“Changes in Meaning:Finally, chronically traumatized people lose faith that good things can happen and people can be kind and trustworthy. They feel hopeless, often believing that the future will be as bad as the past, or that they will not live long enough to experience a good future. People who have a dissociative disorder may have different meanings in various dissociative parts. Some parts may be relatively balanced in their worldview, others may be despairing, believing the world to be a completely negative, dangerous place, while other parts might maintain an unrealistic optimistic outlook on life”
Suzette Boon“Somatic Symptoms:People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“You as a whole person are thus unable to reconcile conflicts about anger and learn to tolerate and express anger in healthy ways. Inner turmoil and dissociation are maintained.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Parts of you are phobic of anger and generally terrified and ashamed of angry dissociative parts. There is often tremendous conflict between anger-avoidant and anger-fixated parts of an individual. Thus, an internal and perpetual cycle of rage-shame-fear creates inner chaos and pain.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Dissociative parts of the personality are not actually separate identities or personalities in one body, but rather parts of a single individual that are not yet functioning together in a smooth, coordinated, flexible way. P14”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Most dissociative parts influence your experience from the inside rather than exert complete control, that is, through passive influence.*In fact, many parts never take complete control of a person, but are only experienced internally. *Frequent switching may be a sign of severe stress and inner conflict in most individuals.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Some dissociative parts of the personality, living in trauma time, may experience the same emotion no matter the situation, such as fear, rage, shame, sadness, yearning and even some positive ones just as joy.* Other parts have a broader range of feeling. Because emotions are often held in certain parts of the personality, different parts can have highly contradictory perceptions, emotions, and reactions to the same situation.”*This explains many feelings, emotions, and doubts about the unknown haunting us at times.*Awareness and discovering the inner world may help, tremendously.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Specific parts of you personality may be angry and are usually easily evoked. because these parts are dissociated, anger remains an emotion that is not integrated for you as a whole person. Even though individuals with dissociative disorder are responsible for their behavior, just like everyone else, regardless of which part may be acting, they may feel little control of these raging parts of themselves.Some dissociative parts may avoid or even be phobic of anger. They may influence you as a whole person to avoid conflict with others at any cost or to avoid setting healthy boundaries out of fear of someone else’s anger; or they may urge you to withdraw from others almost completely.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Our inner experience is that which we think, feel, remember, perceive, sense, decide, plan and predict. These experiences are actually mental actions, or mental activity (Van der Hart et al., 2006). Mental activity, in which we engage all the time, may or may not be accompanied by behavioral actions. It is essential that you become aware of, learn to tolerate and regulate, and even change major mental actions that affect your current life, such as negative beliefs, and feelings or reactions to the past the interfere with the present. However, it is impossible to change inner experiences if you are avoiding them because you are afraid, ashamed or disgusted by them. Serious avoidance of you inner experiences is called experiential avoidance (Hayes, Wilson, Gifford, & Follettte, 1996), or the phobia of inner experience (Steele, Van der Hart, & Nijenhuis, 2005; Van der Hart et al., 2006).”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists“Alterations in regulation of affect (emotion) and impulse:Almost all people who are seriously traumatized have problems in tolerating and regulating their emotions and surges or impulses. However, those with complex PTSD and dissociative disorders tend to have more difficulties than those with PTSD because disruptions in early development have inhibited their ability to regulate themselves.The fact that you have a dissociative organization of your personality makes you highly vulnerable to rapid and unexpected changes in emotions and sudden impulses. Various parts of the personality intrude on each other either through passive influence or switching when your under stress, resulting in dysregulation. Merely having an emotion, such as anger, may evoke other parts of you to feel fear or shame, and to engage in impulsive behaviors to stop avoid the feelings.”
Suzette Boon, Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists