COMPLEX
MULTILAYERED
ABUSE

A Survivor-Led Framework for Understanding
How Multilayered Abuse Structures Persist, Adapt, and Resist Intervention

Proposed by Tatsuki Nakamura

What is CMA?

Complex Multilayered Abuse (CMA) is a survivor-led conceptual framework that describes how multiple forms of abuse interact across layers to create persistent, self-reinforcing abuse structures.

CMA is not a diagnostic category, but a framework for describing structural mechanisms underlying persistent abuse experiences.

The 5 Structural Layers

Publications

Complex Multilayered Abuse (CMA): A Survivor-Led Conceptual Framework for Understanding Persistent Multilayered Abuse Structures

Nakamura, T. (2026). Preprint.

Preprint • Zenodo • DOI: 10.5281/zenodo.20637642

About the Author

Tatsuki Nakamura
Developer of the CMA Framework
Independent Researcher
Blind-Deaf & Cerebral Palsy Survivor

Profiles

X @tatsu97910
note
Instagram
tayo.jp
ORCID