COMPLEX MULTILAYERED ABUSECMA FrameworkA Survivor-Led Framework for Understanding
How Multilayered Abuse Structures Persist, Adapt, and Resist Intervention
Proposed by Tatsuki Nakamura

Survivor-Led Framework
CMA
Complex Multilayered Abuse
What is CMA?

CMA is a structural framework that explains how abuse persists through interacting layers.

5 Layers
1. Isolation & Information Blockade
2. Dependency Fixation
3. Normalization & Gaslighting
4. Institutional Non-Response
5. Somatic / Memory Fragmentation
Comparative Models

C-PTSD

Focus: symptoms & regulation
Limit: lacks structural persistence model
CMA gap: moves from symptoms → system

DTD

Focus: developmental impact
Limit: weak social/institution layer
CMA gap: adds structural ecology

ACEs

Focus: count of adverse events
Limit: no interaction dynamics
CMA gap: replaces count with layered system

Polyvictimization

Focus: multiple victimization exposure
Limit: no causal structure
CMA gap: explains why overlap persists

CMA

Focus: structural persistence of abuse
Core: 5 interacting layers
Type: non-diagnostic structural model
Publication

Zenodo Preprint (2026)

View Paper
tatsuki nakamura