Treating Trauma-Related Dissociation: A Practical, Integrative Approach
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Winner of the 2017 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award.

Establishing safety and working with dissociative parts in complex trauma therapy.

Therapists around the world ask similar questions and struggle with similar challenges treating highly dissociative patients. This book arose not only out of countless hours of treating patients with dissociative disorders, but also out of the crucible of supervision and consultation, where therapists bring their most urgent questions, needs, and vulnerabilities.

The book offers an overview of the neuropsychology of dissociation as a disorder of non-realization, as well as chapters on assessment, prognosis, case formulation, treatment planning, and treatment phases and goals, based on best practices. The authors describe what to focus on first in a complex therapy, and how to do it; how to help patients establish both internal and external safety without rescuing; how to work systematically with dissociative parts of a patient in ways that facilitate integration rather than further dissociation; how to set and maintain helpful boundaries; specific ways to stay focused on process instead of content; how to deal compassionately and effectively with disorganized attachment and dependency on the therapist; how to help patients integrate traumatic memories; what to do when the patient is enraged, chronically ashamed, avoidant, or unable to trust the therapist; and how to compassionately understand and work with resistances as a co-creation of both patient and therapist.

Relational ways of being with the patient are the backbone of treatment, and are themselves essential therapeutic interventions. As such, the book also focused not only on highly practical and theoretically sound interventions, not only on what to do and say, but places strong emphasis on how to be with patients, describing innovative, compassionately collaborative approaches based on the latest research on attachment and evolutionary psychology.

Throughout the book, core concepts―fundamental ideas that are highlighted in the text in bold so they can be seen at a glance―are emphasized. These serve as guiding principles in treatment as well as a summing-up of many of the most important notions in each chapter. Each chapter concludes with a section for further examination. These sections include additional ideas and questions, exercises for practicing skills, and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery, and growth.

15 reviews for Treating Trauma-Related Dissociation: A Practical, Integrative Approach

  1. Carman M. Klassen
    April 16, 2022
    BEST BOOK FOR THERAPISTS
    I read LOTS of books to educate myself in being a better therapist. I am so impressed with his book. It is well-written. I have been in practice for...More
    I read LOTS of books to educate myself in being a better therapist. I am so impressed with his book. It is well-written. I have been in practice for 30 yrs. and found this to be so helpful. One to remind me of the importance of the therapeutic relationship and two to provide practical skills we eventually take for granted. I can fall into the belief that “I know everything” and skip over familiar information but I realize I am really missing something if I do not pay attention to what I am reading. This book kept my attention and even though there is familiar information on things I DO know, I realize I do NOT practice. This book is great for beginning therapists to really get on a good foot with some solid, practical and “not so obvious’ information as well as veterans, who think they know everything. I guarantee you will be enlightened either way. Happy Reading!!
    Helpful? 0 0
    2rud4u
    March 31, 2021
    Great book
    Excellent book
    Highly recommend for anyone with DID
    Helpful? 0 0
    Madan Family
    November 29, 2018
    Very informative
    Well written and filled with invaluable information.
    Helpful? 0 0
    Customer
    November 25, 2018
    Treating Trauma
    I bought this book as one of several related books. I’m looking forward to reading it when I finish reading the current
    book.
    Helpful? 0 0
    Adele
    April 29, 2018
    An invaluable resource
    This book should be on every mental health professional's shelf even if you don't work with Dissociative Identity Disorder (DID). Authors Steele, Van ...More
    This book should be on every mental health professional's shelf even if you don't work with Dissociative Identity Disorder (DID). Authors Steele, Van der Hart, and Boon have insightful information about how reenactment, transference and non realizations affect the client and also the therapist. The chapters end with helpful questions the therapist should ask themselves about some of these concepts. There are case examples and a lot of "how to" instruction. This book is an invaluable resource.
    The authors stress supervision and consulting when working with DID. That's my only "gripe." In my neck of the woods there are no DID consultants. There are experts outside of my state willing to consult for a big fee - something that most therapists in private practice unfortunately can't afford on an ongoing weekly or monthly basis.
    Helpful? 0 0
    Pete Lobert
    April 27, 2018
    Great book for treating DID but make sure you have time to read it carefully.
    This is a great book for therapists working with clients seeking help for DID diagnosis. It's not too overly technical but complex enough that I have...More
    This is a great book for therapists working with clients seeking help for DID diagnosis. It's not too overly technical but complex enough that I have to really pay close attention to everything I'm reading, underline important parts, and usually go back and review it. All in all very helpful in understanding and treating Dissociative Identity Disorder.
    Helpful? 0 0
    trixie
    March 22, 2018
    Kathy Steele is the best!
    Kathy Steele is a brilliant teacher and psychotherapist, love this book!
    Helpful? 0 0
    KW
    March 15, 2018
    This book is amazing. I have read so many on trauma and ...
    This book is amazing. I have read so many on trauma and dissociation but this one is my new favorite and go-to resource. There is so much information ...More
    This book is amazing. I have read so many on trauma and dissociation but this one is my new favorite and go-to resource. There is so much information and it is not a quick read but it is very much worth it. I have suggested that several colleagues read this book as it not only helps with what treatment you provide but how you, as a therapist, present and provide it.
    Helpful? 0 0
    Deb
    March 6, 2018
    Great information
    This is a very informative, well-written book that is easy to read and digest. After plowing through a lot of clinical writing, which is often "dry",...More
    This is a very informative, well-written book that is easy to read and digest. After plowing through a lot of clinical writing, which is often "dry", this was a pleasure to read.
    Helpful? 0 0
    Carolyn Allard
    December 14, 2017
    Super helpful guide
    Excellent, thorough, helpful, consultative guide to working with DID and other dissociative disorders and presentations in clients with trauma histori...More
    Excellent, thorough, helpful, consultative guide to working with DID and other dissociative disorders and presentations in clients with trauma histories. Would recommend to anyone working with trauma survivors even without prominent dissociative presentations.
    Carolyn B. Allard, PhD, ABPP
    Helpful? 0 0
    Doug Plummer
    July 8, 2017
    Best book on treating dissociative disorders,ever!!
    A great book about treating dissociation. And a great book about the art and craft of psychotherapy! Good for novices and old hands like me.
    Bravo!!!!
    Helpful? 0 0
    John P. Estabrook
    May 28, 2017
    Five Stars
    great book still reading it
    Helpful? 0 0
    Colette Lord
    May 7, 2017
    Excellent
    This book is great. It was well written, free of too much jargon. There are lots of useful tips and thought provoking questions.
    Helpful? 0 0
    CherryJellyBean
    March 18, 2017
    Five Stars
    Excellent reference for therapists.
    Helpful? 0 0
    ConnieLyn
    December 6, 2016
    Comprehensive book of Dissociation
    Most comprehensive book I have seen on Dissociation. Helpful for the treating patients or for people dealing with Dissociation.
    Helpful? 0 0
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