Complex Trauma: Dissociation, Fragmentation, and Self Understanding

For those of us working in the field of complex trauma, one of the most exciting events of 2017 was the release of Healing the Fragmented Selves of Trauma Survivors by Dr. Janina Fisher. The book is a wonderful summary and synthesis of the current state of knowledge in trauma research enlivened with wisdom, insight and deep compassion for the victims of abuse. Dr. Fisher draws together neurobiological research, psychological theory, and a productive, if sometimes painful, process of trial and error in which dozens of committed therapists sought out better ways of helping survivors of trauma. Unfortunately, many people suffering from the after effects of a traumatic childhood have summoned up the courage necessary to start a course of therapy only to be forced to stop because confronting their repressed or partially repressed memories caused a breakdown or personal crisis that made it impossible to continue with therapy. While it can be argued that therapy on the “it must get worse before it gets better” model nevertheless helped many people, the desirability of finding a less painful model is obvious. Dr. Fisher describes both the new, improved model for trauma therapy and the process by which it came about, which is itself a fascinating story. The book is, I believe, required reading for anyone in the psychology profession, but is also aimed at victims of complex trauma, especially those starting therapy, and can be profitably read by anyone who has friends or f...
Source: Psych Central - Category: Psychiatry Authors: Tags: Abuse Caregivers Children and Teens Dissociation Dissociative Motivation and Inspiration Neuroscience Parenting Personality Psychology Psychotherapy Self-Esteem Trauma Treatment Alienation C-PTSD Child Abuse child neglect Source Type: news

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To the Editor The randomized clinical trial by Dr Foa and colleagues compared massed prolonged exposure therapy, spaced prolonged exposure therapy, present-centered therapy, and a minimal-contact control on severity of posttraumatic stress disorder (PTSD) among active duty military personnel. The results were different from what was expected from previous studies. Individuals receiving spaced therapy did no better than those randomized to present-centered therapy, a comparison condition to control for common factors in psychotherapy. Foa and colleagues and the Editorial by Hoge and Chard were unable to explain these results.
Source: JAMA - Category: General Medicine Source Type: research
When we hear the word tantrum, we picture a 2-year-old lying on the floor kicking and screaming. Very rarely do we use it to describe an adult having an outburst. In reality, adults can have this kind of outburst at any moment in time. We don’t typically refer to an adult as having a tantrum. We refer to them as being angry or “just blowing off some steam.” However, when their behavior becomes cyclical, predictive, or problematic the impact of their behavior should be assessed and addressed. Tantrums typically follow an action made by another person that results in the recipient feeling angry, disappoint...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Agitation Anger Communication Violence and Aggression Anger Management Emotional Dysregulation Rage Tantrums Source Type: blogs
CONCLUSION: A single session of post-immediate or deferred debriefing has been found to have a miraculous effect on post-traumatic symptoms, confirmed by follow-up. When disorders are chronic and complex, however, treatment can last several months or years. In each case, although certain therapeutic principles are key, other psychotherapeutic and pharmacological treatments should be adapted to the individual's clinical situation, and the symptoms they present. PMID: 29887301 [PubMed - as supplied by publisher]
Source: L Encephale - Category: Psychiatry Tags: Encephale Source Type: research
CONCLUSIONS: These results extend theoretical conceptualizations of women's CSB to a treatment population. CSB intervention efforts may benefit from targeting women's avoidance of painful experiences. PMID: 29873145 [PubMed - as supplied by publisher]
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
Pooled results from six double-blind, placebo-controlled phase 2 trials show benefit for adding MDMA, also known as ecstasy, to psychotherapy for chronic posttraumatic stress disorder.Medscape Medical News
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Psychiatry News Source Type: news
Authors: Kratzer L, Heinz P, Schennach R, Schiepek GK, Padberg F, Jobst A Abstract BACKGROUND: There is a lack of studies investigating the effectiveness of inpatient trauma-focused psychotherapy of complex post-traumatic stress disorder. The first aim of this retrospective investigation was to analyze the course of PTSD. Second, possible predictors of treatment response were investigated. METHODS: 150 inpatients of Clinic St. Irmingard with complex PTSD following childhood physical and childhood sexual abuse were assessed regarding childhood abuse, PTSD symptomatology, mindfulness, dissociation and general psy...
Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie - Category: Psychiatry & Psychology Tags: Psychother Psychosom Med Psychol Source Type: research
Abstract Traumatic stressors have always been a part of the human experience. What is now referred to as posttraumatic stress disorder (PTSD) was first studied in the context of military trauma during the Civil War and World War I but most extensively in World War II. Much of what we know about the medical and psychological management of PTSD has its origins in military psychiatric approaches, and a review of these practices reveals important tenets that should be applied in current treatment for both military and nonmilitary PTSD. These practices include intervention as soon as possible after the traumatic exposu...
Source: The American Journal of Psychiatry - Category: Psychiatry Authors: Tags: Am J Psychiatry Source Type: research
In 1967, Martin Seligman, one of the founders of Positive Psychology and his research group carried out a fascinating, if somewhat morally dubious experiment in his quest to understand the origins of depression. In this experiment, three groups of dogs were confined in harnesses. The dogs in group 1 were simply placed in their harnesses then released after a period of time, but the dogs in groups 2 and 3 did not have it so easy. Instead they were subjected to electric shocks that could only be stopped by pulling a lever. The difference was that the the dogs in group 2 had access to the lever, whereas the dogs in group 3 di...
Source: Psych Central - Category: Psychiatry Authors: Tags: Bullying Psychology Psychotherapy PTSD Trauma Treatment C-PTSD complex post-traumatic stress disorder learned helplessness Martin Seligman Source Type: news
Testimonial psychotherapy is a therapeutic ritual for facilitating the recovery of survivors of human rights violations that focuses on sharing the trauma narrative. Originally developed in Chile as a method for collecting evidence during legal proceedings...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
DiscussionThe effect of music therapy can be explained by theories on affect regulation and social engagement, and the impact of music on brain regions affected by PTSD. The study will shed light on the role of therapy for the attainment of a safe attachment style, which recently has been shown to be impaired in traumatized refugees. The inclusion of music and imagery in the treatment of traumatized refugees hopefully will inform the choice of treatment method and expand the possibilities for improving refugee health and integration.Trial registrationClinicalTrials.gov ID number NCT03574228, registered retrospectively on 28 June 2016.
Source: Trials - Category: Research Source Type: clinical trials
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