title: Complex posttraumatic stress disorder: voices of healing.
abstract: In this article, we report on a phenomenological study of experiences of recovery of 7 women with histories of childhood maltreatment. We propose a model that recalls the Anglo-Franc etymological origins of rekeverer: to regain consciousness, health, or strength. Dimensions include development of a selfhood; tasks of connection and separation; regulation of overwhelming emotions; management of choices; and internalization of therapeutic relational dynamics. Based on the findings, we suggest that theory and research need to extend concepts of healing, add methodologies privileging victim/survivor voices, and revisit concepts such as neutrality and resistance as they apply to dissociative disorders. Practitioners should have specific training in trauma models, although they need to hold these theories lightly because therapeutic goals and pathways of change might well differ for each client. Integrated whole-of-government initiatives need to identify those at risk of abuse as early as possible, and provide response funding beyond assessment services.
authors.affiliation: University of Queensland, Brisbane, Queensland, Australia. deborah.spermon@uqconnect.edu.au
authors.forename: Deborah
authors.initials: D
authors.lastname: Spermon
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Darlington
authors.forename: Paul
authors.initials: P
authors.lastname: Gibney
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000523:psychology* / Q000628:therapy; D004213:Dissociative Disorders / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D011369:Professional-Patient Relations; D036301:Qualitative Research; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy