A qualitative meta-analysis on therapist responsiveness to dissociation: Introducing the dissociation-responsive therapy model.

Psychotherapy (Chic)Jun 4, 2026 (epub)
Clinical ResearchPsychiatry

Nicholas A Pierorazio, Heidi M Levitt

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In 30 seconds

This qualitative meta-analysis examined how therapists adapt their approaches for clients experiencing dissociation, involving 239 therapists across 16 studies. The findings revealed a four-phase model where therapists balance honoring dissociation as a coping mechanism while promoting client agency, ultimately aiming to empower clients in their healing process.

Key findings

  • Therapists prioritize alliance-building actions tailored to dissociation.
  • Clients' self-reliance in managing symptoms and safety is promoted.
  • Therapists bear witness to stigmatized trauma and dissociation.
  • The model enhances clients' capacity for accessing and experiencing emotion.

Why it matters

Understanding how therapists can effectively respond to dissociation is crucial for improving therapeutic outcomes. This model provides insights into clinical practices that can enhance client empowerment and healing from trauma.

What to keep in mind

Caution is advised when applying these findings to child, non-Western, non-English language, and nonindividual psychotherapy settings.

Source

Published in Psychotherapy (Chic). This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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