the tic in the right eye. “But he'll never let ih-ih-it happen.”
“Who? Who'll never let it happen?”
“Max.”
“What if we could convince Max that therapy would be in his best interest as well?”
“You couldn't-he wouldn't.”
“Why not?”
“Because… he's…” Irene watched in astonishment as the personality sitting across the desk from her began to disintegrate. The tic worsened, until both eyes were twitching violently; the face clenched like a fist; the head began to tremble violently as he fought to get the words out. “… he's a demon. His name is Car-”
The prisoner went limp; he sagged down in the wooden chair, then toppled forward, striking the top of his head against the edge of the desk as he fell. Irene jumped up, started toward him, then thought better of it and reached for the phone on the wall instead.
15
Pender was on his second cup of coffee when his cell phone began chirping in his pocket. “Pender.”
“This is Dr. Cogan. Irene Cogan. I understand you've been trying to get in touch with me?”
“You're the psychiatrist who's been evaluating the John Doe who knifed that young woman in June?”
“I am. What can I do for you?”
“I'm investigating a series of abductions of females whose descriptions match the current victim-I'd be interested in anything you can tell me about the suspect.”
“Even if I had the time, Agent Pender, I'm not sure it would be ethical for me to-”
Pender, with forced calm: “Doctor Cogan, this man is a prime suspect in a dozen unsolved abductions. In less than half an hour I'm due to be locked in a cell with him. I assume you know what he did to Refugio Cortes?”
After a short pause. “I do.”
“Yes, well, anything you can tell me that might help give me a handle on him could save me from a similar fate.”
Pender could almost hear her thinking it over. He crossed his thick fingers and pushed her a little harder. “I give you my word that anything you can tell me will be held in absolute confidence- he'll never even know we've spoken.”
A few more seconds passed. “Agent Pender, are you familiar with dissociative identity disorder?”
“I don't believe so.”
“How about multiple personality disorder?”
“Oh, sure. Like Sybil, or Three Faces of Eve.”
“Exactly. Or rather, not exactly-forget what you've seen in the movies. The disorder was renamed a few years ago, to take into account the fact that the split-off identities-we call them alters- aren't really separate personalities, but aspects of the same, dissociated identity.”
“How does that work?”
“Every case is different, of course. But they all have in common a history of horrendous abuse beginning early on in childhood-in some cases infancy-and continuing for years.”
“Sexual abuse?”
“Sexual, physical, emotional, even satanic-you name it.” Irene, who had been lecturing and writing about the disorder since 1989, switched onto automatic pilot: “With no way for the child to escape the abuse, the child's mind dissociates in self-defense, creating a more or less coherent system of alter identities to help the child deal with the trauma.
“Now the reason we use the word system is that despite the outward appearance of chaos, internally the alters function together to help the child, and later the adult, cope with his or her world. Over the years we've identified dozens of different classes of alters. For instance there's the host identity, not to be confused with the original identity. The host is the one who tries to hold the system together. There are also child identities, frozen at whatever age they were created, who hold the memories and affects of the original traumas.
“And one of the best examples of how the alters function together is the interaction between the persecutor or suicidal identities, who attempt to punish the individual to alleviate feelings of guilt, and the protector alters, whose function is to protect the body from harmful or neglectful alters-they'll usually step in to keep the persecutors from going too far. In some instances a suicidal alter or a substance-abusing alter will take an overdose, and the protector will call an ambulance.
“There are also ISHs-internal self helpers-who are like internal therapists, providing perspective and giving advice, and MTPs-memory trace personalities-who maintain a coherent memory of the patient's life history, regardless of which alter was in control at the time.
“Then you have cross-gender and/or promiscuous identities to act out conflicting sexual urges, as well as administrators and obsessive-compulsive identities who come out to perform work-related activities. There are autistic and handicapped alters who emerge in highly stressful times; alters with artistic skills; analgesics who don't feel pain; impostors who can imitate not only other people but also other alters; substance abusers who attempt to self-medicate and dull the pain. Some alters believe themselves to be demons or spirits.
“During the course of a day, the patient can switch between alters with different voices, postures, and affects hundreds of times, dozens of times, or not at all. And it's important to understand that the patient's body image, or self-image, actually changes depending on the alter. When a male patient is under the control of a female alter, he will actually see himself as a woman, while a child alter will see itself as a child, no matter what the patient's chronological age. And not just see itself-I once treated an anorexic sixteen-year-old girl with an older male alter. He came out once when she was hospitalized for tube feeding, and it took three strong attendants to subdue him-her.”
“You're telling me she actually had the strength of a grown man?”
“It's not at all uncommon.”
“All these alters-do they know about each other?”
“It varies. Every system has its own rules and manner of functioning. Some systems have subsystems of alters, who share memory and consciousness, and others who are isolated. In therapy, one of our first jobs, with the patient's help, is to map out the systems and subsystems.”
“Sounds complicated.”
“It is.”
“What can you tell me about this particular individual?”
“The first thing you'll need to recognize is how he manifests his alter switches. When he's about to change, you'll see his eyes roll up to the right, then his eyelids will flutter. Sometimes the alter who's just taken over will look around the room, perhaps rub his thigh-it's called grounding behavior. As for the alters themselves, the identity that seems to be in charge of the body most of the time calls himself Max.”
“Is Max the, what did you call it? The host?”
“I'm not sure at this point. Max's affect is all wrong. Most hosts are depressed and anxious. I did meet another alter who filled that bill-he even asked me for help. But he definitely wasn't in charge-he referred to Max as a demon, and I think Max punished him for coming out to speak with me. I don't know his name-if you see him, you'll recognize him by his stammer, and the tic in his right eye. There's also a child alter named Lyssy-that's L Y S S Y- and a sexually seductive identity known as Christopher. I think Christopher might have been the alter who abducted the Wisniewski girl.”
“How would I recognize Christopher?”
“There's nothing overt. A little more eye contact, perhaps-a softer manner than Max. But that may have been because I'm a woman. You might not meet Christopher-unless of course he's bisexual. Or there might be a female alter, or an alter with a homosexual orientation.”
“So what have we got? Max, the host with the tic, Lyssy, and Christopher. Just the four?”
“That's all I've met so far. I think two others took some of the standardized tests for me yesterday. One of them was textbook well-adjusted-he tested saner than I do. That might be the ISH. Another tested as a classic
