Psychodynamic psychotherapy for complex trauma: Targets, focus, applications, and outcomes

Psychology Research and Behavior Management

Volumn 3, Issue , 2010, Pages 119-127

  Spermon, Deborah ^a   Darlington, Yvonne ^a   Gibney, Paul ^b  

^a UNIVERSITY OF QUEENSLAND   (Australia)

^b NONE   (Australia)

Author keywords

Complex trauma; Dissociation; Psychodynamic; Psychopathology; Therapy

Indexed keywords

EID: 85010806793     PISSN: None     EISSN: 11791578     Source Type: Journal    
DOI: 10.2147/PRBM.S10215     Document Type: Review

References (81)

1. Kluft R. Multiple personality disorders. In: Spiegel D, editor. Dissociative Disorders: A Clinical Review. Lutherville (MD): Sidran Press; 1993:17-44.
2. Middleton W. Reconstructing the past: trauma, memory and therapy. Background paper for: Feeling, knowing and being: perspectives on dissociative disorders and treatment. Proceedings of Seminar Convened by the Delphi Centre; 2006 Apr 8-9th; Melbourne.
3. Fine CG. The tactical-integration model for the treatment of dissociative identity disorder and allied dissociative disorders. Am J Psychother. 1999;53(3):361-376.
4. Lineham MM, Tutek D, Heard H, Armstrong H. Interpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients. Am J Psychiatry. 1994;151(12):1771-1776.
5. Shapiro F. EMDR treatment: overview and integration. In: Shapiro F, editor. EMDR as an Integrative Psychotherapy Approach: Experts of Diverse Orientations Explore the Paradigm Prism. Washington (DC): American Psychological Association; 2002:27-55.
6. Opler L, Grennan M, Ford J. Pharmacotherapy. In: Courtois C, Ford J, editors. Treating Complex Traumatic Stress Disorders: An Evidence-Based Guide. New York: Guilford Press; 2009:329-349.
7. Keizer AW, Verment RS, Hommel B. Enhancing cognitive control through neurofeedback: a role of gamma-band activity in managing episodic retrieval. Neuroimage. 2010;49(4):3404-3413.
8. Chu JA, Bowman ES. Editorial: trauma and dissociation: 20 years of study and lessons learned along the way. J Trauma Dissociation. 2000;1(1):5-20.
9. Herman J. Trauma and Recovery: From Domestic Abuse to Political Terror. London: Pandora: an imprint of Rivers Oram Press; 1992.
10. van der Kolk B, Roth S, Pelcovitz D, Sunday S, Spinazzola J. Disorders of extreme stress: the empirical foundation of a complex adaptation to trauma. J Trauma Stress. 2005;18(5):389-399.
11. Janet P. Principles of Psychotherapy. Guthrie HM, Guthrie ER, translators. London: George Allen and Unwin Ltd; 1925.
12. Freud S. The aetiology of hysteria. In: Jones E, Riviere J, editors. Sigmund Freud: Collected Papers. Vol. 1. New York: Basic Books; 1896/1959:183-220.
13. Gold S, Hill E, Swingle J, Elfant A. Relationship between childhood sexual abuse characteristics and dissociation among women in therapy. J Fam Violence. 1999;14(2):157-171.
14. Appleyard K, Egeland B, van Dulmen MH, Sroufe L. When more is not better: the role of cumulative risk in child behavior outcomes. J Child Psychol Psychiatry. 2005;46(3):235-245.
15. van der Kolk BA, Pelcovitz D, Roth S, Mandel FS, McFarlane A, Herman JL. Dissociation, somatization, and affect dysregulation: the complexity of adaptation to trauma. Am J Psychiatry. 1996; 153(7):83-93.
16. Chu JA, Frey LM, Ganzel BL, Matthews JA. Memories of childhood abuse: dissociation, amnesia, and corroboration. Am J Psychiatry. 1999;156(5):749-755.
17. van Tilburg MA, Runyan DK, Zolotor AJ, et al. Unexplained gastrointestinal symptoms after abuse in a prospective study of children at risk for abuse and neglect. Ann Fam Med. 2010;8(2):134-140.
18. Cutajar MC, Mullen PE, Ogloff JR, Thomas SD, Wells DL, Spataro J. Suicide and fatal overdose in child sexual abuse victims: a historical cohort study. Med J Austr. 2010;192(4):184-187.
19. Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experience (ACE) Study. Am J Prev Med. 1998;14(4):245-258.
20. Moskowitz A, Evans C. Peritraumatic dissociation and amnesia in violent offenders. In: Dell P, O’Neil J, editors. Dissociation and the Dissociative Disorders: DSM-V and Beyond. New York: Taylor and Francis; 2009:197-208.
21. Gorman J, Docherty JP. A hypothesized role for dendritic remodeling in the etiology of mood and anxiety disorders. J Neuropsychiatry Clin Neurosci. 2010;22(3):256-264.
22. Teicher MH, Andersen SL, Polcari A, Anderson CM, Navalta CP, Kim DM. The neurobiological consequences of early stress and childhood maltreatment. Neurosci Biobehav Rev. 2003;27(1-2): 33-44.
23. van der Kolk BA, Perry JC, Herman JL. Childhood origins of selfdestructive behavior. Am J Psychiatry. 1991;148(12):1665-1671.
24. Low G, Jones D, MacLeod A, Power M, Duggan C. Childhood trauma, dissociation and self-harming behaviour: a pilot study. Br J Med Psychol. 2000;73(Pt 2):269-278.
25. Andrews G, Gould B, Corry J. Child sexual abuse revisited. Med J Aust. 2002;176(10):458-459.
26. Peleikis DE, Mykletun A, Dahl A. Current mental health in women with childhood sexual abuse who had outpatient psychotherapy. Eur Psychiatry. 2005;20(3):260-267.
27. Dominguez DV, Cohen M, Brom D. Trauma and dissociation in psychiatric outpatients. Isr J Psychiatry Relat Sci. 2004;41(2): 98-110.
28. McLaughlin KA, Green JG, Gruber MJ, Sampson NA, Zaslavsky AM, Kessler RC. Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication II: associations with persistence of DSM-IV disorders. Arch Gen Psychiatry. 2010;67(2): 124-132.
29. Davis JL, Petretic-Jackson PA, Ting L. Intimacy dysfunction and trauma symptomatolgy: long-term correlates of different types of child abuse. J Trauma Stress. 2001;14(1):63-79.
30. Carlson EA. A prospective longitudinal study of attachment disorganization/ disorientation. Child Dev. 1998;69(4):1107-1128.
31. Ogawa JR, Sroufe LA, Weinfield NS, Carlson EA, Egeland B. Development and the fragmented self: longitudinal study of dissociative symptomatology in a nonclinical sample. Dev Psychopathol. 1997;9(4):855-879.
32. Becker-Blease KA, Freyd JJ. Beyond PTSD: an evolving relationship between trauma theory and family violence research. J Interpers Violence. 2005;20(4):403-411.
33. Dalenberg CJ. Countertransference and the Treatment of Trauma. Washington (DC): American Psychological Association; 2000.
34. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-IV-TR). Washington (DC): American Psychiatric Association; 2000.
35. Chefetz RA. Preface: why should you read these articles on dissociative process? Psych Clin N Am 2006;29:xv-xxiii.
36. Gullestad SE. Who is ‘who’ in dissociation? A plea for psychodynamics in a time of trauma. Int J Psychoanal. 2005;86(Pt 3):639-656.
37. Schottenbauer MA, Glass CR, Arnkoff DB, Gray SH. Contributions of psychodynamic approaches to treatment of PTSD and trauma: a review of the empirical treatment and psychopathology literature. Psychiatry. 2008;71(1):13-34.
38. Waugaman R. Multiple personality disorder and one analyst’s paradigm shift. Psychoanal Inq. 2000;20(2):207-226.
39. Davies J, Frawley M. Dissociative processes and transference-countertransference paradigms in the psychoanalytically oriented treatment of adult survivors of childhood sexual abuse. In: Mitchell SA, Aron L, editors. Relational Psychoanalysis: The Emergence of a Tradition. Hillsdale (NJ): Analytic Press; 1999: 271-304.
40. Liotti G. Trauma, dissociation, and disorganized attachment: three stands of a single braid. Psychother Theory Res Pract Train. 2004;41(4):472-486.
41. Kalsched DE. The Inner World of Trauma: Archetypal Defences of the Personal Spirit. London: Routledge; 1996.
42. Kluft R. An overview of the psychotherapy of dissociative identity disorder. Am J Psychother. 1999;53(3):289-319.
43. McWilliams N. Psychoanalytic Diagnosis: Understanding Personality Structure in the Clinical Process. New York: Guilford Press; 1994.
44. Eagle GT. The shattering of the stimulus barrier: the case for an integrative approach in short-term treatment of psychological trauma. J Psychother Integr. 2000;10(3):301-323.
45. Bromberg PM. Truth, human relatedness, and the analytic process: an interpersonal/relational perspective. Int J Psychoanal. 2009; 90(2):347-361.
46. Gustafson J. Brief Versus Long Psychotherapy: When, Why, and How. North Bergen (NJ): Jason Aronson, Inc.; 1995.
47. Buhl C. Eating disorders as manifestations of developmental disorders: language and the capacity for abstract thinking in psychotherapy of eating disorders. Eur Eat Disord Rev. 2002;10(2):138-145.
48. Pestalozzi J. The symbolic and concrete: psychotic adolescents in psychoanalytic psychotherapy. Int J Psychoanal. 2003;84(Pt 3):733-753.
49. Keinanen M. The meaning of the symbolic function in psychoanalytic psychotherapy: clinical theory and psychotherapeutic applications. Br Psychol Soc. 1997;70(Pt 4):325-338.
50. Solomon HM. Self creation and the limitless void of dissociation: the ‘as if’ personality. J Anal Psychol. 2004;49(5):635-656.
51. Lyons-Ruth K, Dutra L, Schuder MR, Bianchi I. From infant attachment disorganization to adult dissociation: relational adaptations or traumatic experiences? Psychiatr Clin North Am. 2006;29(1):63-86.
52. Schore AN. Attachment trauma and the developing right brain: origins of pathological dissociation. In: Dell PF, O’Neil JA, editors. Dissociation and the Dissociative Disorders: DSM-V and Beyond. New York: Taylor and Francis; 2009:107-141.
53. Bromberg PM. Shrinking the tsunami: affect regulation, dissociation, and the shadow of the flood. Contemp Psychoanal. 2008;44(3):329-350.
54. Chefetz RA. Disorder in the therapist’s view of the self: working with the person with dissociative identity disorder. Psychoanal Inq. 2000;20(2):305-329.
55. Nilsson D, Wadsby M. Symboldrama, a psychotherapeutic method for adolescents with dissociative and PTSD symptoms: a pilot study. J Trauma Dissociation. 2010;11(3):308-321.
56. Spermon D, Gibney P, Darlington Y. Complex trauma, dissociation, and the use of symbolism in therapy. J Trauma Dissociation. 2009;10(4):436-450.
57. Ogden P, Pain C, Fisher J. A sensorimotor approach to the treatment of trauma and dissociation. Psychiatr Clin North Am. 2006;29(1):263-279.
58. Bromberg PM. Standing in the Spaces: Essays on Clinical Process, Trauma, and Dissociation. Hillsdale (NJ): Analytic Press; 1998.
59. Creamer M, Burgess P, McFarlane A. Post-traumatic stress disorder: findings from the Australian National Survey of mental health and well-being. Psychol Med. 2001;31(7):1237-1247.
60. Hindley N, Ramchandani PG, Jones DP. Risk factors for recurrence of maltreatment: a systematic review. Arch Dis Child. 2006;91(9): 744-752.
61. Cuevas CA, Finkelhor D, Clifford C, Ormrod RK, Turner HA. Psychological distress as a risk factor for re-victimization in children. Child Abuse Negl. 2010;34(4):235-243.
62. Kluft RP. Incest and subsequent revictimization: the case of therapist-patient sexual exploitation, with a description of the Sitting Duck Syndrome. In: Kluft R, editor. Incest-Related Syndromes of Adult Psychopathology. Chicago, IL: American Psychiatric Press, Inc.; 1990:263-287.
63. Maione P, Chenail R. Qualitative inquiry in psychotherapy: research on the common factors. In: Duncan B, Miller S, Hubble M, editors. The Heart and Soul of Change: What Works in Therapy. Washington (DC): American Psychological Association; 1999:57-88.
64. Aikens DE, Hazlett-Stevens H, Craske MG. Issues of measurement and mechanism in meta-analyses: comment on Westen and Morrison (2001). J Consult Clin Psychol. 2001;69(6):904-907.
65. Hinshelwood RD. Commentary: symptoms or relationships. BMJ. 2002;324:292-293.
66. Holmes J. All you need is cognitive behaviour therapy? BMJ. 2002;324(7332):288-290.
67. Lambert MJ. The status of empirically supported therapies: comment on Westen and Morrison’s (2001) multidimensional meta-analysis. J Consult Clin Psychol. 2001;69(6):910-913.
68. Nathan PE. Deny nothing, doubt everything: a comment on Westen and Morrison (2001). J Consult Clin Psychol. 2001;69(6):900-903.
69. Spinazzola J, Blaustein M, van der Kolk B. Posttraumatic stress disorder treatment outcome research: the study of unrepresented samples? J Trauma Stress. 2005;18(5):425-436.
70. Brand BL, Classen CC, McNary SW, Zaveri P. A review of dissociative disorders treatment studies. J Nerv Ment Dis. 2009;197(9):646-654.
71. Westen D, Novotny CM, Thompson-Brenner H. The empirical status of empirically supported psychotherapies: assumptions, findings, and reporting in controlled clinical trials. Psychol Bull. 2004;130(4):631-663.
72. Sachsse U, Vogel C, Leichsenring F. Results of psychodynamically oriented trauma-focessed inpatient treatment for women with complex posttraumatic stress disorder (PTSD) and borderline personality diosrder (BPD). Bull Menninger Clin. 2006;70(2):125-144.
73. Vitriol VG, Ballesteros ST, Florenzano RU, Weil KP, Benadof DF. Evaluation of an outpatient intervention for women with severe depression and a history of childhood trauma. Psychiatr Serv. 2009; 60(7):936-942.
74. Kellett S. The treatment of dissociative identity disorder with cognitive analytic therapy: experimental evidence of sudden gains. J Trauma Dissociation. 2005;6(3):55-81.
75. McNevin S, Rivera M. Obsessive compulsive spectrum disorders in individuals with dissociative disorders. J Trauma Dissociation. 2001;2(4):117-131.
76. Kluft R. A clinician’s understanding of dissociation: fragments of an acquaintance. In: Dell P, O’Neil J, editors. Dissociation and the Dissociative Disorders: DSM-V and Beyond. New York: Taylor and Francis; 2009:599-623.
77. Sizemore C, Huber R. The twenty-two faces of Eve. Individ Psychol. 1988;44:53-62.
78. Brand B, Classen C, Lanius R, et al. A naturalistic study of dissociative identity disorder patients treated by community clinicians. Psychol Trauma Theory Res Pract Policy. 2009;1:153-171.
79. van der Kolk B, McFarlane A. The black hole of trauma. In: van der Kolk BA, McFarlane AC, Weisaeth L, editors. Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body and Society. New York: Guilford Press; 1996:3-23.
80. Schwartz H. Dialogues with Forgotten Voices: Relational Perspectives on Child Abuse Trauma and Treatment of Dissociative Disorders. New York: Basic Books; 2000.
81. Bromberg PM. On knowing one’s patient inside out: the aesthetics of unconscious communication. Psychoanal Dial. 1991;1(4):399-422.