Psychiatry defines reality testing as follows: Any means by which an individual is able to clearly asses his or her limitations as they relate to biological, physiological, social or environmental realities, or the objective evaluation of sensoryimpressions, thus allowing the person to distinguish between the internal and external worldand between fantasyandreality.
I cannot say this with authority but I suspect that all severe mental illnesses affect the ability to correctly assess ones interactions with others.
Though I rarely say this outright; I believe that my alternates are real.
I have to force myself to think of myself as ‘I’ and I only say “I” when discussing myself as separate from the people we call our ‘alternates’.
When I am “the self” I initially have vague memories of what happened before
I took over but they quickly fade
My compromised reality testing also compromises my ability to protect myself from exploitation.
This is an excerpt from an interview with Kim Noble.
Kim Noble is a British artist and Mother who has over 20 distinct personalities. This is an interview with an alternate that is a 21 Year old Gay Man. On the couch next to Kim is her daughter. The alternate thinks that the daughter is the daughter of a friend.