evidence for childhood abuse beyond self-reports, the lack of definition of what would indicate a threshold of abuse sufficient to induce DID and the extremely small number of cases of children diagnosed with DID despite an average age of appearance of the first alter of three years.
Multiple scars were found on the dorsal side of her right hand.
Some may be totally unaware of the existence of the others. The alters may collaborate to raise the child, with no overt signs of MPS for several years.
By dissociating painful memories from everyday thought processes, a person can use dissociation to maintain a relatively healthy level of functioning, as though the trauma had not occurred. Another example is that of a Caucasian woman with a black male child protective alter.
Movies and TV shows that misrepresent DID spread inaccurate information about a real illness and stigmatise the people living with it.
This included male dressing, language, a perception of male body parts, choices of friends, and attraction towards females, including sexual behavior.
Post-event confusion and guilt is also reported sometimes.