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“I had a bizarre rapport with this mirror and spent a lot of time gazing into the glass to see who was there. Sometimes it looked like me. At other times, I could see someone similar but different in the reflection. A few times, I caught the switch in mid-stare, my expression re-forming like melting rubber, the creases and features of my face softening or hardening until the mutation was complete. Jekyll to Hyde, or Hyde to Jekyll. I felt my inner core change at the same time. I would feel more confident or less confident; mature or childlike; freezing cold or sticky hot, a state that would drive Mum mad as I escaped to the bathroom where I would remain for two hours scrubbing my skin until it was raw. The change was triggered by different emotions: on hearing a particular piece of music; the sight of my father, the smell of his brand of aftershave. I would pick up a book with the certainty that I had not read it before and hear the words as I read them like an echo inside my head. Like Alice in the Lewis Carroll story, I slipped into the depths of the looking glass and couldn’t be sure if it was me standing there or an impostor, a lookalike. I felt fully awake most of the time, but sometimes while I was awake it felt as if I were dreaming. In this dream state I didn’t feel like me, the real me. I felt numb. My fingers prickled. My eyes in the mirror’s reflection were glazed like the eyes of a mannequin in a shop window, my colour, my shape, but without light or focus. These changes were described by Dr Purvis as mood swings and by Mother as floods, but I knew better. All teenagers are moody when it suits them. My Switches could take place when I was alone, transforming me from a bright sixteen-year-old doing her homework into a sobbing child curled on the bed staring at the wall. The weeping fit would pass and I would drag myself back to the mirror expecting to see a child version of myself. ‘Who are you?’ I’d ask. I could hear the words; it sounded like me but it wasn’t me. I’d watch my lips moving and say it again, ‘Who are you?”

“If I was set an essay on Friday, I’d spend three hours on Saturday morning in the library. Was that normal? I didn’t know. What I did know was that I felt less prone to depression and more normal walking through Venice or staring out over the lake in Zurich. At home I wrestled continually with my moods. The black thing inside me gnawed like a rat at my self-esteem and self-confidence. I felt there was a happy person inside me too, who wanted to enjoy life, to be normal, but my feelings of self-loathing and the deep distrust I had towards my father wouldn’t allow that sunny person to come out. When the black thing had an iron grip on me, I couldn’t even look at my father: Did you do bad things to me when I was little? Like a line from a song stuck in your brain, the words ran through my head and never once came out of my mouth. Not that I needed to say what was in my mind. I was sure Father could read my thoughts in my moods, in the blank, dead stare of my eyes. It was hardly surprising that there was always an atmosphere of strain and awkwardness in the house, and the blame was always mine: Alice and her moods, Alice and her anorexia; Alice and her low self-esteem; Alice and her inescapable feelings of loss and emptiness.”

“Why do I take a blade and slash my arms? Why do I drink myself into a stupor? Why do I swallow bottles of pills and end up in A&E having my stomach pumped? Am I seeking attention? Showing off? The pain of the cuts releases the mental pain of the memories, but the pain of healing lasts weeks. After every self-harming or overdosing incident I run the risk of being sectioned and returned to a psychiatric institution, a harrowing prospect I would not recommend to anyone. So, why do I do it? I don't. If I had power over the alters, I'd stop them. I don't have that power. When they are out, they're out. I experience blank spells and lose time, consciousness, dignity. If I, Alice Jamieson, wanted attention, I would have completed my PhD and started to climb the academic career ladder. Flaunting the label 'doctor' is more attention-grabbing that lying drained of hope in hospital with steri-strips up your arms and the vile taste of liquid charcoal absorbing the chemicals in your stomach. In most things we do, we anticipate some reward or payment. We study for status and to get better jobs; we work for money; our children are little mirrors of our social standing; the charity donation and trip to Oxfam make us feel good. Every kindness carries the potential gift of a responding kindness: you reap what you sow. There is no advantage in my harming myself; no reason for me to invent delusional memories of incest and ritual abuse. There is nothing to be gained in an A&E department.”

“The return of the voices would end in a migraine that made my whole body throb. I could do nothing except lie in a blacked-out room waiting for the voices to get infected by the pains in my head and clear off. Knowing I was different with my OCD, anorexia and the voices that no one else seemed to hear made me feel isolated, disconnected. I took everything too seriously. I analysed things to death. I turned every word, and the intonation of every word over in my mind trying to decide exactly what it meant, whether there was a subtext or an implied criticism. I tried to recall the expressions on people’s faces, how those expressions changed, what they meant, whether what they said and the look on their faces matched and were therefore genuine or whether it was a sham, the kind word touched by irony or sarcasm, the smile that means pity. When people looked at me closely could they see the little girl in my head, being abused in those pornographic clips projected behind my eyes? That is what I would often be thinking and such thoughts ate away at the façade of self-confidence I was constantly raising and repairing. (describing dissociative identity disorder/mpd symptoms)”

“Weird? Absurd? That’s how it seemed to me. I had these forces, these compunctions, these alternative personalities inside me, driving me. It was like being a jack-in-the-box and I was unsure which personality was going to jump out next: Billy, who thought of himself as a cowboy or a terrorist; Kato the cutter; anorexic Shirley, whose only self-indulgence was binge drinking and the occasional salad sandwich. I didn’t dislike Shirley. I was afraid of her. Shirley knew things I didn’t.”

“As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)”

“It’s hard to feel supported when you can’t tell people everything. People haven’t really got a clue what it’s like. It’s hard to trust anyone. It’s hard to believe people won’t let you down. I’m feeling like I want to cry. My body feels hollow. Empty. I don’t feel like I’m 17. I feel young. I’m not sure how old, maybe about 10 yrs. It’s hard to accept that I can’t get all the support I need from one person. From any person. It’s hard that no one can fully understand. It’s hard for me to admit that inside I feel a really lonely person. What do I need to do to take care of myself right now? Well I need to cuddle my teddies — it sounds silly, but I need some comfort... I was still cuddling teddies when I should have been cuddling boys. The sick imagery in my mind, rather than making me sexually active, had closed that door completely.”