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The Treatment of Structural Dissociation in Chronically ...

In Anstorp & Benum (in press). Trauma Treatment in practice: complex trauma and Dissociation . Oslo: Universitetsforlaget The Treatment of Structural Dissociation in Chronically Traumatized Patients Janina Fisher, Chronic traumatization, especially beginning early in life, leaves a legacy that poses additional Treatment complications for patient and therapist. In this chapter, we will focus on the impact of trauma-related Structural Dissociation in driving the symptoms, issues, and relational challenges brought to therapy. An understanding of the manifestations of Structural Dissociation helps the therapist make sense of paradoxical and contradictory symptoms and helps the patient to interpret their emotions, behavior, and physical reactions as information about the effects of trauma rather than proof of their defectiveness.

Hart et al, 2006). Equally, children have to depend upon their instinctive animal defense survival action system mobilizing hypervigilance, cry for help, fight and flight, freeze, collapse and submission responses to quickly inhibit exploration, social engagement, and regulating functions in order to ensure automatic self-protective behavior.

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  Structural, Flight, Freeze, Children, Fight, Dissociation, Structural dissociation

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