I always had a theory about this. People still say it's a whacked and non valid theory, but I think it makes alot of sense.
The doctor makes a comment about having been using the drug they'd been giving Malcolm to introduce the personalities to each other, that it was an increased dosage that had led to the eventual night in question that makes all of them come face to face.
My theory is that at one point or another, all the personalities had begun to meet each other through out the treatment which is why so many of the the personalities had already paired off into relationships and acquaintances. Ginny and Lou, George, Alice and Timmy, Ed and Caroline Suzanne.
There were other things that were meant to be included in the film that WEREN'T touched upon for time that indicated a more tangled web of how much the characters already knew each other and would have explained exactly why Larry knew Paris, and why Lou also recognised her.
One of the less-important personalities that WASN'T included in the eventual lineup that had been intended to be killed off notably was the naked business man (this has been confirmed by both director and writer). Paris had tied up the naked business man, stolen his lighter and money I believe, then left him there with the whipped cream; she never untied him. Later, Caroline Suzanne calls him - he's her agent! - and it's while he's on the phone with her that the static occurs which leads to him getting bored and eating the whipped cream on his chest which eventually chokes him to death (fact). He was to technically be the first personality to die.
Paris knew this personality, so did Caroline Suzanne. It was cut from the film and never made a big deal of, but had it been left in, it would have made alot more sense why Paris also could have known both Larry and Lou. She had been coming FROM Vegas as a prostitute, and if she had run in certain circles, in certain places, she would have been noticable.
Lou and Ginny had just come from Vegas after having tied the knot; had they been in Vegas before deciding to do so? Possibly. Ginny refers to Lou as having been seen in a bar called "The Hawk" with "that *beep* girl". This COULD have been Paris, who would have been in Vegas about the same time; the threat of Lou cheating on Ginny, possibly enough to make up a lie about being pregnant, prompting him to marry her.
At the same time, Larry also refers to himself as having come from Vegas, where he too, could have possibly seen Paris at one point, and possibly been rejected by her (something about Larry suggests he's very down and out, down on his luck and put-downable in general), which would explain his aversion to her.
Anyway, just a theory, no proof any of it actually went down that way but it makes sense if you listen to what the doctor says about the personalities having been gradually introduced.
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