ABSTRACT

An integrative approach to the understanding and management of trauma potentially requires a focus on body process, on psychological processes, on the role of early relational processes in terms of regulatory patterns that have been acquired and on the relationship in the present between the therapist and the client. A number of explicit and implicit processes, both within the client (and within the therapist) as well as between the two parties, are therefore highlighted as important considerations. As we have earlier outlined, early attachment experiences will be important to understand, as a means both of gaining insight into established regulatory patterns of the client as well as ways in which these might be played out in the therapeutic setting. The emphasis will also be on the establishment of new regulatory patterns to be brought about through the relational exchanges between therapist and client.