This book is set out as a manual for running groups for people living with Complex PTSD, Dissociative Identity Disorder or Dissociative Disorder (Otherwise Specified). It can be used as a semi-structured guide to one-to-one therapy too.
Suzette Boon has co-written it with Kathy Steele and Onno van der Hart [ASIN:0393704017 The Haunted Self (Norton Series on Interpersonal Neurobiology)with Ellert Nijenhuis], based on groups run in the Netherlands for a decade. The manual covers stablization, affect regulation, safety and skills building and is designed to work alongside individual therapy. This approach is informed by the three phase approach put forward by Judith Hermann and advocated in Sensorimotor Psychotherapy: 1) Stabilization (emotion regulation and safety in the present, self care: physical and emotional); 2) Processing trauma memories; 3) Rehabilitation. The groups concentrate on phases 1) and 3) - they are not the place for phase 2 work because of the importance of doing this within a relationship and the risk of destabilizing other members. The book is informed by developments in neuroscience and 'bottom-up' therapeutic approaches, proposing work at the body level as well as the cognitive and emotional. This makes these groups uniquely appropriate for dissociative clients and survivors of complex abuse. This field has highlighted the re-traumatising effect of cognitive and emotional psychotherapy, teaches understanding of brain process and self-regulation of autonomic arousal, and prioritising safety in therapy.