ABSTRACT

The neuroscience of trauma continues to unfold through research and new technology. Research such as the Adverse Childhood Events study, the examination of the impact of trauma on the hypothalamic–pituitary–adrenal (HPA) axis, and Porges’s polyvagal theory directly inform best clinical practices in treating PTSD. Clinical applications and suggestions are presented, integrating current research and theory. Trauma-informed practice is discussed with suggestions of how to translate clinical knowledge into clinical policy. A theoretical schema for memory fragmentation, engineered dissociation, and healing through reassociation is presented for clients suffering from extreme trauma such as ritual abuse, mind control, and organized crime.