In dissociative identity disorder (DID), formerly known as multiple personality disorder, a person's identity becomes fragmented into two or more distinct personality states or identities, often referred to as "alters." Each alter can have its own unique characteristics, memories, and ways of interacting with the world.
The concept of a "dominant personality" can be complex within the context of DID. It is common for one alter to be more present and in control most of the time, while other alters may emerge in response to specific triggers or stressors. The alter that is present and in control most often is sometimes referred to as the "host" personality. However, it's essential to understand that all the alters are part of the same person's identity.
The host personality might be more integrated into the person's everyday life and may have a greater awareness of the existence of other alters. This awareness can vary significantly from one person with DID to another. Sometimes, individuals with DID may not be fully aware of their alters, which can contribute to a sense of confusion and disconnection from their own experiences.
It's important to note that in DID, the idea of a "main personality" or "core personality" is not necessarily indicative of a hierarchy where one personality is more significant than the others. Each alter is a distinct part of the person's identity and serves specific functions, often as a coping mechanism to deal with past trauma.
As for whether the main personality can disappear forever, it's crucial to understand that DID is a complex and chronic condition. The personalities or alters do not simply disappear. Instead, the goal of treatment is typically to help the different alters communicate and cooperate better, leading to a more integrated sense of self. This process is called "integration" and involves the various identities becoming more aware of each other, sharing memories, and working together.
Integration is not always the primary goal of treatment, as it depends on the individual's specific needs and experiences. Treatment for DID often involves psychotherapy, specifically trauma-focused therapy and specialized approaches such as dissociation-focused therapy.
Remember that DID is a complex and often misunderstood condition, and accurate diagnosis and treatment are essential. If you or someone you know is experiencing symptoms suggestive of dissociative identity disorder, it's essential to seek help from a qualified mental health professional experienced in working with dissociative disorders.