I am not at my pc and not able to give an appropriate critique of this subject my new psychoanalyst and I are exploring. And I am still trying to wrap my mind around a whole new level of diagnosis for this old gal. But I wanted to drop this here for any others who "gets" this level of my journey in this realm and the ramifications this has with Prymal....
https://www.sciencedirect.com/science/article/pii/S0160289616303324