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Quote by Christine A. Courtois

“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.”

Quote by Christine A. Courtois

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

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Christine A. Courtois

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“The overarching principle of a therapeutic relationship is that therapists should be ever mindful of a variant of the Hippocratic oath and, to the degree possible, strive to "do no more harm" (Courtois, 2010). Complex trauma clients have already experienced considerable harm, much of it at the hands of other human beings. As a result of the ubiquitous processes of transference, attachment styles, and IWM [Internal working models], these clients often view the therapist's behavior and their relationship through the lens of their trauma-related negative interpersonal expectancies and unhealed emotional wounds and injuries. Therapists should not be surprised to be "guilty until proven innocent", not because clients with complex trauma histories are "unfair" or "unreasonable" but precisely the opposite - because the most realistic self-protective stance for them (given the fact that betrayal and harm have been more the rule than the exception) is to "distrust first and verify" (or to be hypervigilant) rather than to start with an expectation of safety and trustworthiness.”

TrustSafetyTherapyChildhood AbuseComplex PtsdTherapistComplex Trauma
Book:Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach
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“It is often a puzzle for foreigners why the United States has such a dismal performance when it comes to murder, guns, and mental illness, all features of American life that, when compared to most of the other wealthy countries, are so awful they do not require further documentation. You might wonder how those bad results square with America’s relatively strong performances on most social capital indices, such as trust, cooperation, and charitable philanthropy; on philanthropy, we even rate as the global number one. The truth is that those positive and negative facets are two sides of the same coin: Cooperation is very often furthered by segregating those who do not fit in. That creates some superclusters of cooperation among the quality cooperators and a fair amount of chaos and dysfunctionality elsewhere.”

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Book:The Complacent Class: The Self-Defeating Quest for the American Dream
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