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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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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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Childhood trauma has the potential to overwhelm the coping ability of children and can create developmental changes in brain structure and function. These changes to the developing mind allow for short term survival and sacrifice long term effective functioning. Adolescence is a time when these changes have the potential for both becoming more deeply embedded or largely rectified as the person moves toward adulthood.
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