The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization
The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization Books
- ISBN13: 9780393704013
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Product Description
Life is an ongoing struggle for patients who have been chronically traumatized.
They typically have a wide array of symptoms, often classified below different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist.
Many patients have substantial problems with daily living and relationships, including serious intrapsychic conflicts and maladaptive coping strategies. Their suffering essentially relates to a terrifying and awkward past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with small if any gains, and that quite a few have been labeled as untreatable or resistant.
In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a develop of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and correlated maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories.
Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and well-organized, and more tolerable for the suffering patient.
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A very fascinating review of Janetian psychology as well as a helpful presentation of theory and categorization of dissociative identity disorder. The clinical sections are less well organized, and rather hard to follow.
Rating: 3 / 5
Those who have been chronically traumatized have a range of symptoms which make for trying assessment and treatment by therapists: THE HAUNTED SELF: STRUCTURAL DISSOCIATION AND THE TREATMENT OF CHRONIC TRAUMATIZATION is thus for college-level mental health worth and involved therapists who would identify and handle these issues, from daily living challenges to the recurrence of memories about a awkward past. Three leading researchers and clinicians share their lessons from treating such individuals – over sixty years of collective experience – and provide a powerful set of insights for clinicians, students of clinical psychology and psychiatry, and any caught up in mental health issues.
Rating: 5 / 5
The Haunted Self is written for professionals. It is thorough in the examples it provides and clearly outlines the treatment stages for dissociative disorders. There is nearly no in rank from the viewpoint of people with the disorder which would have added more life to the treatment stages.
Rating: 5 / 5
This is a must read for counsellors working with dissociative clients. It is well-written, simple to know (although the problem of dissociative disorder is very complex) and gives matter-of-fact advice and strategies.
Rating: 5 / 5
Structural Dissociation of the Personality
The leading theorists on the theme recognize that reactions to extreme stress can lead to one or more differing diagnosis, and that inherent in said traumatic reactions is structural dissociation of the personality. Where three types of structural dissociation have been postulated: primary structural dissociation, secondary structural dissociation and tertiary structural dissociation.
Primary structural dissociation involves simple PTSD, and dissociative amnesia, where the Emotional Personality (EP) and the Report has it that Normal Personality (ANP) have become disenfranchised or fragmented. The EP “…is fixated in the trauma and associated experiences….[and the ANP]…is fixated in forestalling of the trauma, manifesting detachment, numbing, and partial or complete amnesia” (Steele, van der Hart, and Nijenhuis, n.d., para. 8).
PTSD is not only about private protection or self preservation but in its essence a means of such endeavors, thus apt a self-perpetual entity in of itself (the EP can develop into a sub-personality, a component of Dissociative Identity Disorder [DID]). Nearly as if it has become self-aware and not only will it steer one away from danger, but also away from its own demise; a seemingly serendipitous supra-intelligent guidance of the subconscious.
The EP has evolutionary roots in defensive mechanisms that propelled us through the traumatic experience(s), an inborn reactionary system that can become entrenched within the mind. The EP’s success in our survival leads us to firmly identify with this part of ourselves and engages in obsessive and compulsive rumination of the defensive mechanisms and exhibits as symptomatology.
The ANP has become the mode of operation whereby the individual can engage everyday operational tasks. Such as “…attachment, energy management, reproduction and rearing of children, socialization, play, and exploration” (para. 12). To do so, the ANP’s main function is to avoid the forward thoughts and dread potentials.
In a constant risk environment, the evolutionary response system and the benefits of survival further encapsulates the differentiated states of mind. Secondary structural dissociation is a result of this prolonged and saturated state of being. A fluid environment demands that we engage in concerted efforts to survive, to do otherwise means death. Animalistic spontaneous defense mechanisms such as the fight or flight response or submissive freezing, delve into the realm of “…complex PTSD or disorders of extreme stress (DES), trauma-induced borderline personality disorder, and dissociative disorders not otherwise specified” (para. 12).
Tertiary structural dissociation consequences from the complete fragmentation of the EP and the ANP. Whereby numerous ANP’s can develop to engage different aspects of a persons life, such as putting on your “work hat” to enable the separation of a traumatic existence to a work self, the social self, etc. Here we find the diagnosis of DID, where traumatic associations or triggers have inundated the individual and submerges them into a function of constantly changing identities governed by situational exchanges.
Rating: 5 / 5