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The Complexity of Complex Trauma

Alterations in Affect Regulation and Impulse

  • Modulation of anger

  • Lethargy or hyper-activity

  • Self-destructive

  • Suicidal preoccupation

  • Difficulty modulating sexual impulses

  • Excessive risk-taking

Alterations in Attention or Consciousness


  • Digestive system

  • Chronic pain

  • Cardiopulmonary symptoms

  • Conversion symptoms

  • Sensory anomalies

  • Sexual symptoms

Alterations in view of SELF

  • Ineffective

  • 'Permanently damaged'

  • Guilt and responsibility

  • Shame

  • 'Nobody can understand.'

Alterations in view of OTHER

Alterations in view of WORLD/UNIVERSE

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