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49 " The case of a patient with dissociative identity disorder follows:Cindy, a 24-year-old woman, was transferred to the psychiatry service to facilitate community placement. Over the years, she had received many different diagnoses, including schizophrenia, borderline personality disorder, schizoaffective disorder, and bipolar disorder. Dissociative identity disorder was her current diagnosis.Cindy had been well until 3 years before admission, when she developed depression, " voices," multiple somatic complaints, periods of amnesia, and wrist cutting. Her family and friends considered her a pathological liar because she would do or say things that she would later deny. Chronic depression and recurrent suicidal behavior led to frequent hospitalizations. Cindy had trials of antipsychotics, antidepressants, mood stabilizers, and anxiolytics, all without benefit. Her condition continued to worsen.Cindy was a petite, neatly groomed woman who cooperated well with the treatment team. She reported having nine distinct alters that ranged in age from 2 to 48 years; two were masculine. Cindy’s main concern was her inability to control the switches among her alters, which made her feel out of control. She reported having been sexually abused by her father as a child and described visual hallucinations of him threatening her with a knife. We were unable to confirm the history of sexual abuse but thought it likely, based on what we knew of her chaotic early home life.Nursing staff observed several episodes in which Cindy switched to a troublesome alter. Her voice would change in inflection and tone, becoming childlike as ]oy, an 8-year-old alter, took control. Arrangements were made for individual psychotherapy and Cindy was discharged.At a follow-up 3 years later, Cindy still had many alters but was functioning better, had fewer switches, and lived independently. She continued to see a therapist weekly and hoped to one day integrate her many alters. "

57 " More proof that Lynn is still meant to continue with the government programme occurred during the winter of 2000, when she was sitting at a cafeteria table at the area college. It was later in the afternoon when a few people congregated there with books spread out so they could study while drinking coffee or snacking. Many tables were empty, yet after Lynn had been sitting for a few moments, an elderly man sat down across from her.
The old man seemed familiar to Lynn, though, at first, she pretended to ignore him. He said nothing, just sat there as someone might when all the tables are filled and it is necessary to share space with a stranger. His presence made her uncomfortable, yet there was nothing specific that alerted her.
A short while later, Mac, the man who had been Lynn's handler in Mexico, came out of the shadows and stopped at the table. He was younger than the old man. His clothes were military casual, the type of garments that veteran students who have military experience might recognise, but not think unusual. He leaned over Lynn and kissed her gently on the forehead, spoke quietly to her, and then said 'Wake up, Sleeping Beauty.' Those were the code words that would start the cover programme of which she was still part. The words led to her being switched from the control of the old man, a researcher she now believes may have been part of Dr Ewen Cameron's staff before coming to the United States for the latter part of his career, to the younger man.
The change is like a re-enlistment in an army she never willingly joined. In a very real way, she is a career soldier who has never been paid, never allowed to retire and never given a chance to lead a life free from the fear of what she might do without conscious awareness. "

, Secret Weapons: How Two Sisters Were Brainwashed to Kill for Their Country