Tag Archive: PTSS

Levels of structural dissociation

PTSD and the levels of trauma related
Structural Dissociation of the personality

An explanation of those levels in my own words.

Important notice:
Switching between personality parts is not a phenomenon that only belongs to DID. There are other disorders that have symptoms of identity problems and switching behavior between personality states.
Diagnoses of the structural dissociation of the personality can only be done by an experienced clinical trauma psychologist who is specially trained to do so.

Level 1 

Daily live Act system – one ANP¹ and one EP²
Primary structural dissociation of the personality (PTSD)
There the traumatized ANP has stored one EP that carries traumatized information caused by one traumatic experience (a rape or a heavy accident etc.).
This can manifest itself as a
Full Dissociation: The ANP doesn’t remember a thing of the traumatic experience, the EP carries the whole memory.
Partial Dissociation: The ANP knows some of the experience but not all – or the ANP remembers but emotionally it doesn’t feel like an own experience, the EP carries that part.

Level 2 
Daily live Act system – one ANP and more EP’s
Secondary structural dissociation of the personality (Complex PTSD)
There also can be an EP(’s) that is partial dissociated with a memory of looking at the traumatic event – like an out of body experience. An EP like this can grow very strong and observe again and again a traumatic event that is repeating itself. Such EP we call an observer EP. They can tell a lot about the traumatic events, and sometimes they even grow out to an EP observer and communicator. It can communicate with other inner EP’s. People with this form of traumatization suffer a severe agony.

Very recent research has also concluded that this group has a high variety of all sorts of dissociative symptoms.

Level 3
Daily live Act systems – more than one ANP and more than one EP
Tertiary structural dissociation of the personality (Complex PTSD)
Here the traumatization of the ANP started at a very young age. And the little child did not yet developed an ability to link emotion to event eo experience. Although it responded on pain and anxiety that caused severe trauma that was stored by EP’s. A repeatedly traumatization of the young child made that some of those EP’s could grow out with the ability to function as an ANP. Such an EP later splits of and starts to functioning as an ANP that carries own responsibilities to daily tasks were this ANP functioning best.
Now there are two or even three (or more) stable functioning ANP + EP’s systems that handle daily live events and each have their own responsibilities to daily live tasks. Between the functioning systems of more than 1 ANP is not a lot of space left for EP’s who want to dominate daily live. The ANP’s are protecting each other. A person with this severe disorder didn’t learn how to put things together (synthesize-linking image, physic and emotion) as one experience. It makes a mess of remembering the past and functioning in daily live, and often they are not capable of understanding the full meaning of psychological feelings.
In the past this system was functional to bare pain and suffering, but in the present this system makes a mess of their daily live.

Written by DisNique
DID Client at the Trauma center, health care department Drenthe-Assen the Netherlands
And very grateful for all the patience and explanation by my own clinical psychologist and therapist, he did a great job in helping me out to understand my own being and daily functioning.
Il m’a donné une raison d ‘ être

type 1,2 and 3 PTSD

ANP¹ Apparently Normal Personality (lives in the present time)
EP² Emotional Personality part (trauma related to the past)

For more clinical info see:
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

Define ANP and EP

So let’s try to define ANP and EPDD-BPD-DID

Each person has only one personality
likewise if they suffer a OSDD or a DID !

The ANP part doesn’t experience the EP part (holding trauma) as a  part of the own personality (of themselves)
Al ANP’s experience themselves as ‘the real me, the normal me’  and live daily life (identity disorder: which life e.g. ANP part is really ‘me’)

An ANP is a Host, an identifiable part of the personality, an act system, an Apparently Normal Personality
ANP’s don’t do to personification. They focus purely on tasks of everyday life and leave aside the EP’s of their consciousness mind.
The influence of EP’s that they do experience, they experience not as a part of their own lives (they think it’s not a part of me)

An EP is an Emotional Part (traumatized) of the Personality.
EP’s don’t do to presentification (don’t live in the present time).
They only think from out the past and don’t take notice of the fact that it’s already 2014.

type 1,2 and 3 PTSD

levels of Structural Dissociation (SD)

In case of a OSDD

SD level II, there is one ANP and a lot more EP’s. Those EP’s don’t completely take over the consciousness mind of the ANP. So the ANP stays more a less in contact with the EP’s.

In case of a DID
SD level III there are more than one ANP, and the EP’s can take over the consciousness mind of that or that particular ANP on that moment (that cause losing time in the daily functioning of the ANP’s). Amnesia is therefore also a typical symptom that goes with a tertiary dissociation of the personality.

ANP¹ Apparently Normal Personality (lives in the present time)
EP² Emotional Personality part (trauma related to the past)

For more clinical info see:
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

ANP and EP development

ANP and EP development

ANP EPand the four head emotions of our being.

So I tried to define the ANP and the EP in my own words.
And I also tried to explain the levels of a Structural Dissociation in my own words

But now the next question could be:
How and when does that all starts to develop itself?

To understand things I create maps/charts in my schematic thinking brain. I need to make things schematically visible so I can build a better understanding of all that I learn. I don’t know if that way of thinking comes with me also suffering a ASD (autistic Asperger), but some of those schematically thoughts I want to share with you all. So I did make some maps/charts which I close in.
Although, the biggest compliment already goes to my own therapist at the Dutch TRTC Assen-Drenthe (B.M.C.).
He didn’t give up on me and took the challenge to educate me and to help me out to get started with integrating traumatized experiences and reducing my PTSD DID symptoms. We still have a long way to go, but I have renewed hope that I still can learn how to live as a completed personality and leave the surviving mode behind me.
That fight will go on, and with the help of my therapist I won’t give up.
And again I cry out to my therapist or one of the other Dutch Kings of traumatology to adjust my thinking if I go badly wrong here.

But enough feathers in the *BIEP* of my therapist,
back to the maps/charts in my Traumatized tertiary DID-ASD brain.
And hopefully it starts a nice discussion of how DID ANP’s and EP’s develop itself.

So let’s go to the four head emotions we are all born with,

and which are a part of our own biological determinants. Those four emotions gives an infant the direct instinct to react on hunger, pain, sickness, pleasure, warm feelings, etc..

1. Fear
2. Joy – Pleasure
3. Anger
4. Grief – sadness

These four emotions are needed to start developing an own personality.
I’m convinced that those four head emotions also take part in the development of DID-ANP’s (at a very young age) and that they are the bases of developing the daily life ANP+EP’s handling (act) system.

If an infant goes through a normal early stage of life development than the head emotions are integrated to start building of an own personality.
Within DID one, more of even all four of those head emotions didn’t integrate. They started out building separate identifiable parts of the personality – Apparently Normal Personality parts; ANP’s (and EP’s) handling (act) systems, which are stable over time, place, thinking, feelings, memories, and also act stable from a task that they are the best in to handle or to manage. From this task they interact with each other and environment.

So I dare to say and write that those head emotions are forming the base of the handling parts, the act systems – the Apparently normal personality parts (ANP’s) of DID clients.

I’m not a researcher, clinician or Ph.D. psychologist, so I can only give to you all the maps/charts that goes in my brain. And which I can recognize as how I did survive and how I’m functioning as a traumatized tertiary DID client. The theory of the structural dissociation gives my weird being a raison d ‘ être.

I survived, I survive and I exist as ‘me’.
As one traumatized personality with more than one identifiable Apparently Normal personality part.

DID, the tertiary structural dissociation of the personality – complex PTSD, level III !

take notice of the color switch !