If safety and ethical practice are really important to you (and I believe they are), all the more reason that all of this clinical speculation be addressed in research so we can weed out which observations are reliable and which are not. By the way, since you've hinted on more than once occassion, I will tell you this, I've not yet seen in my own cases or in supervision with other therapists exposure therapy causing alter ego's to appear. This includes patients with multiple traumas in their history and patients who would meet criteria for Borderline Personality Disorder. Now that's my clinical experience. I suspect that someone out there has had a different experience. If so, which of us is "right"? I certainly wouldn't suppose that I'm neessarily right. Why should I suppose they are?
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