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Amir Levine

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“In the beginning of their relationships, both short term and long term, the AVP seems to welcome assistance. As time progresses, they can see these same helpers as incompetent. This could be from a spouse helper to a therapist. When this occurs, passive–aggressive displays can be apparent, subsequent to distancing from a given relationship.”

“Hence, the significant other has little to no input on this process. It’s already been done. The dramas/traumas have already been enacted. Their own memories carry negative emotions, even if they are not able to remember the details of the memory.”

“We know that while AVP may be the least problematic of the personality disorders, it can have serious consequences in the lives of close family members, and particularly the significant other. Treatment can be initiated by an AVP, but often the focus is on other “symptoms,” such as failed relationships, anxiety, or depression. More often, treatment is initiated by the AVP’s significant other.”

“The spouse sees all the wonderful aspects embodied in these relationships, and the missing pieces in their own relationship with the AVP. This is how the spouse would prefer to be treated. This causes anxiety, confusion, frustration, and loss for the spouse. Coworkers, colleagues, employees experience different levels of the AVP. The AVP’s perfectionism is usually full blown on the job, where the AVPs are at their best”

“Posttraumatic stress disorder (PTSD) also has dissociative symptoms as an essential feature. PTSD has been classically seen as a biphasic disorder, with persons alternately experiencing phases of intrusion and numbing... [T]he intrusive phase is associated with recurrent and distressing recollections in thoughts or dreams and reliving the events in flashbacks. The avoidant/numbing phase is associated with efforts to avoid thoughts or feelings associated with the trauma, emotional constriction, and social withdrawal. This biphasic pattern is the result of dissociation; traumatic events are distanced and dissociated from usual conscious awareness in the numbing phase, only to return in the intrusive phase.”

“The unconscious operation of the attachment system via internal working models probably plays an important part in the choice of marital partner and relationship patterns in marriage. Holmes (1993) has described a pattern of 'phobic-counterphobic' marriage in which an ambivalently attached person will be attracted to an avoidant 'counter-phobic' spouse in a system of mutual defence against separation anxiety.”