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Some may speak in foreign languages or with an accent.

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However, if the abuse is repeatedly extreme and the child does not have enough time to recover emotionally, the disassociated thoughts and feelings may begin to take on lives of their own.

Each cluster of thoughts tends to have a common emotional theme such as anger, sadness, or fear.

Each alter has its own unique style of viewing and understanding the world and may have its own name.

These distinct personalities periodically control that person's behavior as if several people were alternately sharing the same body.

Switching: Process by which an alternate personality reveals itself and controls behavior. Sometimes the most powerful alter serves as the gatekeeper and tells the weaker alters when they may reveal themselves. Most patients with MPD experience long periods during which their normal personality, called the main or core personality, remains in charge. Ninety-eight percent of people with MPD have some degree of amnesia when an alter surfaces.

When the main personality takes charge once again, the time spent under control of an alter is completely lost to memory.

MPD occurs about eight times more frequently in women than in men.

Some researchers believe that because men with MPD tend to act more violently than women, they are jailed rather than hospitalized and, thus, never diagnosed.

Female MPD patients often have more identities than men, averaging fifteen as opposed to eight for males.

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