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Related to altered: Altered Mental Status

alter ego

1. Another name or identity that one assumes. He's a clean-cut accountant during the week, but on the weekend he indulges in hedonistic pursuits as his alter ego "Jack."
2. A separate or different aspect or element of one's personality, identity, or psyche. For such a quiet woman, she has a rage and temper at times that is like some alter ego.
3. A close, inseparable friend of very similar attitudes and interests. My girlfriend and I are so similar, we are like each other's alter ego.
4. A person who acts as a substitute for or copy of another person; a doppelgänger. Due to his increasingly failing health, the dictator's son has been running the country for the past month, essentially as his alter ego.
See also: alter, ego

circumstances alter cases

Unique circumstances can spur unconventional action. I know offering such a big refund isn't protocol, but it's for the CEO's grandmother, and circumstances alter cases.
See also: alter, case, circumstance

change beyond (all) recognition

To change so much or so dramatically as to now be completely unfamiliar or unrecognizable. I wouldn't have recognized her if she hadn't introduced herself—she's really changed beyond all recognition since we were kids!

change out of (all) recognition

To change so much or so dramatically as to now be completely unfamiliar or unrecognizable. I wouldn't have recognized her if she hadn't introduced herself—she's really changed out of recognition since we were kids!
See also: change, of, out, recognition

alter beyond (all) recognition

To change so much or so dramatically as to now be completely unfamiliar or unrecognizable. She had shown me some early drafts, but her final copy was really altered beyond all recognition.

alter out of (all) recognition

To change so much or so dramatically as to now be completely unfamiliar or unrecognizable. She had shown me some early drafts, but her final copy was really altered out of recognition.
See also: alter, of, out, recognition

Circumstances alter cases.

Prov. In unusual situations, people are allowed to do unusual things. Cashier: I'm sorry, this store does not accept personal checks. Customer: But I need this medicine, and I don't have any cash. I've shopped at this store for fifteen years. Surely you can trust me this once. Cashier: Well, all right. Circumstances alter cases.
See also: alter, case, Circumstance

change, alter, etc. beyond/out of (all) recogˈnition

change, etc. such a lot that people do not recognize you, it, etc: I went back to Birmingham after 20 years and it had changed beyond all recognition.She had changed beyond all recognition since I last saw her.
See also: beyond, of, out, recognition
References in periodicals archive ?
It will be used for workshops and events for people living with altered eating difficulties such as cancer, sjogren's syndrome and Parkinson's disease or in food poverty; but also made available to community groups wishing to hold small cookery events for up to 20 people.
It helps that 'Altered Carbon' is really, really good.
Another witness, who was part of the committee, also confirmed inspectors had found evidence that exam results had been altered.
Books can include pop ups, niches and 3D objects - the world really is your oyster with altered book art and the only limit is your imagination.
Kona growers and others are concerned about Integrated Coffee's engineering, and many, including PCC Natural Markets in Seattle, see the altered coffee as a threat to small farmers.
We propose that the unusual experiences factor may affect one's altered state of awareness during alcohol cue exposure.
"It was prompted by my finding a photo of myself as a schoolgirl when Altered Images supported Siouxsie and The Banshees.
The first work they created was originally a poetry book that was re-titled "The Book of Altered Poetry and Art."
In another interesting practice that was actually captured a few years back in a PBS documentary of a South American tribe, the healer enters an altered state of consciousness from which to do his healing work.
(1998) found apoptosis and altered mitotic figures, along with gross disruption of the architecture of the developing brain, all in the absence of any gross morphologic defects in the other parts of the embryo.
Despite their intimate character, in other words, we know altered states partly through mediated ones.
The seventh-graders took a vote to decide whether the face should be altered or left alone.
Concerning admissibility, people mainly fear that digital photographs can become altered more easily than film-based images "to fabricate evidence for improper purposes." (9) Some in the legal community feel that such dangers in digital photography overall necessitate different treatment under the Rules of Evidence.
Next, Richmond altered one of the monkeys' gene receptors--a doorway into their brain cells.