Specifically, as Conrad & Barker (2010:s73) suggest, what qualifies as biomedical evidence and illness is often socially negotiated and interpreted. In relation to the healing and therapeutic process of DID, these too, are constituted by cultural and biomedical frameworks. Hay (2010) illustrates that reactions to suffering remain active and meaningful to the patient as their actions are informed by personalised cultural expectations (Hay 2010). An example of this can be shown in the following