Ellert R. S.
Nijenhuis, Onno van
der Hart, Kathy Steele (2002)
The emerging psychobiology of trauma-related dissociation and dissociative disorders.
In: H. D’Haenen, J.A. Den Boer, H. Westenberg, & P. Willner (Eds.), Textbook of Biological Psychiatry, pp. 1079-1098. London: Wiley.(book)
Abstract: Traumatic experiences may hamper the integrative functions of the mind. This chapter discusses several key neuroendocrine systems and brain structures that seem to be involved in trauma-related dissociation. Clinical, empirical, and experimental evidence suggests that this dissociation, described in this chapter as structural dissociation of the personality, reflects a lack of integration among psychobiological emotional systems, e.g., reproduction, attachment, defense. The primary form of this structural dissociation involves failed integration between systems dedicated to daily life and systems dedicated to defense in the face of severe threat. Most research has largely overlooked the fact that psychobiological reactivity to threat cues may depend on the type of dissociative psychobiological system that dominates the functioning of the patient at the time of measurement. As predicted by the theory of structural dissociation, pioneering studies have found such differences between dissociative systems dedicated to daily life and to defense. |