Trauma Center Belgium

Psychotrauma therapy

The word trauma (from Greek) literally means wound, injury, damage from external violence.

Today, the word trauma is also used to refer to a shocking incident, the traumatic event itself, which leaves deep marks on the person.

There are intense, unbearable emotions of fear, helplessness, panic, anger....

Trauma?

  • Impersonal stressors (natural disaster, accident...)
  • Interpersonal stressors (criminal violence, rape, war...)
  • Prenatal trauma.
  • Attachment trauma: the trauma is inflicted in an attachment relationship.
    • mistreatment (physical, emotional, psychological, sexual).
    • neglect (physical, emotional, cognitive, social).
    • Other traumatic experiences in the parent-child relationship
RELATED

PTSD (Post Traumatic Stress Disorder):

  • Reliving the trauma.
  • Change in mood and future outlook
  • Increased arousal.
    • Body symptoms: The system is in a state of alert (Small triggers trigger a large stress response)
    • Increased vigilance: an intensified startle response.
    • Headache, abdominal cramps, enuresis and shortness of breath.
    • Because of the increased arousal in the present: all kinds of unexplained and unpleasant sensations such as pain, anxiety...
  • Exhaustion. Consequences include muscle tension, gastrointestinal complaints, sleep problems and difficulty concentrating.
  • Psychobiological consequences: Hyperarousal.
    • Dissociative disorder.
    • Disorders of sexuality.
    • Impulse regulation disorders.
    • Disorders in interpersonal relationships.
    • Cognitive disorders.
    • Disorders of self-esteem.
(D'Hooghe & Brack, 2025)

Developmental Model of Dissociation

Trauma model 2.

- Prenatal Trauma
- Attachment Trauma
- Unseen Attachment Trauma
- Complex Trauma
- Intergenerational Trauma

Model of the human psyche 2.

- Individual Self
- Parent Parts
- Inherent Powers

Relational Model 3.
  • Availability:
    • Responsivity
      • Perceiving capability
      • Mentalization
      • Reflective functioning
      • Internal attunement
      • Self regulation
    • Sensitivity
      • Attunement
      • Mirroring
      • Containment
      • Interrelational regulation
    • Presence
      • Attachment energy (delight)
      • Life energy (playfull)
      • Love energy (delight)
      • Will
Development model 4.

- Six developmental areas
- Dissociative reactions
- Timeframes

Treatment model 5.

- Assessment
- Mapping
- Diagnosis
- Treatment plan

Practical interpretation

  • Psychobiological consequences: Hyperarousal.
    •  

Dissociative disorder.

Disorders of sexuality.

Impulse regulation disorders.

Disorders in interpersonal relationships.

Cognitive disorders.

Disorders of self-esteem.