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Fragmentation of the sense of self maintains children’s attachment to abusive caregivers by disowning themselves as “bad” or “unlovable.”   This deeply painful failure of self-acceptance results in lifelong shame and self-loathing, difficulty self-soothing, and chronic dissociative symptoms and disorders.  Without internal compassion, it is difficult to take in the compassion and acceptance of others, complicating relationships. 
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Abstract
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Abstract
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Stage Two therapy consists of working through and processing trauma while maintaining stability in life and in the therapeutic relationship. The power of the trauma frequently destabilizes both the client and the therapist, leading to reenactments and experiences of being stuck.
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While the neuroscience of trauma has become a burgeoning field in recent times, it is often difficult for clinicians to translate the research findings into clinically relevant signs and symptoms and to integrate this knowledge into treatment planning.
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In a complex world with many competing interests, social structures are often culpable in creating climates where the strong subvert the weak.
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Relational issues and the related dynamics that occur in the treatment of complex trauma and dissociative conditions are an ever-present and many times confusing aspect of treating this population.
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Attachment theory informs how early relational trauma affects the development of the self.
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