Karen extends Meares’ (2012) hypothesis concerning the dissociation-based dermal representation of trauma in the borderline patient to that of the therapist. In so doing, she suggests that SCT is a double edged sword that can either impede or enhance the therapeutic conversation and the flow of therapy, as well as the patient’s sense of self. The central role of clinical supervision in the CM and the patient’s movement towards the integration of complex trauma are also highlighted.