Within the clinical setting, shame can manifest as a central self-conscious emotion in the aetiology and maintencance of psychological problems. In chronic manifestations, typically present in dissociative and traumatised clients, shame motivates a range of behaviours designed to protect the sense of self from further psycholgical damage. These include avoidance and withdrawal behaviours. Little is known about immediate clinician responses to shame and their therapeutic utility. This study used an experimental design and investigated 5 potentially therapeutic responses to shame disclosures in mock clients. Given the centrality of shame in the treatment of complex trauma, the aim was to determine how dissociative clients would respond to therapist interventions that ranged from staying with the shame feelings to completely avoiding them. Twenty two participants with dissociative identity disorder and a clinical comparion sample with non-dissociative disorders were asked to rate the effectiveness of each therapeutic response. Participants heard segments of mock therapy sessions where clients either disclosed shame (experimental condition) or shock (control condition). Dissociative participants were hypothesized to rate the avoidance responses as more helpful following the shame disclosures. Results are discussed in terms of managing and treating shame feelings in the therapy of those with chronic and complex traumatisation
While working with dissociative clients I became fascinated with the complexity and beauty of the mind. Over 15 years I developed an eight step formula integrating: Neuro psychological theories of trauma memories in the Limbic System and Sub-personality theory based in Psychosynthesis. I have found that this formula titled 'The Self Restoration Process' (SRP) allows the client under a guided visualization to access the Limbic System and 'Change the Pictures' removing the trauma/adversity memories. The SRP further allows the client to meet, talk to, and heal sub- personalities/personalities/ego states. This ability, frees the client to move on with their lives. Case Studies Voices in the head; A client always had his abusive father's voice in his head, He evicted the father then healed the sub-personality: the voice stopped. Eating Disorders: A client with anorexia regularly purged by taking 20 laxatives at a time. She had a sub-personality she saw as filled with black pus and she purged to flush out the evil. She felt clean for a time, then the evil would build and she purged again.
Dr. Ross will review research data on the complex relationship between psychological trauma, dissociation and psychosis. The overlap between dissociation and psychosis should be a focus
The research and clinical experience of the author working long-term with patients with Dissociative Identity Disorder is that at the time of presentation as adults approximately one in eight report incestuous abuse continuing into the adult years and in this group for many, the abuse is current and ongoing. Such patients typically have been sexually abused from a very early age, with the manipulation of their sexual response a key component in building an enduring sexualized attachment, at the same time as using shame as a key component in maintaining compliance and silence. Although rarely a focus of clinical enquiry, typically such women, when able to speak of it will describe the induction by their paternal abuser of orgasm at a very young age, typically around the age of six.