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cognizant  QUOTES

12 " I believe the perception of what people think about DID is I might be crazy, unstable, and low functioning. After my diagnosis, I took a risk by sharing my story with a few friends. It was quite upsetting to lose a long term relationship with a friend because she could not accept my diagnosis. But it spurred me to take action. I wanted people to be informed that anyone can have DID and achieve highly functioning lives. I was successful in a career, I was married with children, and very active in numerous activities. I was highly functioning because I could dissociate the trauma from my life through my alters. Essentially, I survived because of DID. That's not to say I didn't fall down along the way. There were long term therapy visits, and plenty of hospitalizations for depression, medication adjustments, and suicide attempts. After a year, it became evident I was truly a patient with the diagnosis of DID from my therapist and psychiatrist. I had two choices.
First, I could accept it and make choices about how I was going to deal with it. My therapist told me when faced with DID, a patient can learn to live with the live with the alters and make them part of one's life. Or, perhaps, the patient would like to have the alters integrate into one person, the host, so there are no more alters. Everyone is different.
The patient and the therapist need to decide which is best for the patient. Secondly, the other choice was to resist having alters all together and be miserable, stuck in an existence that would continue to be crippling. Most people with DID are cognizant something is not right with themselves even if they are not properly diagnosed. My therapist was trustworthy, honest, and compassionate. Never for a moment did I believe she would steer me in the wrong direction. With her help and guidance, I chose to learn and understand my disorder. It was a turning point. "

, A Shimmer Of Hope: A deeply personal and courageous account of one woman's battle with multiple personalities

14 " I would like to turn in my skin and change it for a new epidermis. It feels as if I will never be able to rinse the sadness from my soul. All the while I am cognizant of the fact that I am trying to purge myself of my feelings. I start with my shell.
I am in the water at least an hour. I immerse my head. My long, thick mane is so heavy, but I feel the lightness of my hair as it floats. I can hear my heart beating in my ears. I wonder what would happen if I died in this water. I drain the bathtub and refill it. I scrub my skin until it stings. I still don't feel clean. I close my eyes.
I switch to lying on my back. I gaze at the heavens through the skylight on the ceiling above the tub. I am thinking about Isabella. I am struck by the feeling of uncleanness that I have been immersed in that day. I would imagine that this child feels unclean always, in body and in mind. I am hoping that the sheets in her foster home are snow white and fragrant. I am hoping that she felt safe. I am worried that she is so deeply alone and frightened. I know somewhere deep inside of me that the decisions and choices I made today were sound. I am praying, with eyes glued to the stars, that I will not awaken in the night with my heart beating out of my chest; that I will not be haunted by Francis's diseased body; that I will not perseverate on ever nuance of my day - the smells, the cockroaches, the piercing torment of Isabella's unseeing eye, her father's sore-ridden penis penetrating her tiny body. Yet in many ways this is an experience I hope never to forget. The pearls. I must not forget the pearls that I have promised her. "

, Fire of the Five Hearts: A Memoir of Treating Incest

20 " Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters.

Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal.

Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed. "

David Yeung