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Coping With Trauma-related Dissociation: Strategies for Managing Symptoms and Recovery



Onno van der Hart, PhD is a psychologist, adult psychotherapist (retired) in private practice and researcher; he is Emeritus Professor of Psychopathology of Chronic Traumatization at the Department of Clinical and Health Psychology at Utrecht University, the Netherlands. He is a scholar in Pierre Janet Studies and is a past President of the International Society for Traumatic Stress Studies (ISSTS). Both nationally and internationally, he is a clinical consultant and trainer on diagnosis and treatment of complex trauma-related disorders. He is the recipient of a number of awards for his clinical and published works. Apart from having co-authored with Ellert Nijenhuis and Kathy Steele The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization (Norton, 2006), with Suzette Boon and Kathy Steele, he wrote Coping with Trauma-related Dissociation: Skills Training for Patients and Therapists (Norton, 2011), and with Kathy Steele and Suzette Boon, Treating Trauma-related Dissociation: A Practical, Integrative Approach (Norton, 2017).


Ellert R.S. Nijenhuis, PhD is a psychologist, psychotherapist, and researcher. He engaged in the diagnosis and treatment of severely traumatized patients for more than three decades, and teaches and writes extensively on the themes of trauma-related dissociation and dissociative disorders. He is a research consultant at Clienia Littenheid, Switzerland, collaborates with several European universities. His publications include the book Somatoform Dissociation that also appeared in a German translation. With Onno van der Hart and Kathy Steele he co-authored the book The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization. The first two volumes of the trilogy The Trinity of Trauma: Ignorance, Fragility, and Control appeared in 2015. The third volume, Enactive Trauma Treatment was released in 2017. The International Society for the Study of Trauma and Dissociation granted him several awards, including the Lifetime Achievement Award.




Coping With Trauma-related Dissociation.pdf



Several thematic chapters discuss key differential diagnostic considerations and illustrate them with case reports. Also discussed are the occurrence of false-negative and false-positive diagnoses of trauma-related dissociative disorders, the assessment of traumatic experiences and the development of a treatment plan.


This training manual for patients who have a trauma-related dissociative disorder includes short educational pieces, homework sheets, and exercises that address ways in which dissociation interferes with essential emotional and life skills, and support inner communication and collaboration with dissociative parts of the personality. Topics include understanding dissociation and PTSD, using inner reflection, emotion regulation, coping with dissociative problems related to triggers and traumatic memories, resolving sleep problems related to dissociation, coping with relational difficulties, and help with many other difficulties with daily life. The manual can be used in individual therapy or structured groups.


Daring to Care model is a group intervention developed to target specifically trauma-symptoms of parents surviving from childhood abuse. Its goal is to prevent intergenerational harmful effects of traumatization by helping parents understand their trauma-related difficulties and find better ways to regulate and cope with them. Daring to Care is designed as an add-on to individual psychotherapeutic treatment. The model consists of 24 topics presented over the course of 30 sessions, each with its own set of exercises and assignments to encourage individual experiential reflection. The Daring to Care intervention can be used for parents with different traumatic experiences in their early care-taking relationships, varying trauma symptoms, and children of different ages from birth to 18 years. The Daring to Care model has been developed to address some of the specific difficulties that traumatized parents struggle with, in order to help them break the intergenerational chain of maltreatment and neglect. More info 2ff7e9595c


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