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The story was written in first person from two specific perspectives, though one of those was split into many other perspectives. The first of those was Lynn Wilson, a clinician who happened to be available and open to the idea that Joan Casey was suffering from Multiple Personality Disorder. The second was Joan herself, who revealed twenty-three distinct personalities over the course of her treatment with Lynn. The book was written after Joan's personalities merged into a single being. That being became known as Joan, though there weren't really any of the personalities prior to the merge who were known as Joan. The parts of the story that were not told by Lynn are told by this integrated personality that became known as Joan. However, at the time of the events being related, the personality most often conscious and at the forefront was Renee. Lynn referred to her by that name and she thought of herself as that name. To differentiate between the personalities for the purpose of this study guide, each is referred to as his or her preferred name. Those referred to only occasionally are identified as a personality. For purposes of this study guide, any reference to the group as a whole or the entity as a while was referred to as "the Flock." The name Joan is only used after the integration, which was the name she selected. This perspective became incredibly confusing because each of these personalities was living inside the body known to most as Joan. This confusion was noted by Lynn who, at one point, made plans to take the personality Renee with her for a shopping trip while leaving the personality Rusty to help Gordon around the house.

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