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Īlthough positive outcomes have been reported and consensus on standards of treatment has been established, psychotherapy of chronic complex dissociative disorders continue to be beset by many challenges. a clinical phenomenon encompassing all of a patient’s defensive efforts to avoid self-knowledge.

As a concept, resistance is defined today rather as the patients’ resistance to knowing what is in their own mind i.e. It is considered to be a universal phenomenon in psychotherapy today all clients, despite their suffering, want to preserve the status quo. According to Bromberg, representing an “illogical” wish to stay the same while changing, resistance is a hindrance in treatment process which requires to be worked on. His concept of resistance evolved after these first accounts, so that he stated later simply: “whatever disturbs the progress of the work is a resistance”.

He proposed that the resistance in his dissociative client was the same psychic force that had created the symptom in the first place. Keywords: Psychotherapy Trauma Dissociation Resistance Trauma-selfįreud introduced the idea of resistance in his early work on hysteria to describe a phenomenon he had observed during the treatment of a 24-year-old patient, Fraeulein Elisabeth von R., namely, her inability to remember and her failure to cooperate. Approaching the patient’s experiences from multiple angles not only from the angle of the therapist but also from the patient’s distinct perspectives are crucial in working through the resistances of the trauma-self. This is expected to be achieved through the careful contextualization of the trauma-self while conducting psychotherapy. Succesful treatment is expected to minimize the resistances of the trauma-self. Detemporalization, treating oneself as an object, suicidality, obsessions of abnormality, rupturing the mutuality of the patient-therapist relationship, and dissociative somatic crises are clues of these resistances.

The resistances of the trauma-self consist of three main groups: Depressive manifestations, traumatic obsessions, and loss of psychosocial mutuality.

The authors consider a particular psychological construct to be at the origin of resistance: the trauma-self. This paper seeks to highlight phenomena related to resistance in the psychotherapy of dissociative disorders and other trauma- and stress-related psychiatric disorders.

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