Hi again.
I need to go back to focusing on my daily responsibilities IRL, so this will be my last response to this post. The issues raised have been useful in stimulating new thinking for me, and I appreciate your contributions.
hiking out - Perfectionism has been a big part of my inner structure, along with workaholism, pleasing others and numbing my feelings. I found it helpful to dig into my thoughts to figure out what I was anxious about, and I also got a lot of insights from the Workaholics Anonymous program.
I found out about dissociation through a presentation I heard at a Transactional Analysis (TA) conference. I already knew from TA therapy about different parts of the self, but the information on dissociation explained to me why I couldn't switch from one state to another, as other people seemed to do. The missing piece was information about trauma.
I found a therapist who knew about dissociation by accident. When I mentioned my trauma history to a physician, she referred me to a trauma therapist she happened to know, who was also much closer to where I lived that the therapist I was seeing at the time. I have also read on SI about people who had therapists who weren't knowledgeable about trauma and dissociation originally, but were willing to educate themselves when the issue came up.
About saving people, Transactional Analysis makes a distinction between "rescuing" someone and helping them in a healthy way. A "Rescuer" sees the other person as not capable, and does things for them that they haven't asked for. Eventually the Rescuer feels victimized by "having" to do all the work, and ends up as a resentful "Persecutor" of the person they are helping. This is a cycle I have gone through again and again.
Another insight from Transactional Analysis is that people will often try to take care of other people by rescuing them because they do not have internal permission to take care of themselves. This was a major motivation for rescuing behavior with my AP/client. Some part of me felt that if I could save the AP, that meant that some day it would be possible to save myself too. As I said in my response to Mrs. Walloped above, for me it started in prenatal, birth and early childhood traumatic experiences, though it can originate in a trauma at any age.
pippin - I can sometimes make quantum ego state change if I consciously see an internal picture of sisoon being supportive, which overlays the dysfunctional pictures of "everyone" being hostile to me. This kind of change is described by chaos theory, which talks about complex systems (like the self) being "self-organizing". You can't make a complex system change by main force, but if you keep feeding in new information to the system, it will eventually reach a tipping point and reorganize itself into a new state.
The two voices your husband hears sound like examples of what TA calls Adult and Child ego states. The third category they talk about is the Parent ego state. The Parent is originally introjected from our actual parents/caregivers.Functionally it carries values. The Adult is based on our innate ability to gather information and process it logically. The Child is based on our innate ability to sense, feel and act, and on the memories of our actual childhoods. Many TA therapists talk about the result of therapy as the creation of an Integrated Adult ego state, which lives in the present and integrates feelings, thoughts and values.
Thanks again to everyone.