West recovers memories of early childhoodsexual abuse and is diagnosed with DID as an adult. The book chronicles the first few years of his struggle to accept and heal from his disorder. West describes a system of 24 different personalities that emerge one by one. The presence of personalities is tied to flashbacks West experiences in which he is molested by his mother and grandmother as well as one or more unidentified male perpetrators. Alters emerge who either hold memories of West's abuse, carry the pain of the experience, or protect West's psyche in one way or another. One personality, named Switch, physically injures West's body in an effort to release pain. Unlike the classic "Sybil", West experiences co-consciousness and doesn't have fugue states. Throughout his long journey to acceptance, West undergoes intensive therapy, and through hospitalizations in DID-centered programs, meets many people who share his condition. His wife Rikki's constant support as well as his love for her and his son motivate West to accept his abuse and begin to heal from the damage it did to his psyche. One chapter, written entirely from Rikki's point of view, depicts her attempts to understand. In the final pages, West allows himself to be videotaped as his alters emerge and speak. After viewing this tape, West begins to fully realize and accept the exact nature of his condition and his denial begins to abate. West pursues the study of psychology and is awarded a Ph.D.
Analysis
West writes First Person Plural using a first-person omniscient style, in which he is typically the narrator, but the reader can still see scenes that don't involve the narrator. West struggles with denial of his condition for several years, beginning with the first “takeovers” of his body, until at last he begins to accept that his condition developed to protect him from the psychological experience of repeated childhood sexual abuse. West writes that he authored the book to present the public and treatment professionals with a first-hand account of DID so that others could more fully understand this often misdiagnosed condition. Furthermore, West states he wished to reach out to others like himself to show them that “they aren't alone, that there is hope.”