How do you know Max & co. were real? I am a psychology major and I think the final scene is just Ben trying to reconstruct his memory with his "imaginary friends."
And to be honest, I don't like that the film incorrectly educates the audience that his symptons is of multiple personality disorder. Real MPD cases are not like this, and there have been many criminal cases of MPD patients because the "imaginary friends" are usually more violant and hostile than psychologically stable people. Please read about MPD on Wikipedia.
What Ben has is in my opinion "imaginary friends" and that he feels socially isolated to a point that he believes real people in general want to harm him or laugh at him. So that is more like paranoid schizophrenia like John Forbes Nash Jr. had in "The Beautiful Mind."
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