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Alternate Identities: Definitions and Conceptual Issues Alternate identities have been defined in a number of ways. For example, Putnam 1989 ; describes them as "highly discrete states of consciousness organized around a prevailing affect, sense of self including body image ; , with a limited repertoire of behaviors and a set of state dependent memories." Kluft 1988 ; states that: "A disaggregate self state i.e., personality ; is the mental address of a relatively stable and enduring particular pattern of selective mobilization of mental contents and functions, which may be behaviorally enacted with noteworthy roletaking and role-playing dimensions and sensitive to intrapsychic, interpersonal, and environmental stimuli. It is organized in and associated with a relatively stable but order effect dependent ; pattern of neuropsychophysiologic activation, and has crucial psychodynamic contents. It functions both as a recipient, processor, and storage center for perceptions, experiences, and the processing of such in connection with past events and thoughts, and or present and anticipated ones as well. It has a sense of its own identity and ideation, and a capacity for initiating thought processes and action" pp. 55 ; . In short, the alternate identities are intrapsychic entities that have a sense of self, have an emotional repertoire, and can process information. They have both the potential for "being-in-the world" behavioral enactments as well as subjective symbolic and metaphorical characteristics. They have aspects of both structure and process. It is outside the scope of these Guidelines to provide a comprehensive discussion of current theories concerning the development of the alternate identities in DID see Loewenstein & Putnam, 2004, and Putnam, 1997 for a more complete discussion ; . Briefly, however, many believe that alternate identities result from the inability of many traumatized children to develop a unified sense of self that is maintained across various behavioral states, particularly if the traumas occur before the age of five. DID develops during the course of childhood and rarely, if ever, derives from adult-onset trauma unless it is superimposed on pre-existing childhood trauma ; . Traumatic experiences, particularly severe, repetitive trauma, produce extreme states of experiences in the child. Simultaneously, development of discrete, personified "behavioral states and zyban. 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