CPTSD, dissociation and attachment // Ulyana Avchinnikova

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Психотерапия и привязанность

Published on Mar 13, 2024
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CPTSD, attachment and dissociation are the most complex therapeutic topics. Let's try to figure out if there is a connection between them, how CPTSD and traumatic experience affect attachment, what resources can protect against the development of disorders. In short, let's talk about the most complex things using the simplest words. 00:00:11— Diagnostic Criteria and Attachment Theory 00:07:36— The Neurobiology of CPTSD 00:10:51— Explicit and Implicit Memory 00:13:14— Delayed Response to Traumatic Event 00:15:12— Symptoms of CPTSD 00:23:46— Avoidant Behavior in CPTSD 00:24:39— Attachment Types and CPTSD 00:35:57— The Effect of Context on Secure Attachment • Secure attachment may be a protective factor against physical abuse, but not against emotional abuse or captivity. • Securely attached people who are captive may experience higher levels of CPTSD symptoms than people with other attachment types. 00:37:38 The Secure Attachment and Captivity Hypothesis • The hypothesis suggests that people with secure attachment may be more vulnerable to captivity because of their trust and reliance on others. • Avoidant attachment style may be a protective factor in emotional abuse, but not physical abuse. 00:39:16 — Attachment Types and PTSD 00:45:01 — The Impact of Attachment Style on PTSD 00:48:55 — Self-Assessment and CPTSD 00:51:31 — Avoidant Behavior in CPTSD 00:53:26 — Self-Assessment and Your Ability to Cope with CPTSD 00:57:10 — Relationships and Disorganized Attachment • People with PTSD may seek relationships, but also avoid them due to fear and anxiety. • Disorganized attachment may be associated with traumatic experiences, where the relationship with the abuser was long-term and pathological. • In disorganized attachment, a person can perceive him/herself as a victim, abuser, aggressor, and important person at the same time. 01:05:15 — Dissociative disorder 01:10:10 — Depersonalization and derealization 01:17:24 — Dissociation and attachment 01:28:06 — Description of dissociation 01:32:34 — Dissociation and cruelty 01:34:52 — Connection with antisocial personality disorder 01:40:42 — Avoidant attachment and the DSO system 01:43:36 — Anxious attachment and the DSO system 01:45:32 — Dissociation and depersonalization 01:48:12 — Adaptation and treatment 01:50:18 — Endogenous opioid antagonists 01:52:21 — Hope and adaptation

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