Siamese means '
As Couples or 
  
In Tandem'.
  That is, those who are a Couple work As Couples, and the others 
  work In Tandem to do the given call.
Sometimes it is difficult to determine who is paired with whom within the
  Siamese unit.  From a 1/4 Box (see the left-most diagram below),
  dancers and
 
and are often tricked into thinking they are part of a Tandem unit when
  in fact they are part of an As Couples unit.
  Also, the dancers
 
are often tricked into thinking they are part of a Tandem unit when
  in fact they are part of an As Couples unit.
  Also, the dancers and
 
and are often tricked into thinking they are working in a Tandem
  unit with dancers
 
are often tricked into thinking they are working in a Tandem
  unit with dancers and
 
and (respectively).
 
(respectively).
As Couples CONCEPT [A1]:
 Dancers side-by-side and facing the same direction (i.e., a Couple) 
  work as a single dancer to do the given call.
 See also Tandem CONCEPT [C1]
 and Solid CONCEPT [C2].