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“Extreme versions of DID occasionally develop in response to particularly horrific ongoing trauma (e.g., children exploited through involvement in years of forced prostitution), with so-called poly-frgamentation, encompassing dozens or even hundreds of personality states. In general, the complexity of dissociative symptoms appears to be consistent with the severity of early traumatiation. That is, less severe abuse will result in fewer dissociative symptoms, and more severe abuse will result in more complex dissociative disorders.”

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James A. Chu

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“In principle, the number of parts of the personality in a given individual has little bearing on whether dissociation is at the secondary or tertiary level. A patient with secondary structural dissociation may have many EPs, while a patient with tertiary structural dissociation may only have two ANPs and two EPs. However, in general, more divisions relate to less mental efficiency and more likelihood that a traumatized individual will have tertiary structural dissociation.”

“Polyfragmented Dissociative Identity Disorder A form of DID that often involves over one hundred DID personality states and is likely to be the result of cult abuse or some other form of extreme sadistic abuse that extends over a long period and often involves multiple perpetrators.”

“Psychologically sophisticated abusers who have mastered the methods of mind control know how to induce psychobiological state changes, how to elaborate and encapsulate them, how to provide the cues to trigger them, how to tap into and alter the victim's motivational and belief systems, and how to layer amnesias within a personality. In this way a polyfragmented dissociative individual can appear to lead the life of a normal hardworking citizen, yet can function undetected (by himself or by others) as a mind-controlled operative and remain available for service to individual perpetrators or groups.”

“How can you stand apart from the herd? How can you start to be noticed so people will remember you? How can you be heard above the noise? “What is your personal branding that makes you special, unique, individual, and memorable?”

“Whilst DID can be diagnosed with the presence of only two or more distinct parts/'self-states", survivors of chronic and complex abuse, or of organized or ritualized abuse may have many, many more parts. This is called "polyfragmentation" - quite literally "many fragments".”

“One clue that you might have a case of engineered rather than organic DID on your hands could be the intense feelings of being deskilled and inadequate that arise in you as you are treating one of these clients. They puzzle and confuse even the most experienced of therapists until their multiplicity is recognized as engineered. Another sign might be the sudden appearance of self-harm, compulsions, or 'crazy' behavior after patient disclosures. These people have trip wires layered into their programming that are set to 'go off' whenever a therapist gets too close to a hidden truth or when the client remembers something new. These booby trap programs can look like: • sudden suicidal impulses out of nowhere, especially ones that are 'supposed to look like an accident'. as one client told me • scrambled words or word salad in a client that has no history of schizophrenia • an abrupt nonnegotiable firing of the therapist when the client is making progress • pseudoseizures—episodes that look like grand mal seizures or dropping into a semi-conscious state with no EEC evidence of seizure activity • feelings of being electrically 'shocked' at different places on the body • recurrent and constant migraines • an unexplained compulsion to return to a previously abusive environment that they have successfully left, such as an abusive family of origin or spouse, especially at certain times of the year such as Halloween.”

“HYPERAROUSAL After a traumatic experience, the human system of self-preservation seems to go onto permanent alert, as if the danger might return at any moment. Physiological arousal continues unabated. In this state of hyerarousal, which is the first cardinal symptom of post-traumatic stress disorder, the traumatized person startles easily, reacts irritably to small provocations, and sleeps poorly. Kardiner propsed that "the nucleus of the [traumatic] neurosis is physioneurosis."8 He believed that many of the symptoms observed in combat veterans of the First World War-startle reactions, hyperalertness, vigilance for the return of danger, nightmares, and psychosomatic complaints-could be understood as resulting from chronic arousal of the autonomic nervous system. He also interpreted the irritability and explosively aggressive behavior of traumatized men as disorganized fragments of a shattered "fight or flight" response to overwhelming danger.”

“The ManAlive program teaches how the “angry man” is more often a response to experiencing a threat to their “image,” which triggers a fight or flight response. When the sympathetic nervous system gets triggered – breathing is more rapid, heart rate increases, blood pressure goes up – men call this stimulated response “anger.” In fact, anger is more often a response to injustice. What these men are experiencing is not anger but an arousal state. This is key information for men to have because, as they learn to interrupt this hyperarousal, they have more oppor-tunity to connect with what they may actually be feeling.”

“Aku belajar bicara pada hening. Karena sepi sudah akrab denganku. Kematian menciumku, maka merah flamboyan tak cukup terang nyalakan mataku. Padahal denyar belum usai. Kuku kisruh masih mencakar-cakar. "Andai semua makhluk yang bernapas bisa berterima kasih kepada kesalahan," begitu katamu. "Kamu baik, hormat, dan sayang padaku, dari dulu, sekarang, dan semoga selamanya. Aku bisa mati tanpamu," jawabku pada kabut.”

“Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134”