 Coons also pointed out that existing injuries could have been self-inflicted, that the experiences reported were "strikingly similar" and that "many of the SRA reports developed while patients were hospitalized".The reliability of memories of DID clients who alleged SRA in treatment has been questioned and a point of contention in the popular media and with clinicians; many of the allegations made are fundamentally impossible and alleged survivors lack the physical scars that would result were their allegations true.Many women claiming to be SRA survivors have been diagnosed as sufferers of DID, and it is unclear if their claims of childhood abuse are accurate or a manifestation of their diagnosis.