This article explores dissociation, its various forms, and its role in mental health. It distinguishes between 'Big D' and 'little d' dissociation, highlighting the impact of trauma and neglect on its development.
Dissociation can be normal but is exaggerated in people with trauma histories.Dissociation is often misunderstood, even among mental health providers, largely because it’s not a widely taught or well-recognized subject in many clinical training programs. Yet, for many individuals, dissociation plays a powerful, sometimes hidden role in navigating, and painful emotions.
This article aims to clarify dissociation’s varied expressions and underscore why recognizing it is crucial in mental health care. In discussing dissociation, it’s helpful to distinguish between what might be called “Big D” Dissociation and “little d” dissociation., on the other hand, aligns more closely with psychodynamic concepts and the flexible nature of identity. This type of dissociation doesn’t necessarily meet diagnostic criteria but reflects more subtle ways that individuals mightdifferent aspects of themselves in response to internal or external conflict. This could include behaviors like adapting a “work self” and a “home self” orDissociation often arises from trauma and neglect, which Allan Schore’s work illuminates in his studies on early relational trauma and its impact on brain development. Schore shows that when children experience unsafe or neglectful, the brain may develop patterns that favor dissociation as a way to cope with overwhelming or unmet emotional needs. In these cases, dissociation functions as a protective shield, buffering the individual from memories, emotions, or parts of themselves that might otherwise feel intolerable.Dissociative Disorders), underscores that dissociation allows people to shield themselves from painful experiences, memories, and emotions by “disconnecting” from them. Yet, this protective function can also result in challenges for daily functioning and self-cohesion, especially when dissociative responses become ingrained. Despite its prevalence, dissociation is often difficult for clinicians to identif
DISOCIATION TRAUMA MENTAL HEALTH NEGLIGENCE PSYCHODYNAMIC
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