Adaptive and Maladaptive Dissociation
Dissociation can begin as protection and later become a pattern that interrupts choice, connection, and continuity. 1 2 3
Main ideas
- A response can be adaptive in the original context and harmful in a safer present.
- Maladaptive does not mean fake or bad. It means the pattern costs more than it helps now.
- Recovery often means adding present-day options rather than attacking old survival systems.
Questions for reflection
- What did this response protect against?
- What does it cost now?
- What safer response can be practiced in small steps?
Clinical note
Compassion and accountability can sit at the same table. Understanding a response does not mean leaving it unchanged.
Footnotes
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Beauty After Bruises. (2022). The BASK model of trauma memory. Educational explainer. Accessible trauma-memory education page. ↩
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International Society for the Study of Trauma and Dissociation. (2011). Guidelines for treating dissociative identity disorder in adults, third revision. Journal of Trauma & Dissociation, 12(2), 115-187. pp. 115-187. Full adult DID treatment guideline PDF. ↩
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Van der Hart, O., et al. (2012). The use of imagery in phase 1 treatment of clients with complex dissociative disorders. European Journal of Psychotraumatology, 3. Phase 1 treatment article. Open access stabilization and imagery article. ↩