The Application of Attachment Theory and Mentalization in Complex Tertiary Structural Dissociation: A Case Study

Becky L. Stewart , Michael R. Dadson & Marion J. Fallding

Journal of Aggression, Issue: Maltreatment & Trauma 20 (3), Pages 322-343 | 

Received 09 Nov 2009, Accepted 26 May 2010, Published online: 14 Apr 2011

I co-authored this paper some time back. Resiliency during extremely difficult and traumatic times is a reminder that we can bounce back.

Abstract

The concept of structural dissociation can provide useful information for increasingly complex applications of mentalizing in therapeutic settings; however, little integration of the two approaches has emerged. Grounded in the intricate case of a woman diagnosed with dissociative identity disorder, this case study integrates and applies the concepts of structural dissociation and mentalizing from an attachment perspective. Client history includes pervasive spiritual and sexual abuse, as well as extreme neglect throughout her development. The presenting problems, relevant history (including the profound impact of neglect), and the therapeutic models that guided treatment are described. Also presented are the specific therapeutic interventions that have facilitated and strengthened therapeutic alliances, levels of integration, and mentalizing capacity in this challenging but rewarding study of human resiliency.

Please see the Journal of Aggression for the full article. 

Keywords: #attachment #childhood abuse #complex posttraumatic stress #developmental trauma disorder #dissociative disorders #mentalizing #tertiary structural dissociation #michaeldadson