Transforming Trauma

Dissociation Isn't What You Think: DID, Structural Dissociation & Therapist Confidence with Kathy Steele

4 snips
Apr 15, 2026
Kathy Steele, a senior clinician with 40+ years treating dissociation, complex PTSD, and DID. She reframes dissociation as understandable protective responses. She explains structural dissociation, developmental roots, and how parts can lack continuity. She encourages clinicians to stay curious, use core therapeutic skills, and consider assessment and training before referring out.
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INSIGHT

Dissociation Is An Understandable Human Defense

  • Dissociation is a normal human defense, not something fantastical or 'weird'.
  • Kathy Steele emphasizes therapists can learn to work with dissociation and should approach it with confidence and curiosity.
ADVICE

Start Treating Instead Of Referring Immediately

  • Don't automatically refer clients with DID; competent therapists can begin treatment with consultation and training.
  • Steele recommends learning assessment and basic dissociation skills rather than immediate referral.
INSIGHT

DID As Fragmented Ownership Of Experience

  • DID reflects a lack of ownership and integration of chunks of experience rather than multiple independent people.
  • Steele explains 'self' as mental representation formed in childhood that can leave islands of experience unintegrated in trauma.
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