Friday, August 7, 2020

Comments by angelaursery

Showing 1 of 1 comments.

  • Thank you for this post; I appreciate the work that’s gone into it.
    I wasn’t clear on a couple of points, and look forward to hearing your thoughts on them.
    For example, in the first couple of paragraphs you refer to the “trauma field,” but then switch to the “trauma and dissociation field.” I wouldn’t expect them to be synonymous, so I was puzzled by you making them so. Are there no distinctions?
    Second, you wrote, “Yet, the trauma and dissociation field often goes to great lengths in an apparent effort to draw a decisive line in the sand between “real” trauma “disorders” and “schizophrenia.” This largely is done by insinuating that “dissociation” is trauma-based and explains the bizarre behaviors of so many distressed individuals labeled with “borderline” or “dissociative identity disorder”, while some cognitive or brain-diseased factor contributes to “real” psychosis.”
    I’ve not seen examples of this insinuation in the trauma field (that is, not the “trauma and dissociation field”), and would benefit from doing so. Will you be providing any in later versions of this piece? Are there trauma-related groups or organizations you know of that maintain that line of demarcation in written or other materials? (And please note that I don’t doubt that it exists, I simply haven’t seen it.)
    I also wasn’t clear on exactly how you saw the relationship between dissociation and distress labeled as schizophrenia, versus dissociation and other psychiatric labels, e.g., nonschizophrenic psychosis, bipolar disorder, etc. And are you saying (and I ask only to better my understanding) that the old biomedical/broken-brain model is correct for the experience labeled psychosis (whether or not with that of schizophrenia), but not for the distress labeled mood or personality disorders?
    Finally, you open the article with a reference to the “many political, ideological, and financial reasons” the links between childhood trauma and psychosis are so often ignored, yet you don’t state them. Will you tease these out in a later version of this piece?
    Thanks again for your work. I look forward to reading more of it.