Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

@article{Steele2005PhaseOrientedTO,
  title={Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias},
  author={Kathy Steele and Onno van der Hart and Ellert R S Nijenhuis},
  journal={Journal of Trauma \& Dissociation},
  year={2005},
  volume={6},
  pages={11 - 53}
}
ABSTRACT The theory of structural dissociation of the personality proposes that patients with complex trauma-related disorders are characterized by a division of their personality into different prototypical parts, each with its own psychobiological underpinnings. As one or more “apparently normal” parts (ANPs), patients have a propensity toward engaging in evolutionary prepared action systems for adaptation to daily living to guide their actions. Two or more “emotional” parts (EPs) are fixated… 

Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in the Stabilization Phase

As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and

Dissociation of the Personality in Complex Trauma-Related Disorders and EMDR: Theoretical Considerations

As eye movement desensitization and reprocessing (EMDR) has been increasingly applied in complex trauma-related disorders, including complex dissociative disorders, and trauma-related borderline

Dissociation of the Personality and EMDR Therapy in Complex Trauma-Related Disorders: Applications in Phases 2 and 3 Treatment

Eye movement desensitization and reprocessing (EMDR) psychotherapy can play a major role in phase-oriented treatment of complex trauma-related disorders. In terms of the theory of structural

Four-Phased Dynamic Therapy Model in Treating Trauma-Induced Dissociation

Traumatic memories are highly emotional, life-altering events that would appear to have the best chance of persisting into the entire life. In complex trauma syndrome, they are usually endless

Dissociation: An insufficiently recognized major feature of complex posttraumatic stress disorder.

It is postulated that traumatization essentially involves some degree of division or dissociation of psychobiological systems that constitute personality, and that dissociation parts manifest in negative and positive dissociative symptoms that should be distinguished from alterations of consciousness.

The path to dissociative experiences: A direct comparison of different etiological models.

Oscillations in dissociation across months, when taking psychological distress into account, were better explained by unusual dreaming than traditional sleep quality measures, and a complex, integrated etiological model for dissociative experiences is warranted.

Trauma-Focused Dynamic Therapy Model in Treating Complex Psychological Trauma

Complex psychological trauma affects all structures of the personality—one’s image of the self, images of the others, and one’s values and ideals, and leads to the sense that the personality

Formation and Functions of Alter Personalities in Dissociative Identity Disorder: A Theoretical and Clinical Elaboration

Dissociative identity disorder [DID] is a chronic complex psychiatric condition related to cumulative psychological traumatization in childhood. It is characterized by a marked disturbance of

The Application of Attachment Theory and Mentalization in Complex Tertiary Structural Dissociation: A Case Study

The concept of structural dissociation can provide useful information for increasingly complex applications of mentalizing in therapeutic settings; however, little integration of the two approaches
...

References

SHOWING 1-10 OF 186 REFERENCES

Dependency in the Treatment of Complex Posttraumatic Stress Disorder and Dissociative Disorders

This paper outlines the collaborative therapeutic process required to manage insecure dependency productively within a phase-oriented treatment model and describes the theory of structural dissociation, which helps illuminate the often contradictory manifestations of dependency in chronically traumatized patients.

Trauma-Related Dissociation: Conceptual Clarity Lost and Found

Objective: Imprecise conceptualizations of dissociation hinder understanding of traumarelated dissociation. An heuristic resolution for research and clinical practice is proposed. Method: Current

Trauma-related dissociation: conceptual clarity lost and found.

Limitation of the concept of dissociation to structural dividedness of the personality sets it apart from related but non-dissociative phenomena and provides a taxonomy of dissociative symptoms and postulates a common psychobiological pathway for all trauma-related disorders.

Dissociative Processes and Transference-Countertransference Paradigms in the Psychoanalytically Oriented Treatment of Adult Survivors of Childhood Sexual Abuse

Clearly recognized by researchers in the field as one of the major long‐term sequelae of childhood trauma, discussion of the process of dissociation remains embedded in the classical psychoanalytic

Treatment strategies for complex dissociative disorders: Two Dutch case examples.

In the Netherlands, the diagnosis of dissociative identity disorder (DID) is widely accepted, although skeptics also have made their opinions known. Dutch clinicians treating DID patients generally

The Treatment of Traumatic Memories : Synthesis , Realization , and Integration

This paper is based on Pierre Janet's dissociation theory and his concept of the non-realization of a traumatic event. A model of treatment that integrates Janet's dissociation-integration theory

Somatoform Dissociation in Traumatized World War I Combat Soldiers

Abstract The massive traumatization of World War I combat soldiers led to an unprecedented incidence of somatoform dissociative disorders and symptoms, usually diagnosed as hysterical disorders

Disorganized Attachment, Development of Dissociated Self States, and a Relational Approach to Treatment

ABSTRACT Disorganized (D) attachment, and the double-bind characteristics of the relationships that foster it, form a basis for theoretical approaches to understanding the development of alternating,

Dissociation : clinical and theoretical perspectives

Part I: Theoretical and Research Perspectives. E. Cardena, The Domain of Dissociation. E.R. Hilgard, Neodissociation Theory. E.Z. Woody, K.S. Bowers, A Frontal Assault on Dissociated Control. F.H.

Dissociation and the fragmentary nature of traumatic memories: overview and exploratory study.

The evidence implicating dissociation as the central pathogenic mechanism that gives rise to posttraumatic stress disorder (PTSD) is reviewed, and it is indicated that traumatic memories were retrieved, at least initially, in the form of dissociated mental imprints of sensory and affective elements of the traumatic experience.
...