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Initially, it's because he had to make an appearance as Dr. Lazarus two days in a row, so it was simpler to wear it all night so that he wouldn't have to have it reapplied the next day. For the deeper meaning, it's meant to symbolize the inner conflict he feels for his failure to be taken seriously as an actor. Alexander sees himself as a Shakespearean actor who is nevertheless stuck with a persona which he can never be free from. He hates Lazarus, and since he feels he can never be free of his hated alter ego, he continues to wear the head piece to emphasize his inner self-loathing.

Cmdr. Peter Quincy Taggart is based on Captain James T. Kirk, Dr. Lazarus on Spock, Tawny Madison on both Lieutenant Uhura and Deanna Troi, Tech Sergeant Chen on Chief Engineer Scott, Lieutenant Laredo on both Ensign Chekov and Wesley Crusher, and Guy, aka Crewman Number 6, is of the infamous redshirts, one-off characters who would go down to a planet with the officers and be quickly killed by aliens.

Some would say that Gwen DiMarco (Tawny) is more closely based on Chief DiFalco who was played by (Kirk's) William Shatner's real life wife in Star Trek: The Motion Picture (1979). DiFalco also repeated the computers commands, as Tawny did, and many saw it as a useless assignment.