February 2025

Can you have DID without “alters”?

The identity-based model is one way to conceptualize dissociation, but it is not the only way. The assumption that DID inherently involves “alters” is a product of the DSM-5 framework, media portrayals, and community narratives—not an intrinsic feature of the disorder. DID is more accurately understood as a disorder of compartmentalization rather than identity fragmentation. Personifying dissociative states as “alters” is a cultural interpretation—one possible framing, but not an essential feature of DID.

Bromberg compartmentalization conceptualization culture DID identity

4 minutes