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The Conversational Model approach to guilt and shame associated with trauma.

Dr Joan Haliburn

Shame and guilt are expressions of a Self, seriously wounded, in a relational context. Guilt is more overt, whereas shame, a complex affect, presents a threat of personal annihilation, is sequestered non-consciously, blocking expression of affect and creating considerable difficulty for the individual.

Trauma has primary effects on the psychological sense of Self, on the systems of attachment and meaning that link individuals and communities. It destroys fundamental assumptions of safety. Trauma calls into question basic human relationships; it breaches attachment and undermines the belief system that gives meaning to human experiences. Displacement, dispossession, betrayal, violence, insecurity and helplessness are shameprovoking experiences, where guilt of varying proportions is part of the experience of some individuals.

 

Recorded at the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS)
28 August 2012, New South Wales, Australia.
Visit STARTTS at : www.STARTTS.org.au

Joan Haliburn
Joan Haliburn
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Dr Joan Haliburn

Dr Joan Haliburn is a child, adolescent and family psychiatrist and trained psychotherapist in private practice at Drummoyne, NSW. She is a senior clinical lecturer, University of Sydney, on faculty at the Complex Trauma Unit, which is a service, training and research facility in trauma, dissociation and personality disorders, Western Sydney Health at Westmead and Cumberland Hospitals. She is a former President and Director of Training, ANZAP. She has published and presented papers and workshops nationally and internationally. Her recent publications are Pathological Attachment as Adaptation, in The Psychology of Trauma, Nova Science Publishers, New York and two chapters in ‘Borderline Personality Disorder and the Conversational Model – A clinician’s Manual’ by Russell Meares, Norton Books. She is an International Fellow, American Psychiatry Association, a member of ISSTD, ISSPD and IACAPAP.

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