Staying in the present is impossible when traumatic memory presents as current reality; the dilemma for the psyche is whether or not to split. It seems that this “decision” is first made peritraumatically for many people and this sets them on a particular trajectory where dissociation becomes a default response. It is possible in therapy, once client and therapist have established safety and a common language, to track the process of dissociation. This approach can be therapeutic in itself. Deborah will present a case of a refugee client whose triggers for dissociation were only vaguely (to the observer anyway) connected to the aetiological traumatic event. She will describe some of the detective work involved in tracking dissociation in a young refugee man from Egypt.
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent