Over the years our mother has beaten us with belts, shoes, rulers, extension cords, hair brushes, a wooden spoon, a fly swatter, a toilet brush, wire coat hangers, wooden coat hangers and sometimes one of our own toys. When you get whacked by your own paddleball paddle or you have to watch your sister getting spanked with a badminton racquet that she asked Santa Claus (AKA Grandma) to bring, you don't feel much like playing with those things ever again.

Dissociation is the common response of children to repetitive, overwhelming trauma and holds the untenable knowledge out of awareness. The losses and the emotions engendered by the assaults on soul and body cannot, however be held indefinitely. In the absence of effective restorative experiences, the reactions to trauma will find expression. As the child gets older, he will turn the rage in upon himself or act it out on others, else it all will turn into madness.

I became what I am today at the age of twelve, on a frigid overcast day in the winter of 1975. I remember the precise moment, crouching behind a crumbling mud wall, peeking into the alley near the frozen creek. That was a long time ago, but it’s wrong what they say about the past, I’ve learned, about how you can bury it. Because the past claws its way out. Looking back now, I realize I have been peeking into that deserted alley for the last twenty-six years.

Chronic trauma (according to the meaning I propose) that occurs early in life has profound effects on personality development and can lead to the development of dissociative identity disorder (DID), other dissociative disorders personality disorders, psychotic thinking, and a host of symptoms such as anxiety, depression, eating disorders, and substance abuse. In my view, DID is simply an extreme version of the dissociative structure of the psyche that characterizes us all.

Truth is in our blood. It is the essennce of our being. It is the best part of us, the core of what makes us human. It is our soul, our fundamental genetic beauty, and our spirit. We were created perfect, and despite the inevitability that we loose some of that perfection when we mature and develop in the midst of others who are wounded, we always retain the capacity to become perfect once again. The soul may be buried deeply, but as long as our hearts beat there remains hope.

The process of dissociation is an elegant mechanism built into the human psychological system as a form of escape from (sometimes literally) going crazy. The problem with checking out so thoroughly is that it can leave us feeling dead inside, with little or no ability to feel our feelings in our bodies. The process of repair demands a re-association with the body, a commitment to dive into the body and feel today what we couldn’t feel yesterday because it was too dangerous.

As an undergraduate student in psychology, I was taught that multiple personalities were a very rare and bizarre disorder. That is all that I was taught on ... It soon became apparent that what I had been taught was simply not true. Not only was I meeting people with multiplicity; these individuals entering my life were normal human beings with much to offer. They were simply people who had endured more than their share of pain in this life and were struggling to make sense of it.

A child who is being abused on an ongoing basis needs to be able to function despite the trauma that dominates his or her daily life. That becomes the job of at least one ANP [alternate personality], whom the child creates to be unaware of the abuse and also of the multiplicity, and to “pass as normal” in the real world. The ANP is just an alter specialized for handling the adult world—in other words, the “front person” for the system.

I am both numb and oversensitive, overwhelmed by the need, the raw and desperate need of the girls I am listening to and trying to help. I'm overdosing on the trauma of others, while still barely healing from my own.I cry for hour at home and have fitful nights of little sleep. My nightmares resurface as my own pain is repeated to me, magnified a thousand times. It feels insurmountable. How can you save everyone? How can you rescue them? How do you get over your pain? How do you ever feel normal?

Weird? Absurd? That’s how it seemed to me. I had these forces, these compunctions, these alternative personalities inside me, driving me. It was like being a jack-in-the-box and I was unsure which personality was going to jump out next: Billy, who thought of himself as a cowboy or a terrorist; Kato the cutter; anorexic Shirley, whose only self-indulgence was binge drinking and the occasional salad sandwich. I didn’t dislike Shirley. I was afraid of her. Shirley knew things I didn’t.

over and over victims are blamed for their assaults. and when we imply that victims bring on their own fates - whether to make ourselves feel more efficacious or to make the world seem just - we prevent ourselves from taking the necessary precautions to protect ourselves. Why take precautions? We deny the trauma could easily have happened to us. And we also hurt the people already traumatized. Victims are often already full of self-doubt, and we make recovery harder by laying inspectors blame on them.

In Kant’s description, ethical duty functions like a foreign traumatic intruder that from the outside disturbs the subject’s homeostatic balance, its unbearable pressure forcing the subject to act “beyond the pleasure principle,” ignoring the pursuit of pleasures. For Lacan, exactly the same description holds for desire, which is why enjoyment is not something that comes naturally to the subject, as a realization of her inner potential, but is the content of a traumatic superego injunction.

Complex PTSD consists of of six symptom clusters, which also have been described in terms of dissociation of personality. Of course, people who receive this diagnosis often also suffer from other problems as well, and as noted earlier, diagnostic categories may overlap significantly. The symptom clusters are as follows:Alterations in Regulation of Affect ( Emotion ) and ImpulsesChanges in Relationship with othersSomatic SymptomsChanges in MeaningChanges in the perception of SelfChanges in Attention and Consciousness

Without direction, the respiratory technician goes to the head of the bed. She takes the tubing, attaches it to the oxygen, and turns it on as high as it will go. She provides a seal with her hand cupped over the plastic mask, over the nose and mouth of the toddler, and methodically provides oxygenated air. Doyle’s tiny chest rises and falls while I listen with my stethoscope. I am reaching for another breathing tube.“Fib!” Dr. Pedras feels for a pulse while another places gelled pads on her chest.

I had built such a wall between my experiences and how I felt about those experiences that I was incapable of reliving both simultaneously. I could talk about my traumas, even walk through them, but I couldn’t feel them. When I tried to bring it all together, when I tried to remember how I had felt, I disappeared in my own head. My to-do list took on grave importance. The book I read the night before filled my thoughts. Yesterday’s article suddenly called out to be rewritten. I couldn’t get inside myself.