Author Archive: Nique

About Nique

Site management and Author at Complex-Trauma.eu

Some educational N€uro Brain cracking

Let’s do a little educational N€uro brain cracking 🙂

(the magic of our brain complexity)

Hypnotic Thoughts

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Broadcasted by:  HypnoticThoughts


Paul RamsayHypnotist Paul Ramsay

 

Paul Ramsay is a board certified hypnotist in private practice, hypnotizes over 1500 people per year, and tours as a stage hypnotist. For over 10 years, Paul Ramsay has been entertaining college and high school students as a stage hypnotist. In 2011, Paul introduced his exclusive interactive show called Mind Games. Paul’s video series Hypnotic shows a day in the life of a traveling stage hypnotist. Paul’s private practice is dedicated to helping individuals stop negative habits such as smoking, fingernail biting, and overeating. Ramsay’s private practice also offers customized, individual personal coaching programs to help his clients achieve their goals and maximize their potential. www.PaulRamsay.com

and
mani-saint-victor

Cognitive Neuroscientist Manuel Saint-Victor

M.D. Dr. Saint-Victor is Chief Neuroscientist at Mindful360, which he co-founded. Dr. Saint-Victor is focused on using a non-pathological approach to helping people get better by becoming more self-aware of their strengths and resources. Dr. Saint-Victor trained under Dr. Eva Ritvo, M.D. and Dr. Ray Ownby, M.D., MBA, Ph.D. as a Psychiatry Resident at Jackson Memorial Hospital; attended Medical School at UNC Chapel Hill School of Medicine; and conducted cognitive neuroscience research under the supervision of Stephen M. Kosslyn, Ph.D. as an undergraduate at Harvard University. Dr. Saint-Victor’s white paper about Core Value Alignment will be released in July 2014.

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amygdala

What is the Amygdala? What Does it Do?

The amygdala, part of the brain’s limbic system, is the integration site of emotional learning. It sits in front of and connected to your hippocampus (the seat of episodic and autobiographical memory). Although you often hear it associated with fear, the amygdala is also involved in pleasurable emotions. If you’re experiencing intense emotions you can bet that your amygdala is active. Without it you would have what’s called a flat affect. You would not make the connections between dangerous signs or social situations and the anxiety that motivates you to act.

Go to see the interview broadcast

 

pre frontal cortex

 

What is the Pre-Frontal Cortex?

The Prefrontal Cortex is the site of executive function, social functioning, decision-making. The cortex, which means “bark” in latin is where you represent the value of decisions. You represent your goal-directed behaviors and impulse control here.

Go to see the interview broadcast
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hippocampus

 

What is the Hippocampus?

The hippocampus, named for its seahorse-like shape, is the site of episodic and autobiographical memory. Memories with “What, where, when” components are woven into narrative form thanks to the hippocampus. It also manages spatial navigation and combines previous memories with new events to create novel precepts.

Go to see the interview broadcast

 

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Insular Cortex

 

What is the Insular Cortex?

The insula is the site of integration of the signals from the rest of your body systems. We often refer to this sense as interoception. Think of it as your Spidey sense.
In that way, the insula is the seat of consciousness, your sense of self, managing homeostasis (your internal chemical, temperature, immune and emotional balance). It also calculates your social emotions based on your body sensations. Next time you have a gut feeling about someone or you get goosebumps during a scary scene to go with the chills down your back…thank your Insula.

Go to see the interview broadcast

 

Anterior Cingulate Cortex
Pay Attention!
What is the Anterior Cingulate Cortex?

Got conflict?
The anterior cingulate cortex is the place in your brain that monitors errors, surprises, and violated expectations. It fires off when you do something as simple as write a sentence that you disagree with. It’s not your moral center of your brain. It just manages expectations in a way. It’s simplest to think of it as the alert function in your brain. When it’s time to divert your attention and bring something into conscious awareness, that’s your ACC at work. In labs we would watch for findings in the event-related potential(ERP) like Error-related negativity.

Go to see the interview broadcast

 

 

Neglect versus Trauma

Is it Trauma or isn’t it Trauma

(c) Nique

‘Neglect’; a lack of attention or too much suffocating attention
versus
‘Trauma’; severe wounding, severe abuse or experiencing a very shocking event

Is neglect the same thing as emotional or psychological ‘abuse’ – you are nothing, you are a bad kid, you are a stupid kid, I don’t want you, you mess up my life, you weren’t born by my own choice, etc.) ?

                  • My answer to this question is: NO

Can neglect alone cause a PTSD or a Trauma related disorder such as SD – see small summary of SD ?

                  • My answer to that question is also: NO
                    Oeps

Lots of people have the habit of mixing words or concepts, and explaining things more difficult than they really are. Keep it simple to the meaning of the ‘word or a concept’. Think a little autistic like me (a smile can heal so much), because we (I’m not alone in this) don’t want to out-think academic’s, researchers, Dr.’s or Ph.D.’s, etc. we only want to straighten something out in order to understand ‘the clinical concept of Trauma’

We have two concepts which causes the most confusion in whether it is or isn’t Trauma related:

  1. Severe wounding, abuse or experiencing a very shocking events, can cause a trauma related disorder (complex) PTSD
  2. Severe neglect – a lack of attention or too much suffocating attention –  can cause severe psychological and or an emotional disorder (f.e. a severe attachment e.g. personality disorder)

Lots of people mix up those two concepts and that causes confusion and misunderstanding to the meaning of suffering a clinical Trauma related disorder such as a (Complex) Post traumatic stress disorder (PTSD) or a Trauma related structural dissociation of the personality (SD a Dissociative Disorder DD).

  1. You can have experienced a Traumatic event or suffered traumatic experiences  (clinical interpretation)
  2. Or you can ‘feel’ like Traumatized  (a Personal emotional interpretation)

So I want to give you all something to think about:

Neglect isn’t a traumatic event (severe wounding, severe abuse or experiencing a very shocking event). Although people can personally experience neglect as traumatic, it can lead to a very severe attachment or personality disorder. Let me give an Example: lots of people with a personality disorder feel emotionally abused, traumatized (a personal feeling). Very often this even comes as a symptom of a personality e.g. attachment disorder.  And also the term neglect stands to a mental explanation of ‘feeling neglected’. An infant is not (yet) able to make such a mental connection and reacts only by survival instinct.

But….. there is a little but
very severe neglect during infancy can lead to suffering psychical pain or wounding such as starvation or pressure ulcers, but than you also no longer speak of neglect but of ‘child abuse’. And child abuse can lead to a trauma related disorder.

And please keep in mind, we don’t discuss the severity of a disorder!
Because every emotional or psychological disorders causes agony in life, it’s all likewise ‘severe’ to suffer a disorder!

 

A Dissociative Disorder (DP/DR/DD/OSDD/DID) is a clinical ‘co-morbidity’ disorder. So there are more disorders that can cause a Dissociative Disorder. And please note, the abbreviation of a Dissociative Disorder is DD and not DID. DID is a DD, but DD isn’t a DID

Note:
The main 2 causes of a Dissociative Disorder (DD):

  1. Trauma; PTSD, complex-PTSD and very complex PTSD
  2. A personality or severe attachment disorder such as a Borderline disorder or other personality disorders

So we can say: DD a Plus + Plus: co-morbidity disorder

  1. DD + (C) PTSD or a trauma related disorder such as a structural dissociation of the personality (SD)
  2. DD + (C) PTSD (SD) a development disorder such as Autism or a other clinical disorder
  3. DD + a Personality disorder or other Disorder that causes the Dissociative Disorder (no trauma)
  4. DD + a Personality disorder + (C) PTSD (SD) = a personality disorder with trauma – OSDD

 

Published: 28 may 2014
This topic Blog will be discussed and therefore I make adjustments if needed and also if there are other explanations which saws wood. If this line is gone, the discussion of this topic has come to an end. (C) Nique

 

Summary of the structural dissociation


avroos100wpbb

A small summary of the structural dissociation
such as I already did explain in my own wordspic-levels

What do we have already…

SD    = Structural Dissociation
ANP  = Apparently Normal Personality
EP    = Emotional Part of the Personality
DD    = Dissociative Disorder
DID   = Dissociative Identity Disorder *

Keep in mind, every person presents only ‘one’ unique personality !

A Trauma related Dissociative Disorder (PTSD+DD) can occur throughout whole your life.
Trauma is Trauma.
DID is just one Trauma Type but it isn’t the only diagnose that goes with Trauma.  


A Dissociative Identity Disorder is a Dissociative Disorder (DD)
But not every Dissociative Disorder is a Dissociative Identity Disorder (DID)

Note:
If an ANP doesn’t suffer a personality disorder you although can suffer a type 1, 2 or 3 Trauma related Dissociative Disorder (DD)
A Dissociative Disorder (DD) is a clinical Disorder (Axis I, DSM-IV)

The three levels of a trauma related Structural dissociation of the personality (SD) a Dissociative Disorder (DD):

  1. Trauma type-I primary SD
    an apparently normal personality ANP and a traumatized emotional part of the personality EP
  2. complex Trauma type-II, Childhood Trauma, secondary SD
    an apparently normal personality that switches between different traumatized emotional personality states ANP + EP’s
  3. very complex Trauma type-III, Infant to Childhood Trauma. tertiary SD
    an personality that switches between ’emotional- and daily life task systems ‘ ANP‘s + EP‘s
    The tertiary structural dissociation is the only level that is related to a Dissociative Identity Disorder *
    I would prefer to call this a trauma related development disorder. But then again I’m not a clinical psychologist, neuropsychologist or Ph.D. to define such a thing. But I can give some explanation to the existence and on how a tertiary structural dissociation of the personality can occur

Normal integration

normal integrationNo structural dissociation of the personally

A human is not born with a unified personality, but instead infants have biological determinants that were meant to integrate through a process of experience and relationships.  To let that happen there are four autonomic emotional systems that are present at birth which include anger, pleasure, sadness and fear. Team players by nature. These systems integrate to develop into one unified task and emotional life system which ultimately shapes our own personality.

Leg of integration

trauma type-3Tertiary structural dissociation TSD
a type-III trauma

2 or more ANP’s + 2 or more elaborate and distinct EP’s

Note:
The parasympathetic nervous system and the limbic system are what actually convey feelings from the body to the brain and from the brain to the body. Without those you would never have actually had the feelings that needed to be dissociated.

In TSD an infant is traumatized prior to integration of the  autonomic emotional systems,  which then results in structural dissociation.  This is not splitting, but instead is a lack of integration.  The emotional systems stay separate and starts to develop as ANP-EP task and emotional action systems.  If there were no trauma in infancy then dissociative identity disorder would not occur.

The four autonomic emotional systems can partially integrate with each other.  For example, anger and pleasure integrate, and sadness and fear integrate resulting in two ANP – EP action systems.  Over time those systems become more dominant  eventually resulting in autonomic functioning ANP – EP action systems.  Later on in life, in TSD and very rare: if the current systems can’t handle the EP load another emotional system can split of to functioning also as an autonomic ANP-EP action system. To give an example of such a rare situation; Experiencing the emotional and physical pain during childbirth and becoming a mother can cause an EP overload. Sadness and fear – or – anger and pleasure, can still split.
Now we have more than two ANP-EP action systems.

trauma type-2Secondary structural dissociation SSD
a type-II trauma

complex PTSD (+ OSDD)
1 ANP + 2 or more semi-elaborate EP’s

This type of trauma becomes very close to a type-III trauma
SSD can result instead of TSD when there has been sufficient integration in early life of the four emotional systems. In this case structural dissociation results in only one ANP, but as with TSD there are always two or more EP, however the EP in SSD are less elaborate, emancipated and distinct than in TSD.

trauma type-1Primary structural dissociation PSD
a type-I trauma
A trauma related dissociative disorder, a PTSD.
1 ANP + 1 primitive EP

In this case the personality sufficiently integrated early in life, but later when a trauma occurs that cannot be integrated then structural dissociation occurs resulting in one ANP and one primitive EP.

This can occur as a full dissociation:
The ANP doesn’t remember a thing of the traumatizing experience (EP)

This can occur as a partial dissociation:
The ANP can remember parts of the traumatizing experience but it doesn’t feel like reality
or an own experience, the EP holds a part of the traumatizing experience.

(c) Nique, client at the Dutch TRTC trauma center Drenthe-Assen

I  explain by my own words the theory of the Structural Dissociation of the Personality such as given by:
Ph.D. E.R.S. Nijenhuis working at the Mental health care department Drenthe-Assen
Ph.D. Onno van der Hart, Psychotraumatologist
K. Steele, MN, cs

Book advise: The Haunted Self

Complex Trauma PTSDComplex Trauma Community ptsd vrij