The Long-Term Relational Consequences of Unseen Attachment Trauma

May 16, 2025

Abstract
During this workshop, we will explore Unseen Attachment Trauma (UAT) and its profound influence on relational development. D'Hooghe (2018) conceptualized UAT as a form of trauma that may not be immediately obvious. The traumatic event may not show visible signs, making it hard for the person experiencing it or those around them to perceive it. UAT emphasizes the role of an unavailable caregiver as a traumatic event. The physical and psychological availability of the caregiver is paramount in fostering a safe attachment relationship. The child's reliance on the caregiver for safety, fulfillment of needs, and overall development, combined with the inescapability of the situation, determines the severity of the consequences for the child. The caregiver's unavailability is a prerequisite for creating an unsafe attachment style. An unsafe attachment style is considered a dissociative reaction to relational development. The unresolved attachment trauma history of a caregiver can affect the quality of the caregiver-child relationship and lead to various insecure attachment styles. These styles include anxious/preoccupied, avoidant/dismissive, and disorganized/fearful-avoidant. A caregiver with unresolved trauma can identify with an internal part, the Death Mother archetype, which is a negative aspect of the mother archetype described by Jung in 1916. The Death Mother archetype encompasses hate, aggression, death, and seduction and includes the Murderous Mother and the Murdered Mother, elaborated by D'Hooghe and Brack. When these death-oriented aspects manifest in attachment interactions, they can be destructive, threatening, and horrifying for the child, resulting in psychic death. These experiences can lead to the child developing a Thanatos attachment style when they integrate these death experiences. Thanatos is a concept from Greek mythology that personifies death. A Thanatos attachment style is a death-themed relationship between a child and an internal part of their mother that is both murdered and murderous. A Thanatos attachment style involves self-sabotage, illness, hate, and suicide ideation, driving children to engage in behaviors that reflect these destructive patterns. It is associated with the unconscious drive towards dissolution and annihilation. In a Thanatos attachment style, the child experiences a pervasive sense of death and lifelessness from which they cannot escape. The attachment style developed during childhood persists into adulthood and significantly influences how individuals engage with others. This style influences how people seek or avoid intimacy, handle conflict, and approach relationships. These themes of mortality and destruction influence how individuals relate to others and themselves within relationships. The workshop will help reveal and understand a Thanatos attachment style. It will explain in depth the consequences on a personal and relational level. The workshop will also explore how a Thanatos attachment style plays a crucial role in the emergence of violence, conflict, and war.

Potential to Distress: Yes 

Target Audience

Advanced

Learning Objectives

Upon Completion of this webinar, participants will be able to:

  • Describe three attachment interactions related to psychological availability
  • Identify two differences between the disorganized/fearful-avoidant style and the Thanatos attachment style
  • List three features of a Thanatos attachment style
  • Summarize three manifestations of the Death Mother archetype
  • Explain the role a Thanatos attachment style plays in the development of violence, conflict, and war
Course summary
Available credit: 
  • 2.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 2.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 2.50 continuing education credits.
  • 2.50 ISSTD Certificate Program
    This program is eligible for 2.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
Course opens: 
09/20/2024
Course expires: 
12/31/2050
Event starts: 
05/16/2025 - 10:00am EDT
Event ends: 
05/16/2025 - 1:00pm EDT
ISSTD Member cost:
$59.00
Your Price:
$79.00
Rating: 
0

I. Welcome (5 minutes)
II. Overview of Unseen Attachment Trauma (UAT) (20 minutes)
III. Discuss relational dissociative reactions (15)
IV. Introduction to Thanatos Attachment Style (35 minutes)

Break (30 Minutes)

V. Thanatos Attachment in Childhood (20 minutes)
VI. Impact on Relational Development in Adulthood (20 minutes)
VII. Thanatos Attachment and the Emergence of Violence, Conflict, and War (25 minutes)
VII. Q&A (10 minutes)
 

Presenter: Doris D'Hooghe, Psychotraumatologist 
Presenter Bio: Doris D'Hooghe is a Psychotraumatologist, Integrative Child Therapist, and EMDR Practitioner with over 40 years of experience. She began as a psychiatric nurse and now specializes in complex trauma across all age groups, offering therapy for children, adolescents, adults, and the elderly. She founded Trauma Center Belgium in 1990 and has dedicated her work to the treatment and understanding of early childhood and prenatal trauma. Her primary focus is on how early trauma affects attachment relationships, leading her to develop the concept of "Unseen Attachment Trauma," which she published in the *Journal of Child and Adolescent Behavior*. Additionally, she co-authored a self-help book for children with PTSD, *Oscar’s Adventures*, and contributed to *The Neuroeducation Toolbox*, translating neuroscience into counseling practices. D'Hooghe is recognized for her groundbreaking work on dissociation in children, describing it as a process triggered by early attachment trauma that disrupts the child’s developmental trajectory. Together with colleague Layla Brack, she created the 'Developmental Model of Dissociation,' focusing on how trauma shapes a child's development. They are co-authoring a book for Routledge on attachment trauma and therapeutic implications. Her therapeutic approach integrates psychology, neuroscience, sociology, and spirituality. She believes in the healing power of the authentic self and the importance of tailored, client-centered therapy, using evidence-based techniques to empower clients in their healing journey. She has been an internationally well-regarded teacher and speaker for the past fifteen years, sharing her insights through training, workshops, and publications. More information about her work can be found on LinkedIn and the Trauma Center Belgium website (www.traumacentrum.be). Doris graduated from the Belgian Institute for Psychotraumatology with a degree in Psychotraumatology in 2008.

Available Credit

  • 2.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 2.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 2.50 continuing education credits.
  • 2.50 ISSTD Certificate Program
    This program is eligible for 2.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.

Price

ISSTD Member cost:
$59.00
Your Price:
$79.00
Please login or register to take this course.

"Your Price" above reflects your final price based on your membership status and career level. 

  • ISSTD defines a student as those enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. 
  • ISSTD defines an emerging professional as mental health professionals who have completed an advanced degree and are in the first three years of their career (or first three years after graduation for researchers).
  • If you do not fall into one of the above categories please register as Professional/Retired. 

These prices are for Tier I countries. For a list of countries by Tier click here. If you are located in a country that falls into Tier II-VI please contact ISSTD at [email protected] to receive the appropriate discount code.

Registration Policies

Cancellations prior to the webinar are subject to a $10 cancellation fee. No refunds are provided for no shows. The deadline for cancellations with a refund is May 12, 2025 at 5:00pm US Eastern Time. Requests for cancellation should be sent to [email protected].

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