Kathy Steele

• MN, CS
• Psychotherapist at Metropolitan Psychotherapy Associates

Objective: Evidence-based treatments are urgently needed for individuals with trauma-related dissociation (TRD), including severe dissociative disorders, the dissociative posttraumatic stress disorder (PTSD) subtype, and complex PTSD (International Classification of Diseases-10). TRD is strongly associated with severe trauma, a more refractory trea...

Individuals with dissociative disorders (DDs) are underrecognized, underserved, and often severely psychiatrically ill, characterized by marked dissociative and posttraumatic stress disorder (PTSD) symptoms with significant disability. Patients with DD have high rates of nonsuicidal self‐injury (NSSI) and suicide attempts. Despite this, there is a...

A history of childhood trauma and ongoing dissociation are common in clients with Borderline Personality Disorder (BPD). Symptoms that occur in clients who have Complex PTSD or dissociative disorders (OSDD or DID) have a significant overlap with those of BPD, such as self-harm, suicidality, hearing voices, alterations in sense of self and states of...

To overcome their traumatic memories, survivors need to integrate them into their personality. In patients with complex dissociative disorders who generally have experienced severe and chronic relational traumatization, this integration requires a paced and regulated approach within a relational context. Management and resolution of traumatic memor...

Many traumatized individuals alternate between re-experiencing their trauma and being detached from, or even relatively unaware of the trauma and its effects. At first sight one may be inclined to conceptualize detachment from trauma and re-experiencing of trauma as mental states. However, on closer scrutiny it becomes apparent that in both cases a...

This paper critically reviews the empirical literature addressing the relationship of peritraumatic dissociation to posttraumatic stress. PSYCHLIT and MEDLINE literature searches were conducted to identify relevant studies. The list of articles generated was supplemented by a review of their bibliographies, which resulted in a total of 53 empirical...

A meta-analysis was performed on the empirical literature which addressed the relationship of peritraumatic dissociation to posttraumatic stress (PTS). Extensive literature searches were conducted to identify as many relevant studies as possible, and revealed 59 independent eligible studies. All studies were coded using a detailed code sheet that i...

This paper critically reviews the empirical literature addressing the relationship of peritraumatic dissociation to posttraumatic stress. PSYCHLIT and MEDLINE literature searches were conducted to identify relevant studies. The list of articles generated was supplemented by a review of their bibliographies, which resulted in a total of 53 empirical...

The role of dissociation in (complex) posttraumatic stress disorder (PTSD) has been insufficiently recognized for at least two reasons: the view that dissociation is a peripheral, not a central feature of PTSD, and existing confusion regarding the nature of dissociation. In this conceptual article, the authors address both issues by postulating tha...

The authors describe a three-phase sequential integrative model for the psychotherapy of complex posttraumatic self-dysregulation: Phase 1 (alliance formation and stabilization), Phase 2 (trauma processing), and Phase 3 (functional reintegration). The technical precautions designed to maximize safety, trauma processing, and reintegration regardless...

The theory of structural dissociation of the personality proposes that patients with complex trauma-related disorders are characterized by a division of their personality into different prototypical parts, each with its own psychobiological underpinnings. As one or more apparently normal parts (ANPs), patients have a propensity toward engaging in e...

Imprecise conceptualizations of dissociation hinder understanding of trauma-related dissociation. An heuristic resolution for research and clinical practice is proposed. Current conceptualizations of dissociation are critically examined. They are compared with a new theory that incorporates classical views on dissociation with other contemporary th...

To test the hypotheses that among general psychiatric outpatients, somatoform dissociation is associated with posttraumatic stress symptoms and with reported potentially traumatizing events, especially with events that involve bodily threat from a person, also when reported age at onset, duration and subjectively rated impact of potentially traumat...

Dependency is a major and ubiquitous issue in the treatment of chronically traumatized patients, such as those with complex posttraumatic stress disorder (PTSD), trauma-related borderline personality disorder, and dissociative disorders. Within this context, the concept of dependency is often paired with pejorative adjectives, and is dichotomized a...

The massive traumatization of World War I combat soldiers led to an unprecedented incidence of somatoform dissociative disorders and symptoms, usually diagnosed as hysterical disorders during the war years. Following a brief overview of the scope of the suffering during this Great War, attention is given to British army psychiatrist Charles S. Myer...

The massive traumatization of World War I combat sol- diers led to an unprecedented incidence of somatoform dissociative disorders and symptoms, usually diagnosed as hysterical disorders dur- ing the war years. Following a brief overview of the scope of the suffering during this Great War, attention is given to British army psychiatrist Charles S....

This paper describes theoretical and treatment assumptions about trauma treatment that are in marked contrast with those attributed to trauma therapists by Miltenburg and Singer (1997). Contrary to their assertion that trauma therapists believe reliving of child abuse is necessary, mainstream trauma treatment focuses on ego building and integrative...

Dependency is a major and ubiquitous issue in the treatment of chronically traumatized patients, such as those with complex posttraumatic stress disorder (PTSD), trauma-related borderline personality disorder, and dissociative disorders. Within this context, the concept of dependency is often paired with pejorative adjectives, and is dichotomized a...

This paper is based on Pierre Janet's dissociation theory and his concept of the non-realization of a traumatic event. A model of treatment that integrates Janet's dissociation-integration theory with contemporary trauma-based models of therapy is delineated. The nature of traumatic memories is described, and a stage-oriented model for their treatm...

SUZETTE BOON und PAUL BROWN Dieser Artikel beruht auf Pierre Janets Dissoziationstheorie und seinem Konzept von der Nicht-Bewußtwerdung eines traumatischen Ereignisses. Skizziert wird ein Behandlungs-modell, das Janets Dissoziations-Integrations-Theorie mit zeitgenössischen trauma-orientierten Therapieansätzen verbindet. Das Wesen traumatischer Eri...