Structural Dissociation


 

"Primary Structural Dissociation: Involves one major part of the personality mainly focused on daily life (i.e., the ANP), and the other (i.e., the EP) mainly fixated in defense and re-enactment of traumatic memories. This type of dissociation is often seen in simple PTSD. "

"Secondary structural dissociation: Involving one ANP and more than one EP. This is common when traumatization is more repetitive, severe, and prolonged, especially during childhood. This level of dissociation likely characterizes patients with Complex PTSD, trauma-related borderline personality disorder (BPD), and DDNOS, Subtype 1. "



"Tertiary structural dissociation: More than one ANP exist, in addition to multiple EPs. This level refers to patients with DID. In the context of chronic interpersonal neglect, maltreatment and abuse that started in childhood, many dissociative parts, and each in his or her own way, struggle with attachment problems."








"In accordance with the Theory of Structural Dissociation of the Personality (TSDP), studies of dissociative identity disorder (DID) have documented that two prototypical dissociative subsystems of the personality, the “Emotional Part” (EP) and the “Apparently Normal Part” (ANP), have different biopsychosocial reactions to supraliminal and subliminal trauma-related cues and that these reactions cannot be mimicked by fantasy prone healthy controls nor by actors."


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