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America is in the midst of a suicide crisis. Earlier this year, the Center for Disease Control released statistics showing that the rate of suicide increased by 33% between 1999 and 2017. Since 2008, suicide is the 10th leading cause of death for all ages.
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Many of our complex trauma and dissociative clients have difficulties when their therapists take time off for a myriad of reasons such as regulation dependency, fear of abandonment, developmental wounds, insecure/anxious attachment styles and/or punishing introject states. 
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Attachment theory and research is an area of ongoing development, with profound implications for the field of mental health. Some of its most recent developments have been in the clinical application of its concepts to psychotherapeutic work.
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Almost 35 years ago the first functional brain imaging study in an individual with Dissociative Identity Disorder (DID) was performed using positron emission tomography (PET). This study of the resting brain found hyperperfusion in the right temporal lobe (Mathew et al., 1985) a region that was also identified as a possible neurostructural biomarker for DID in the latest brain imaging study of the presenter (Reinders et al. 2019).
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This forum is based on a comprehensive literature review of secondary trauma (STS/VT/CF) and a plea for renewed research for the next decade. Offering an overview and critique of the research literature, we focus on the personal and organizational risk factors for trauma therapists.
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For decades, the diagnosis of borderline personality has been used to disparage abuse survivors as “difficult to treat,” often minimizing their experience of trauma, as noted in Herman’s classic Trauma and Recovery. In contrast, from 1989 to the present, studies have repeatedly shown the high co-occurrence of BPD and severe dissociative symptoms.
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The disempowering experience of relational trauma is synonymous with the experience of shame.
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As therapists continue to see a need for increased trauma-informed services and approaches to mental health, becoming attuned to the differences between simple trauma, complex trauma, and dissociat
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Abstract
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Across the globe at this time, trauma is abundant.
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