In this conversation, Dr. Banker explores the complex nature of disassociation, its relationship with trauma, and the role of the nervous system in emotional regulation. She emphasizes that disassociation is not a pathology but a protective mechanism that individuals develop in response to overwhelming experiences. The discussion highlights the importance of creating a safe therapeutic environment to facilitate healing and connection, rather than forcing individuals to confront their trauma head-on. Dr. Banker provides insights into effective treatment strategies that focus on recognizing and addressing dissociative episodes, ultimately guiding individuals towards a healthier relationship with their emotions and experiences. She draws comparisons in conceptualizing dissociation between Janina Fisher and Nancy McWillams.

Fisher, J. (2017). Healing the fragmented selves of trauma survivors: Overcoming internal self-alienation. Routledge.

McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process (2nd ed.). Guilford Press.McWilliams, N. (2020). Psychoanalytic psychotherapy: A practitioner’s guide (2nd ed.). Guilford Press.

Takeaways

Disassociation is a protective mechanism, not a pathology.

Healing requires creating a safe and steady environment.

The nervous system plays a crucial role in emotional regulation.

Therapy should focus on building capacity, not forcing exposure.

Understanding what triggers disassociation is key to healing.

Connection and relational safety are essential for recovery.

Curiosity about emotions can aid in healing from disassociation.

Disassociation often occurs in response to overwhelming experiences.

Recognizing disassociative episodes can help in treatment.

Healing is about learning to stay present without fear.