Question

Do therapists ever dissociate as a reaction to the client’s dissociation or as a result of telling someone's trauma narrative?

Answer 1

Yes, therapists can experience their own reactions, including dissociation, when working with clients who have dissociative disorders or when listening to traumatic narratives. Therapists are also human beings, and they can be affected by the emotions and experiences shared by their clients. This phenomenon is known as "vicarious traumatization" or "secondary trauma."

Here are a couple of ways therapists may experience dissociation in response to their clients' dissociation or trauma narratives:

1. Empathic Dissociation: Empathy is a crucial component of therapy, and therapists often try to understand their clients' experiences on a deep emotional level. In the process of doing so, therapists may temporarily experience a mild form of dissociation, where they may feel emotionally detached or numb as a protective mechanism.

2. Countertransference: Countertransference refers to the therapist's emotional reactions and responses to the client. If the therapist has a history of trauma or unresolved issues, listening to intense trauma narratives may trigger personal memories or feelings related to their past experiences. This can lead to dissociative states in the therapist.

3. Burnout and Compassion Fatigue: Therapists working with clients who have experienced trauma or dissociation can be at risk of burnout and compassion fatigue. As a result of long-term exposure to clients' distressing stories, therapists may become emotionally exhausted, which could contribute to dissociative experiences.

It's essential for therapists to be aware of their own emotional responses and seek appropriate support and supervision to manage any vicarious trauma they may experience. Many therapists engage in regular supervision and self-care practices to maintain their emotional well-being and professional competence.

If you are a client and you suspect that your therapist may be experiencing difficulties related to your trauma narratives or dissociation, it's okay to bring it up in your sessions. Open communication can be beneficial and can lead to better understanding and support for both you and your therapist.