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Abstract
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It is well-established in both the EMDR therapy and complex trauma-dissociative disorders literatures that self-state/parts-focused work with clients is frequently not only helpful but also necessary to achieve stabilization/containment, trauma resolution, and integration of treatment gains into how a person functions in day-to-day life.
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Chronic shame, an experience of being without value, is often at the center of the aftermath of traumatic experience accompanied by active dissociative processes. Infant attachment strategies are generated in the face of fear and seek proximity to a caretaker. Such seeking is compromised when the attachment relationship is itself a source of terror, horror, or other physical or psychic pain.
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ISSTD's 2017 webinar series featured presentations from a number of leaders in the field covering a variety of topics.
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ISSTD's 2014 webinar series featured presentations from a number of leaders in the field covering a variety of topics.
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ISSTD's 2009 webinar series featured presentations from a number of leaders in the field covering a variety of topics.
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The mind control (invasion) transference (MCT) is an extreme form of traumatic transference in patients with dissociative identity disorder (DID) and related very severe, complex dissociative trauma disorders. It is defined as he patient’s belief that the therapist’s overt helpfulness and concern is really in the interest of gaining access to the patient’s mind in order to malevolently invade and control the patient psychologically. To some extent, all DID patients have some aspect of this type of transference.
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One of the more challenging problems of working with complex developmental trauma is how to effectively manage the therapeutic relationship. We are directed to help the client develop secure attachment; yet close relationship activates the insoluable dilemma of the client's history: needing to attach while feeling threatened.
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This presentation discusses the neurobiology of dissociation as a post-traumatic response and its relationship to autonomic nervous system (ANS) function, including the underlying physiological mechanisms and defense cascade in response to stressors. Animal models including fight, flight, freezing and tonic mobility, including the involvement of endogenous opioid activation in these states are explored.
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