Identity confusion is defined by the SCID-D as a subjective feeling of uncertainty, puzzlement, or conflict about one's own identity. Patients who report histories of childhood trauma characteristically describe themes of ongoing inner struggle regarding their identity; of inner battles for survival; or other images of anger, conflict, and violence. P13

The woman at the desk was a university graduate, young, colourless, spectacled, and intensely disagreeable. She had a fixed suspicion that no one — at least, no male person — ever consulted works of reference except in search of pornography. As soon as you approached she pierced you through and through with a flash of her pince-nez and let you know that your dirty secret was no secret from HER. After all, all works of reference are pornographical, except perhaps Whitaker’s Almanack. You can put even the Oxford Dictionary to evil purposes by looking up words like —— and ——.