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Healing the Fragmented Selves of Trauma Survivors


Synopsis


Healing the Fragmented Selves of Trauma Survivors integrates a neurobiologically informed understanding of trauma, dissociation, and attachment with a practical approach to treatment, all communicated in straightforward language accessible to both client and therapist. Readers will be exposed to a model that emphasizes "resolution"-a transformation in the relationship to one's self, replacing shame, self-loathing, and assumptions of guilt with compassionate acceptance. Its unique interventions have been adapted from a number of cutting-edge therapeutic approaches, including Sensorimotor Psychotherapy, Internal Family Systems, mindfulness-based therapies, and clinical hypnosis. Readers will close the pages of Healing the Fragmented Selves of Trauma Survivors with a solid grasp of therapeutic approaches to traumatic attachment, working with undiagnosed dissociative symptoms and disorders, integrating "right brain-to-right brain" treatment methods, and much more. Most of all, they will come away with tools for helping clients create an internal sense of safety and compassionate connection to even their most dis-owned selves.

Janina Fisher

Summary

Chapter 1: Understanding Fragmentation

* Fragmentation occurs when a person experiences overwhelming trauma that overwhelms their coping mechanisms.
* Trauma can create multiple personality states, known as fragments, each with its own unique perspective, memories, and emotions.
* Example: A person who experienced childhood sexual abuse may have a fragment that feels frozen and disconnected, a fragment that is angry and confrontational, and a fragment that is compliant and submissive.

Chapter 2: Therapy for Fragmentation

* Fragmentation therapy aims to help survivors integrate their fragmented parts into a more cohesive whole.
* Therapy involves building a safe and supportive environment where survivors can explore their fragments and the underlying causes of their fragmentation.
* Example: A therapist may use mirroring techniques to help survivors identify and understand the emotions and perspectives of their different fragments.

Chapter 3: Working with Fragments

* Therapists help survivors develop "fragment maps" to visualize their different states and their relationships to one another.
* Techniques such as "dialogue with fragments" allow survivors to interact with their fragments in a controlled and therapeutic environment.
* Example: A survivor may engage in a dialogue with the fragment that feels frozen, asking it what it needs and how it can be supported.

Chapter 4: Integrating Fragments

* As survivors work through their trauma and develop a sense of safety, fragments can begin to integrate and collaborate.
* This integration process involves acknowledging the validity of each fragment's experiences and perspectives.
* Example: The survivor from Chapter 1 may recognize the ways in which the frozen, angry, and compliant fragments all played protective roles during the abuse.

Chapter 5: Overcoming Resistance

* Survivors may experience resistance from fragments who are resistant to integration or change.
* Therapists work with survivors to understand and address this resistance, which may stem from fear or protection.
* Example: The angry fragment may initially resist integration because it believes it must stay angry in order to protect the survivor from further harm.

Chapter 6: Building a Container

* Survivors need to develop a solid "internal container" or sense of self that can hold all of their fragments without them overwhelming them.
* This container can be strengthened through mindfulness, grounding techniques, and self-care.
* Example: The survivor may engage in body scans and breathing exercises to cultivate a sense of calm and presence, which helps to stabilize the container.

Chapter 7: The Path to Healing

* Healing from fragmentation is a journey that takes time and effort.
* Survivors must confront their trauma, develop self-compassion, and gradually integrate their fragments.
* Example: The survivor may participate in a support group where they connect with other survivors and learn coping mechanisms for managing their fragmented states.