ABSTRACT
Therapists who work with trauma survivors are likely to be familiar with a wide variety of difficult clinical problems. In this chapter, we demonstrate the application of constructivist self development theory to these problems. We have chosen this particular set of issues because they are either especially complex or emergent. The issues we discuss are self-destructive behaviors, including suicide and self-mutilation, substance abuse, reenactments, and aggressive and antisocial behaviors; affective disturbances, including depression, bereavement, anxiety and hyperarousal, and somatic disturbances; and interpersonal issues, including revictimization, sexual problems, and social support.
