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Chapter 24 - Pragmatic approaches to stage-oriented treatment for early life trauma-related complex post-traumatic stress and dissociative disorders

from Section 3 - Clinical perspectives: assessment and treatment of trauma spectrum disorders

Published online by Cambridge University Press:  03 May 2011

Ruth A. Lanius
Affiliation:
University of Western Ontario
Eric Vermetten
Affiliation:
Universiteit Utrecht, The Netherlands
Clare Pain
Affiliation:
University of Toronto
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Summary

This chapter discusses the aspects of treatment of complex post-traumatic stress disorder (CPTSD). The literature on the diagnosis and treatment of dissociative disorders (DD), particularly dissociative identity disorder (DID), has developed mostly in parallel with that on CPTSD. CPTSD is a multidimensional construct that crosses a number of fourth edition of Diagnostic and Statistical Manual (DSM-IV) diagnoses. General principles of treatment for CPTSD may be similar among different clinical groups, and there are many similar difficulties faced by survivors of different types of cumulative trauma. Clinicians should understand the risk-management aspects of working with this population, including informed consent. In addition, patients may need a variety of psychotherapeutic interventions for stabilizing PTSD and dissociative symptoms. These may include psychoeducation, cognitive therapy, dialectical behavior therapy, psychodynamic interventions and techniques from family systems theory such as reframing symptoms as adaptations, among others.
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Publisher: Cambridge University Press
Print publication year: 2010

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