Those are just examples. As a side issue, one way of viewing spiritual direction is to continually ask questions about balance. If someone is very intellectual in religious thinking and experience, focusing on the emotions for a while may be helpful. If someone tends to the emotional, focusing on intellectual study and development would be appropriate. Many religious issues have extremes that can be unhealthy and an aim can be to seek a healthy balance point.
Different denominations can tend to stress one side of a dynamic or the other, as well.
If I have an idea or an impulse, it can come from one of many different sources. In a situation of MPD, it may be another personality, perhaps one that has not been directly met by the personality doing the hearing. It can be a nurturing personality, or even a personality seeking to mislead. It can be a personality representing or modeled on some outside person from the past. All of the above are possibilities.