ABSTRACT

Dissociative reactions are not uncommon following trauma for both ‘type I trauma’ (single or few events) and ‘type II trauma’ (chronic, multiple events) (Terr, 1991; Rothschild, 2000). Clinical work is confounded by there being no agreed cognitive-behavioural model of dissociation to guide us, and by the wide and sometimes confusing range of clinical presentation. Clinicians must rely heavily on using a general understanding of the processes of dissociation, from psychological and neuropsychological literature, combined with a good functional analysis of a client’s presenting problems, to guide them in their interventions.