Discrimination between gravity slides and tectonic fold-and-thrust belts in the geologic record has long been a challenge, as both have similar layer shortening structures resulting from single bed duplication by thrust faults of outcrop to map scales. Outcrops on uplifted benches within the Miocene to Pliocene Misaki accretionary unit of Miura-Boso accretionary prism, Miura Peninsula, central Japan, preserve good examples of various types of bedding duplication and duplex structures with multiple styles of folds. These provide a foundation for discussion of the processes, mechanisms, and tectonic implications of structure formation in shallow parts of accretionary prisms. Careful observation of 2-D or 3-D and time dimensions of attitudes allows discrimination between formative processes. The structures of gravitational slide origin develop under semi-lithified conditions existing before the sediments are incorporated into the prism at the shallow surfaces of the outward, or on the inward slopes of the trench. They are constrained within the intraformational horizons above bedding-parallel detachment faults and are unconformably covered with the superjacent beds, or are intruded by diapiric, sedimentary sill or dike intrusions associated with liquefaction or fluidization under ductile conditions. The directions of vergence are variable. On the other hand, layer shortening structure formed by tectonic deformation within the accretionary prism are characterized by more constant styles and attitudes, and by strong shear features with cataclastic textures. In these structures, the fault surfaces are oblique to the bedding, and the beds are systematically duplicated (i.e., lacking random styles of slump folds), and they are commonly associated with fault-propagation folds. Gravitational slide bodies may be further deformed at deeper levels in the prism by tectonism. Such deformed rocks with both processes constitute the whole accretionary prism at depth, and later may be deformed, exhumed to shallow levels, and exposed at the surface of the trench slope, where they may experience further deformation. These observations are not only applicable in time and space to large-scale thrust-and-fold belts of accretionary prism orogens, but to small-scale examples. If we know the total 3-D geometry of geologic bodies, including the time and scale of deformational stages, we can discriminate between gravitational slide and tectonic formation of each fold-and-thrust belt at the various scales of occurrence.