Enactive trauma therapy is based on the premise that individuals are constituted through their brain, body, and environment, forming a biopsychological organism-environment system that is fundamentally oriented towards maintaining its existence and understanding things as a primarily affective being. Individuals exhibit a phenomenal self, a phenomenal world, and their self within this world through self-directed and world-directed actions. They do not act primarily through cognitive control, but possess knowledge based on world-directed, sensorimotor, affect-laden, and goal-oriented actions. Whenever interpersonal traumatization occurs through significant caregivers, individuals may become entangled in affective and relational conflicts that cannot resolve on their own. Trauma-related dissociations of personality.