It is critical early in treatment of persons with complex trauma histories to establish a clear understanding of the client and a conceptual frame for your work with them.
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Attachment theory informs how early relational trauma affects the development of the self.
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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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Over the past decade, EMDR therapy has begun to mature as an approach that can be applied to treat complex trauma and dissociation.
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