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Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach

Book by Christine A. Courtois · 2 quotes · Complex Trauma, Therapy, Childhood Abuse

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Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach Quotes

“Trust of others is in short supply for many adult survivors, as complex trauma generally involves major relational betrayal. It is, therefore, expectable (although paradoxical) that clients with these histories are predisposed to be mistrustful at the outset of therapy, precisely because of (and in proportion to) the actual trustworthiness of the therapist. When past experiences have thought hard lessons, namely, that one can least afford to trust the people who should be most trustworthy, it stands to reason that confusion about trust results. The therapist must understand and not take offense either personally or professionally and not react judgmentally or defensively. Practically speaking, this involves the therapist being prepared to patiently and empathically respond to active or passive tests or challenges to trustworthiness as legitimate and meaningful communication that deserves a respectful reply in action as well as in words.”

TrustAbuseBetrayalTherapyChildhood AbuseComplex PtsdComplex TraumaDevelopmental TraumaInterpersonal Trauma
Book:Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach
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“Their experiences led them to create assumptions about others and related beliefs about themselves such as "this is my lot in life" and "this is what I deserve". Some also learned that personal safety and happiness are of lower priority than survival and that it may be safer to give in than to actively fight off additional abuse and victimization. When abuse is perpetrated by intimates, it is additionally confounding in terms of attachment, betrayal, and trust. Victims may be unable to leave or to fight back due to strong, albeit insecure and disorganized, attachment and misplaced loyalty to abusers. They may have also experienced trauma bonding over the course of their victimization, that is, a bond of specialness with or dependence on the abuser.”

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Book:Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach
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